Gyllensten Hanna, Cederberg Matilda, Alsén Sara, Blanck Elin, Ali Lilas, Fors Andreas, Hedman Håkan, Nørmark Laura Pirhonen, Swedberg Karl, Ekman Inger
Institute of Health and Care Sciences, Sahlgrenska Academy, University of Gothenburg, Box 457, 405 30, Gothenburg, Sweden.
Centre for Person-Centred Care (GPCC), Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.
Curr Heart Fail Rep. 2025 Apr 11;22(1):15. doi: 10.1007/s11897-025-00702-3.
Many countries prioritise the implementation of person-centred care. This study examines the progression of research in person-centred care, specifically focusing on using complex interventions within intricate contexts. It aims to explore how previous experiences can inform and shape subsequent projects. The review was based on five studies from our research group, encompassing 1099 patients, resulting in 41 peer-reviewed scientific publications. Most studies focused on patients suffering from chronic heart failure, as well as patients with chronic obstructive pulmonary disease. Additionally, interventions for acute coronary syndrome and common mental disorders were also considered. Analyses included the development of a logical model for person-centred care, an overview of partnership operationalisation, and the establishment of evaluation criteria for the trials. The analyses involved creating a coherent model for person-centred care, examining partnership operationalisation, and establishing trial evaluation criteria.
Sequential trials build upon their predecessors and add new elements. The studies conducted by clinicians in usual care and in-house by research staff were complementary, providing a deeper understanding of the efficacy and effectiveness of person-centred care. Initiating, working, and safeguarding a partnership between patient and staff was possible, whether through in-person or remote communication. Evaluations followed modern research standards and incorporated past study insights for a more thorough approach. This study highlights how the cumulative experience from previous research in person-centred care informs the design and analyses of subsequent projects through an iterative learning process, particularly important for complex interventions in various health care contexts.
许多国家将实施以患者为中心的护理作为优先事项。本研究考察了以患者为中心的护理研究进展，特别关注在复杂背景下使用复杂干预措施。其目的是探索以往经验如何为后续项目提供信息并塑造后续项目。该综述基于我们研究小组的五项研究，涉及1099名患者，产生了41篇经同行评审的科学出版物。大多数研究聚焦于慢性心力衰竭患者以及慢性阻塞性肺疾病患者。此外，还考虑了针对急性冠状动脉综合征和常见精神障碍的干预措施。分析包括建立以患者为中心的护理逻辑模型、概述伙伴关系的实施情况以及确立试验的评估标准。这些分析涉及创建一个连贯的以患者为中心的护理模型、审视伙伴关系的实施情况以及确立试验评估标准。
序贯试验在前作基础上进行，并增添新元素。临床医生在常规护理中开展的研究以及研究人员在机构内部开展的研究相互补充，能更深入地了解以患者为中心的护理的疗效和效果。无论通过面对面还是远程沟通，患者与工作人员之间建立、维持并保障伙伴关系都是可行的。评估遵循现代研究标准，并纳入以往研究的见解以采取更全面的方法。本研究强调了以往以患者为中心的护理研究的累积经验如何通过迭代学习过程为后续项目的设计和分析提供信息，这对于各种医疗保健背景下的复杂干预措施尤为重要。
