Self-management interventions to patients with cirrhosis: A scoping review.

IF 5.6 2区 医学 Q1 GASTROENTEROLOGY & HEPATOLOGY
Hepatology Communications Pub Date : 2024-11-04 eCollection Date: 2024-11-01 DOI:10.1097/HC9.0000000000000576
Samsam Aden, Mette Munk Lauridsen, Lea Ladegaard Grønkjær
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引用次数: 0

Abstract

Background: Self-management in chronic diseases like cirrhosis involves patients providing the necessary knowledge, skills, and confidence to enhance self-efficacy. This scoping review aims to describe the literature on self-management interventions in patients with cirrhosis to create an overview and identify key concepts and gaps in the existing literature.

Methods: Four databases (CINAHL, Embase, Medline, and Scopus) were searched from November 2022 to September 2024. The review was reported in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analysis extension for Scoping Reviews. Studies published from 2000 onward, including patients with cirrhosis of different etiology and severity, focusing on self-management and/or self-efficacy, and performed in a health care setting, were considered.

Results: The search produced 1012 articles, of which 16 were included in the review. These represented studies from 7 countries and a sample of 1.276 patients. The studies differed in study design, sample size, delivery format, self-management interventions designed by the authors, and evaluation. However, all studies described some form of improvement in patient-related and clinical outcomes after the intervention, mainly improved patient knowledge and quality of life.

Conclusions: Self-management interventions for patients with cirrhosis improved patient-related outcomes. However, more comprehensive and standardized interventions tailored to patients' needs are needed. These self-management interventions should focus on increasing confidence and self-efficacy and address the different skills required by patients to manage their disease.

肝硬化患者的自我管理干预:范围综述。
背景:肝硬化等慢性病的自我管理涉及患者提供必要的知识、技能和信心,以提高自我效能。本范围综述旨在描述有关肝硬化患者自我管理干预措施的文献,以创建一个概述,并确定现有文献中的关键概念和空白:方法:检索了 2022 年 11 月至 2024 年 9 月期间的四个数据库(CINAHL、Embase、Medline 和 Scopus)。综述按照《系统综述和元分析扩展范围综述的首选报告项目》进行报告。研究对象为 2000 年以后发表的研究,包括不同病因和严重程度的肝硬化患者,侧重于自我管理和/或自我效能,并在医疗机构中进行:结果:搜索结果共产生 1012 篇文章,其中 16 篇被纳入综述。这些研究来自 7 个国家,抽样调查了 1 276 名患者。这些研究在研究设计、样本大小、实施形式、作者设计的自我管理干预措施和评估方面各不相同。然而,所有研究都描述了干预后患者相关结果和临床结果的某种形式的改善,主要是患者知识和生活质量的改善:肝硬化患者的自我管理干预改善了患者的相关结果。结论:肝硬化患者的自我管理干预改善了患者的相关预后,但还需要更全面、更标准化的干预措施来满足患者的需求。这些自我管理干预措施应侧重于增强患者的信心和自我效能感,并针对患者管理疾病所需的不同技能。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Hepatology Communications
Hepatology Communications GASTROENTEROLOGY & HEPATOLOGY-
CiteScore
8.00
自引率
2.00%
发文量
248
审稿时长
8 weeks
期刊介绍: Hepatology Communications is a peer-reviewed, online-only, open access journal for fast dissemination of high quality basic, translational, and clinical research in hepatology. Hepatology Communications maintains high standard and rigorous peer review. Because of its open access nature, authors retain the copyright to their works, all articles are immediately available and free to read and share, and it is fully compliant with funder and institutional mandates. The journal is committed to fast publication and author satisfaction. ​
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