Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views.
Self-Management and Self-Management Support Outcomes: A Systematic Review and Mixed Research Synthesis of Stakeholder Views.
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DOI：
10.1371/journal.pone.0130990
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发表时间：
2015
期刊：
影响因子：
3.7
通讯作者：
Demain S
中科院分区：
文献类型：
--
作者：
Boger E;Ellis J;Latter S;Foster C;Kennedy A;Jones F;Fenerty V;Kellar I;Demain S
自我管理作为一种长期状态管理的有效方法，越来越受到人们的重视。很少有人知道患者、他们的家人、卫生专业人员和那些委托自我管理服务的人重视得到支持的自我管理的哪些结果。这项研究根据Prisma指南系统地回顾了已发表的经验证据，以确定这些关键利益相关者群体重视的自我管理的结果，使用了三种突出的范例疾病：结直肠癌、糖尿病和中风。利用三种典型疾病(结直肠癌、糖尿病和中风)，系统地回顾文献，以确定自我管理的哪些一般性结果是有针对性的，并被认为是重要的，这三种情况共同具有一系列可能代表一般性自我管理问题的特征。除了手工检索综述文章外，还对9个电子数据库进行了系统搜索。摘要根据纳入标准确定，并由两名审查员使用关键评估工具独立进行评估。研究结果的综合采用混合研究综合。超过20536篇摘要被筛选出来。对符合审查标准的41项研究进行全面检索和评价。大多数证据都与糖尿病有关。很少有研究直接集中于利益相关者对期望的自我管理结果的看法；大多数证据来自于侧重于自我管理经验的研究。卫生保健专员的观点没有出现在文献中。我们发现，自我管理的结果包括一系列指标，从健康的知识、技能和生物心理社会标志到积极的社会网络。关于自我管理的哪些结果是重要的，患者、家属、卫生专业人员和专员的看法还没有明确得出。从所有利益攸关方群体的角度来看，生物心理社会指标在多大程度上与成功的自我管理有关尚不清楚。有必要进一步调查所有利益攸关方认为哪些自我管理成果是重要的，以指导未来自我管理服务的委托和设计。
Self-management has received growing attention as an effective approach for long-term condition management. Little is known about which outcomes of supported self-management are valued by patients, their families, health professionals and those who commission self-management services. This study systematically reviewed published empirical evidence in accordance with PRISMA guidelines to determine the outcomes of self-management valued by these key stakeholder groups, using three prominent exemplar conditions: colorectal cancer, diabetes and stroke. To systematically review the literature to identify which generic outcomes of self-management have been targeted and are considered important using three exemplar conditions (colorectal cancer, diabetes and stroke), which collectively have a range of features that are likely to be representative of generic self-management issues. Systematic searching of nine electronic databases was conducted in addition to hand searches of review articles. Abstracts were identified against inclusion criteria and appraised independently by two reviewers, using a critical appraisal tool. Synthesis of findings was conducted using mixed research synthesis. Over 20,536 abstracts were screened. 41 studies which met the review criteria were fully retrieved and appraised. The majority of evidence related to diabetes. Few studies directly focussed on stakeholders’ views concerning desired self-management outcomes; the majority of evidence was derived from studies focusing upon the experience of self-management. The views of health care commissioners were absent from the literature. We identified that self-management outcomes embrace a range of indicators, from knowledge, skills, and bio-psychosocial markers of health through to positive social networks. Patients’, families’, health professionals’ and commissioners’ views regarding which outcomes of self-management are important have not been clearly elicited. The extent to which bio-psychosocial indicators relate to successful self-management from the perspectives of all groups of stakeholders is unknown. Further investigation regarding which self-management outcomes are considered important by all stakeholders is necessary to guide the commissioning and design of future self-management services.
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影响因子：
1.8
作者：
Corcoran, Katherine J.;Jowsey, Tanisha;Leeder, Stephen R.
通讯作者：
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