|
|
Nursing Science 2024
慢性病患者自护能力研究进展
|
Abstract:
自护能力是影响慢性病发病、进展及预后的重要可改变因素。然而，提高慢性病患者的自护能力是一个复杂和长期的过程，给患者及医务工作者带来了巨大的挑战。所以本文通过整理国内外相关的文献，从自护能力的概念、自我护理能力的评估、国内外慢性病患者自护能力现状以及影响慢性病患者自护能力的因素方面阐述其发展现状，并提出展望，以期为提高慢性病患者的自护能力提供参考和借鉴。
Self-care ability is an important modifiable factor affecting the onset, progression and prognosis of chronic diseases. However, improving the self-care ability of patients with chronic diseases is a complex and long-term process, which brings great challenges to patients and medical workers. Therefore, by collating relevant literature at home and abroad, this paper expounds on the development status of self-care ability from the aspects of the concept of self-care ability, assessment of self-care ability, current situation of self-care ability of patients with chronic diseases at home and abroad, and factors affecting the self-care ability of patients with chronic diseases, and puts forward prospects, in order to provide a reference for improving the self-care ability of chronic disease patients.
| [1] | 中国居民营养与慢性病状况报告(2020年) [J]. 营养学报, 2020, 42(6): 521. |
| [2] | 赵丽莎, 毛佩贤, 鲍枫, 等. 社区老年慢性病患者生命质量及影响因素分析[J]. 精神医学杂志, 2014, 27(1): 16-19. |
| [3] | 鄂慧峰, 袁义厘, 张红兵. 奥瑞姆(Orem)自我护理模式与应用[J]. 现代护理, 2003, 9(4): 291-292. |
| [4] | Kearney, B.Y. and Fleischer, B.J. (1979) Development of an Instrument to Measure Exercise of Self‐Care Agency. Research in Nursing & Health, 2, 25-34. https://doi.org/10.1002/nur.4770020105 |
| [5] | Chipu, M. and Downing, C. (2020) Professional Nurses’ Facilitation of Self-Care in Intensive Care Units: A Concept Analysis. International Journal of Nursing Sciences, 7, 446-452. https://doi.org/10.1016/j.ijnss.2020.08.002 |
| [6] | Wang, H.H. and Laffrey, S.C. (2000) Preliminary Development and Testing of Instruments to Measure Self-Care Agency and Social Support of Women in Taiwan Region. The Kaohsiung Journal of Medical Sciences, 16, 459-467. |
| [7] | 何晴晴. 青少年听力障碍学生自我护理能力现状调查及健康教育方案构建[D]: [硕士学位论文]. 济南: 山东中医药大学, 2023. |
| [8] | Evers, G.C.M., Isenberg, M.A., Philipsen, H., Senten, M. and Brouns, G. (1993) Validity Testing of the Dutch Translation of the Appraisal of the Self-Care Agency A.S.A.-Scale. International Journal of Nursing Studies, 30, 331-342. https://doi.org/10.1016/0020-7489(93)90105-4 |
| [9] | Söderhamn, O., Lindencrona, C. and Ek, A. (1996) Validity of Two Self-Care Instruments for the Elderly. Scandinavian Journal of Occupational Therapy, 3, 172-179. https://doi.org/10.1080/11038128.1996.11933204 |
| [10] | 郭丽娜, 刘堃, 郭启云, 等. 中文版老年人自我护理能力量表的信效度研究[J]. 中华护理杂志, 2015, 50(8): 1009-1013. |
| [11] | 李翠, 张晓娟, 罗瑾俏. 慢性阻塞性肺疾病患者自护能力与家庭支持的相关性分析[J]. 齐鲁护理杂志, 2022, 28(5): 130-132. |
| [12] | 华李灵, 楼娟花, 汤琳民. 肺高血压住院患者自护能力水平现状及影响因素分析[J]. 护理与康复, 2020, 19(9): 28-32. |
| [13] | 黄云镜. 糖尿病视网膜病变患者自护能力现状与影响因素研究[J]. 护理实践与研究, 2019, 16(9): 108-110. |
| [14] | 陈柳, 朱玉玲, 钟程. 乳腺癌化疗患者PICC置管期间自我护理能力现状及其相关影响因素分析[J]. 现代诊断与治疗, 2023, 34(2): 297-299. |
| [15] | Bayliss, E.A. (2003) Descriptions of Barriers to Self-Care by Persons with Comorbid Chronic Diseases. The Annals of Family Medicine, 1, 15-21. https://doi.org/10.1370/afm.4 |
| [16] | Opoku-Addai, K., Korsah, K.A. and Mensah, G.P. (2022) Nutritional Self-Care Practices and Skills of Patients with Diabetes Mellitus: A Study at a Tertiary Hospital in Ghana. PLOS ONE, 17, e0265608. https://doi.org/10.1371/journal.pone.0265608 |
| [17] | Sedlar, N., Lainscak, M. and Farkas, J. (2021) Self‐Care Perception and Behaviour in Patients with Heart Failure: A Qualitative and Quantitative Study. ESC Heart Failure, 8, 2079-2088. https://doi.org/10.1002/ehf2.13287 |
| [18] | Wong, H.J., Lua, P.L., Harith, S. and Ibrahim, K.A. (2021) Health-Related Quality of Life Profiles and Their Dimension-Specific Associated Factors among Malaysian Stroke Survivors: A Cross Sectional Study. Health and Quality of Life Outcomes, 19, Article No. 210. https://doi.org/10.1186/s12955-021-01847-0 |
| [19] | 高成菲, 蔡端颖. 老年慢性病患者自我护理能力与社会支持的相关性研究[J]. 九江学院学报(自然科学版), 2022, 37(4): 105-109. |
| [20] | 苏玉英, 吴湘华, 卢彩霞, 等. CRT/CRT-D术后病人自我护理行为的调查研究[J]. 护理研究, 2014, 28(9): 1057-1059. |
| [21] | 刘博, 许妍, 栗文菊. 直肠癌术后永久性结肠造口患者自护能力的影响因素[J]. 中国民康医学, 2023, 35(3): 8-10. |
| [22] | Qama, E., Rubinelli, S. and Diviani, N. (2022) Factors Influencing the Integration of Self-Management in Daily Life Routines in Chronic Conditions: A Scoping Review of Qualitative Evidence. BMJ Open, 12, e066647. https://doi.org/10.1136/bmjopen-2022-066647 |
| [23] | 安继梅, 高小莲, 吴广军. 慢性病患者自我管理现状研究及影响因素[J]. 华南预防医学, 2020, 46(5): 577-579. |
| [24] | 黎彩霞, 郑凤连. 基于自护理论的健康宣教对糖尿病患者服药依从性、自护能力及生活质量的影响[J]. 中外医疗, 2023, 42(31): 170-173. |
| [25] | 钱月红. 慢性病管理联合健康教育对高血压患者疾病认知情况的影响[J]. 中国医药指南, 2023, 21(18): 82-84. |
| [26] | Makiling, M. and Smart, H. (2020) Patient-Centered Health Education Intervention to Empower Preventive Diabetic Foot Self-Care. Advances in Skin & Wound Care, 33, 360-365. https://doi.org/10.1097/01.asw.0000666896.46860.d7 |
| [27] | 樊梅荣, 李敏, 程静, 等. 维持性血液透析患者自我管理行为现状及影响因素分析[J]. 实用临床医学, 2020, 21(9): 56-59, 83. |
| [28] | 何爱惠, 陈华娟, 何宇媚, 等. 社区高血压病人自我效能现状及其与自我管理行为的相关性分析[J]. 全科护理, 2023, 21(28): 4016-4019. |
| [29] | Schulman-Green, D., Feder, S.L., Dionne-Odom, J.N., Batten, J., En Long, V.J., Harris, Y., et al. (2020) Family Caregiver Support of Patient Self-Management during Chronic, Life-Limiting Illness: A Qualitative Metasynthesis. Journal of Family Nursing, 27, 55-72. https://doi.org/10.1177/1074840720977180 |
| [30] | 霍向阳. 社区慢性病老人家庭照顾者的健康教育效果分析[J]. 内蒙古中医药, 2016, 35(16): 73-74. |
| [31] | 吴爵慧, 冯海燕, 靳向前, 等. 腰椎间盘突出症患者自我管理水平及其影响因素[J]. 吉林医学, 2023, 44(11): 3249-3251. |
| [32] | 蒋喆怡, 陈公锦, 王巧巧, 等. 妊娠糖尿病患者自我管理行为的影响因素研究[J]. 预防医学, 2023, 35(11): 935-938. |
| [33] | 裴莹莹, 王秀红, 汪俊华, 等. 社区老年慢性疼痛患者衰弱发生现状及其与社会支持和自我管理行为的关系[J]. 贵州医科大学学报, 2023, 48(6): 710-716. |
| [34] | Reeves, D., Blickem, C., Vassilev, I., Brooks, H., Kennedy, A., Richardson, G., et al. (2014) The Contribution of Social Networks to the Health and Self-Management of Patients with Long-Term Conditions: A Longitudinal Study. PLOS ONE, 9, e98340. https://doi.org/10.1371/journal.pone.0098340 |
| [35] | Świątoniowska-Lonc, N., Polański, J. and Jankowska-Polańska, B. (2020) Psychometric Properties of the Polish Version of the Self-Care of Hypertension Inventory. Journal of Cardiovascular Nursing, 36, 437-445. https://doi.org/10.1097/jcn.0000000000000776 |
| [36] | Heo, S., Moser, D.K., Lennie, T.A., Kim, J., Turrise, S., Troyan, P.J., et al. (2021) Self-Care Strategies and Interventions Needed in Patients with Heart Failure: From Patient Perspectives—A Qualitative Study. European Journal of Cardiovascular Nursing, 20, 540-546. https://doi.org/10.1093/eurjcn/zvaa033 |
| [37] | Subrata, S.A., Phuphaibul, R., Grey, M., Siripitayakunkit, A. and Piaseu, N. (2020) Improving Clinical Outcomes of Diabetic Foot Ulcers by the 3-Month Self-and Family Management Support Programs in Indonesia: A Randomized Controlled Trial Study. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14, 857-863. https://doi.org/10.1016/j.dsx.2020.05.028 |
