摘要
目的探讨患者积极度概念的定义及内涵。方法系统检索中国知网、万方数据、维普网、PubMed、SinoMed、CINAHL、Cochrane Library、Web of Science、Embase数据库中患者积极度的相关文献,采用Walker和Avant的概念分析法对纳入文献进行分析。结果共纳入41篇文献。患者积极度的定义属性为参与自我健康管理意愿、参与自我健康管理知识、参与自我健康管理行动和参与自我健康管理信心;其前因为人口学特征、疾病相关因素、心理因素、社会因素;后果为促进健康行为、改善临床结局、降低医疗使用率与成本。测量工具包括患者积极度量表、医疗消费者参与度量表、医疗消费者健康积极指数、糖尿病患者积极度影响和动机量表。结论该研究明确了患者积极度的定义属性、前因及后果,可为以后国内研制不同疾病患者积极度特异性评估工具,构建本土化的患者积极度干预方案等提供参考。
Objective To identify the concept and connotation of patient activation.Methods Literature on patient activation was systematically retrieved from CNKI,Wanfang,VIP,PubMed,SinoMed,CINAHL,the Cochrane Library,Web of Science,and Embase.Walker and Avant′s conceptual analysis method was used to carry out conceptual analysis of the included literature.Results A total of 41 articles were included.Attributes defining patient engagement were identified as the willingness to participate in health self-management,knowledge for health self-management,actions towards health self-management,and confidence in health self-management;antecedents included demographic characteristics,disease-related factors,psychological factors,and social factors;consequences consisted of promoting health behavior,improving clinical outcomes,and reducing healthcare utilization and costs.Measurement tools encompassed the Patient Activation Measure,the Altarum Consumer Engagement Measure,the Consumer Health Activation Index,and Influence and the Motivation for Patient ACTivation in Diabetes care.Conclusion This study clarified the defining attributes,antecedents and consequences of patient activation,laid a foundation for the development of disease-specific assessment tools,and the construction of localized a localized patient activation intervention program in the future.
作者
马蕊
王俊霞
张瑞星
李佳奇
葛淑怡
苗鑫
邵李姣
吴田瑞
赵煜华
Ma Rui;Wang Junxia;Zhang Ruixing;Li Jiaqi;Ge Shuyi;Miao Xin;Shao Lijiao;Wu Tianrui;Zhao Yuhua(School of Nursing and Health,Zhengzhou University,Zhengzhou 450001,China)
出处
《护理学杂志》
CSCD
北大核心
2024年第16期77-82,共6页
Journal of Nursing Science
关键词
患者积极度
健康管理
慢性病
自我管理
知识
行为
信心
概念分析
patient engagement
health management
chronic diseases
self-management
knowledge
behavior
confidence
concept analysis
