健康促进行为、患者参与度和执业护士与患者伙伴关系之间的关系。

IF 1.2 4区 医学
Irene DeCelie, Bonnie Sturm
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引用次数: 0

摘要

背景:采取健康促进行为的人可从改善健康状况和降低慢性病风险中获益。目的:本研究探讨了患者参与、执业护士与患者之间的合作关系以及初级医疗机构中成年人的健康促进行为之间的关系:一项描述性相关研究采用便利抽样法,从一名执业护士的初级保健实践中招募了 85 名参与者。参与者填写了测量健康促进行为(健康促进生活方式档案 II)、执业护士与患者合作关系质量(患者反应评估)以及个人参与医疗保健的能力(个人参与指数)的调查问卷:结果:主要研究变量之间存在中度到高度相关性。多元回归分析发现,个人参与医疗保健的能力可显著预测健康促进行为(R2 = 0.362,p < .001),并可解释健康促进行为中 36.2% 的变异:结论:患者参与是健康促进行为的重要预测因素。互动护理模式可作为执业护士建立伙伴关系和促进患者参与的框架。执业护士可以作为患者的指导者、导航者、合作者和值得信赖的医疗保健伙伴:基层医疗机构的执业护士可能需要调整医疗服务的结构,以便有足够的时间与患者沟通、倾听、教育,并让患者参与共同决策过程。当患者对自己的健康承担更大责任时,执业护士可以为他们提供参与医疗保健所需的支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Relationships among health promotion behaviors, patient engagement, and the nurse practitioner-patient partnership.

Background: Individuals adopting health promotion behaviors benefit from improved health and reduced risk of chronic diseases. Patient engagement and a strong provider-patient partnership may play a role in health promotion.

Purpose: This study examined the relationships between patient engagement, the nurse practitioner-patient partnership and health promotion behaviors among adults in a primary care setting.

Methodology: A descriptive correlational study using convenience sampling to recruit 85 participants from a nurse practitioner primary care practice. Participants completed questionnaires measuring health promotion behaviors (Health Promoting Lifestyle Profile II), the quality of the nurse practitioner-patient partnership (Patient Reactions Assessment), and a person's capacity to engage in their health care (Person Engagement Index).

Results: Moderate to strong correlations were found among the main study variables. Multiple regression analysis found a person's capacity to engage in health care significantly predicted health promotion behaviors (R2 = 0.362, p < .001) and explained 36.2% of the variance in health promotion behaviors.

Conclusions: Patient engagement is a significant predictor of health promotion behaviors. The interactive care model can serve as a framework for nurse practitioners to build partnerships and facilitate patient engagement. Nurse practitioners can serve as a coach, navigator, collaborator, and trusted health care partner with their patients.

Implications: Nurse practitioners in primary care may need to restructure the health care encounter to allow for adequate time to communicate, listen, educate, and enlist patients in the shared decision-making process. Nurse practitioners can provide the support patients need to engage in their health care as they accept greater responsibility for their health.

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来源期刊
自引率
16.70%
发文量
172
期刊介绍: The Journal of the American Association of Nurse Practitioners (JAANP) is a monthly peer-reviewed professional journal that serves as the official publication of the American Association of Nurse Practitioners. Published since 1989, the JAANP provides a strong clinical focus with articles related to primary, secondary, and tertiary care, nurse practitioner education, health policy, ethics and ethical issues, and health care delivery. The journal publishes original research, integrative/comprehensive reviews, case studies, a variety of topics in clinical practice, and theory-based articles related to patient and professional education. Although the majority of nurse practitioners function in primary care, there is an increasing focus on the provision of care across all types of systems from acute to long-term care settings.
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