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评估患者自我护理独立性的工具:一项范围综述

Instruments for Assessing Patient Independence in Self-Care: A Scoping Review.

作者信息

Eriyani Theresia, Shalahuddin Iwan, Pebrianti Sandra, Maulana Indra

机构信息

Department of Basic Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia.

Department of Community of Nursing, Faculty of Nursing, Universitas Padjadjaran, Sumedang, Jawa Barat, Indonesia.

出版信息

J Multidiscip Healthc. 2025 Apr 30;18:2387-2399. doi: 10.2147/JMDH.S510034. eCollection 2025.

DOI:10.2147/JMDH.S510034
PMID:40321885
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12050024/
Abstract

AIM

Measuring patients' independence in caring for themselves is essential in nursing care, especially in the internal medicine room environment. Many patients with various conditions need help in self-care.

OBJECTIVE

To identify the right instrument to measure patients' level of independence in performing self-care.

METHODS

The scoping review uses the PICO framework through PubMed, Science Direct, and Scopus databases.

RESULTS

Nine instruments/measuring tools can be used to measure the level of independence of patients in self-care, namely CDS, Barthel Index and MBI (Modified Barthel Index), SCHFI, ECOG, Self-care ability questionnaire, DCTAQ, and Revised Summary of Diabetes Self-Care.

CONCLUSION

Some instruments have various assessment methods and scores but can provide helpful information for health practitioners to assess patient independence. The instrument has been tested for validity and reliability in multiple studies. No instrument is absolutely the best, as each instrument has its advantages according to its context and purpose of use.

摘要

目的

衡量患者自我护理的独立性在护理工作中至关重要,尤其是在内科病房环境中。许多患有各种疾病的患者在自我护理方面需要帮助。

目标

确定合适的工具来衡量患者自我护理的独立程度。

方法

范围综述通过PubMed、科学Direct和Scopus数据库使用PICO框架。

结果

九种工具/测量工具可用于衡量患者自我护理的独立程度,即CDS、巴氏指数和MBI(改良巴氏指数)、SCHFI、ECOG、自我护理能力问卷、DCTAQ以及修订后的糖尿病自我护理总结。

结论

一些工具具有多种评估方法和评分,但可为医护人员评估患者独立性提供有用信息。该工具已在多项研究中进行了有效性和可靠性测试。没有一种工具绝对是最好的,因为每种工具根据其背景和使用目的都有其优势。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b44e/12050024/4001f02b8919/JMDH-18-2387-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b44e/12050024/4001f02b8919/JMDH-18-2387-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b44e/12050024/4001f02b8919/JMDH-18-2387-g0001.jpg

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本文引用的文献

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Medicine (Baltimore). 2023 Jul 14;102(28):e34232. doi: 10.1097/MD.0000000000034232.
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The effect of Orem-based self-care education on improving self-care ability of patients undergoing chemotherapy: a randomized clinical trial.基于奥瑞姆自理模式的自我护理教育对改善化疗患者自我护理能力的效果:一项随机临床试验。
BMC Cancer. 2022 Jul 15;22(1):770. doi: 10.1186/s12885-022-09881-x.
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The Care Dependency Scale: A cross validation study in inpatients with cancer.
《关怀依赖量表:癌症住院患者的验证性研究》
Eur J Oncol Nurs. 2022 Feb;56:102087. doi: 10.1016/j.ejon.2021.102087. Epub 2021 Dec 22.
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Standardized Assessment of Global activities in the Elderly scale in adult cardiac surgery patients.老年患者心脏手术中全球活动标准化评估量表。
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A comparison of test-retest reliability and random measurement error of the Barthel Index and modified Barthel Index in patients with chronic stroke.慢性脑卒中患者Barthel 指数和改良 Barthel 指数重测信度和随机测量误差的比较。
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Gender differences in self-care maintenance and its associations among patients with chronic heart failure.慢性心力衰竭患者自我护理维持中的性别差异及其关联
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