Patient-Centered Self-Management in Patients with Chronic Kidney Disease: Challenges and Implications.
Patient-Centered Self-Management in Patients with Chronic Kidney Disease: Challenges and Implications.
复制标题
慢性肾病患者以患者为中心的自我管理：挑战和影响。
DOI：
10.3390/ijerph17249443
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发表时间：
2020-12-16
影响因子：
--
通讯作者：
Hwang SJ
中科院分区：
文献类型：
--
作者：
Lin CC;Hwang SJ
该综述旨在明确当前文献中以患者为中心的自我管理(PCSM)的属性，并探讨其在解决慢性肾脏病(CKD)治疗和管理中患者障碍方面的实施情况。检索有关PCSM、综合护理和CKD管理挑战的相关文章和文献。通过纳入研究确定了PCSM的重要属性和当前用于解决CKD治疗中患者障碍的自我管理干预措施。研究结果肯定了PCSM策略对CKD管理的积极作用，但缺乏高质量的初步研究，长期证据表明需要进一步发展。未来的研究应该集中在开发标准化的、通用的集成的PCSM模型和统一的临床环境下的数据收集系统。慢性肾脏病治疗的困难在于它是一种并存的进展性疾病。纯粹的生物医学方法是不够的。我们的审查建议，结合健康素养和信息技术干预的综合PCSM方法，将患者教育统一和整合，可以解决导致治疗结果不成功的困难。在未来的慢性肾脏疾病管理和卫生政策中，应系统地和有方法地实施综合的疾病控制和管理模式。
This review aims to identify attributes of patient-centered self-management (PCSM) in the current literature and explore its implementation in resolving patient obstacles in chronic kidney disease (CKD) treatment and management. A search of relevant articles and literature on PCSM, integrated care, and challenges of CKD management was conducted. Vital attributes of PCSM and current self-management interventions employed to resolve patient obstacles in CKD management were identified from inclusion studies. Findings affirm that PCSM strategies have positive effects on CKD management, but a lack of quality primary study, and long-term evidence presents the need for further development. Future research should focus on the development of a standardized and universal integrated PCSM model and a uniform system of data collection in the clinical setting. The difficulty of CKD management lies in how it is a comorbid and progressive disease. A pure biomedical approach is inadequate. Our review recommends that an integrated PCSM approach with health literacy and information technology intervention, which unifies and integrates patient education, can address the difficulties that are contributing to unsuccessful treatment outcomes. An integrated PCSM model should be implemented systematically and methodologically into future CKD management and health policies.
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影响因子：
6.1
作者：
Chen, Sue-Hsien;Tsai, Yun-Fang;Wu, Mai-Szu
通讯作者：
Wu, Mai-Szu
影响因子：
13.2
作者：
Donald, Maoliosa;Beanlands, Heather;Hemmelgarn, Brenda R.
通讯作者：
Hemmelgarn, Brenda R.
影响因子：
3.2
作者：
Flesher, Mary;Woo, Paula;Leslie, Barbara
通讯作者：
Leslie, Barbara
影响因子：
3.5
作者：
Anderson RM;Funnell MM
通讯作者：
Funnell MM
影响因子：
1.3
作者：
Angus, Lisa;Valentijn, Pim P.
通讯作者：
Valentijn, Pim P.