患者与医疗服务提供者的沟通对慢性病患者自我管理的影响:系统性混合研究综述

IF 3.8 3区 医学 Q1 NURSING
Christin Iroegbu, Delphine S. Tuot, Lisa Lewis, Lea Ann Matura
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引用次数: 0

摘要

目的探讨患者与医护人员沟通对慢性病患者自我管理的影响.设计系统性混合研究综述.数据来源检索CINAHL、Google Scholar、EMBASE和PubMed至2024年3月.方法采用基于结果的聚合设计和混合方法评估工具对研究进行评估.结果纳入2003年至2023年间发表的13篇文章.方法采用基于结果的聚合设计和混合方法评估工具对研究进行评估.结果纳入了 2003 年至 2023 年间发表的 13 篇文章。研究的慢性疾病包括:糖尿病、心力衰竭、高血压、慢性阻塞性肺病和哮喘。数据综合后得出的首要主题是:适应性人际沟通。一种根据每位患者的独特需求调整沟通内容、运用语言和非语言沟通、建立联系并与患者建立融洽关系的方法。医疗服务提供者调整和调整其沟通方式的能力是帮助患者实现最佳自我管理的重要因素。未来的研究应探讨本综述未包括的其他常见慢性病的这一现象。对行业和/或患者护理的意义本综述的发现对共享和参与式决策具有重要意义,在共享和参与式决策中,患者和医疗服务提供者合作为患者制定护理计划,以实现最佳的自我管理。此外,本综述还有助于为护士和所有护理慢性病患者的医疗保健专业人员制定教育内容和沟通策略。影响这是第一篇描述患者与医护人员沟通对慢性病患者自我管理影响的混合研究系统综述。这些研究结果巩固了现有的证据,为临床实践的实际应用提供了途径,并有可能对提供以患者为中心的护理和医疗质量产生重大影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Influence of Patient–Provider Communication on Self‐Management Among Patients With Chronic Illness: A Systematic Mixed Studies Review
AimTo explore the influence of patient–provider communication on patient self‐management of chronic illness.DesignSystematic Mixed Studies Review.Data SourcesCINAHL, Google Scholar, EMBASE and PubMed were searched until March 2024.MethodsEmployed a result‐based convergent design and the Mixed Method Appraisal Tool to evaluate studies. Narrative analysis, quantitative studies and thematic analysis for qualitative studies and overall results.ResultsThirteen articles published between 2003 and 2023 were included. Chronic illnesses studied: diabetes, heart failure, hypertension, chronic obstructive pulmonary disease and asthma. Data synthesis yielded the overarching theme: adaptive interpersonal communication. An approach that adapts communication content to each patient's unique needs, employs verbal and nonverbal communication, builds a connection and establishes patient rapport.ConclusionAvailable evidence suggests that patient–provider communication influences chronic illness self‐management. A provider's ability to adjust and tailor their communication style is an important factor in helping patients to achieve optimal self‐management. Future research should explore this phenomenon in other common chronic illnesses not included in this review. Additionally, research on the patient's role in this process could help improve patient–provider communication.Implications for the Profession and/or Patient CareFindings from this review have significant implications for shared and participatory decision making, where patients and providers collaborate to develop plans of care for patients to achieve optimal self‐management. Additionally, this review can contribute to the development of educational content and communication strategies for nurses and all healthcare professionals caring for patients with chronic illnesses.ImpactThis is the first mixed studies systematic review to describe the influence patient–provider communication on patient self‐management of chronic illness. These findings consolidate existing evidence, providing a pathway for practical application to clinical practice and the potential to significantly impact the delivery of patient‐centred care and healthcare quality.Patient or Public ContributionNo patient or public contribution.
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来源期刊
CiteScore
6.40
自引率
7.90%
发文量
369
审稿时长
3 months
期刊介绍: The Journal of Advanced Nursing (JAN) contributes to the advancement of evidence-based nursing, midwifery and healthcare by disseminating high quality research and scholarship of contemporary relevance and with potential to advance knowledge for practice, education, management or policy. All JAN papers are required to have a sound scientific, evidential, theoretical or philosophical base and to be critical, questioning and scholarly in approach. As an international journal, JAN promotes diversity of research and scholarship in terms of culture, paradigm and healthcare context. For JAN’s worldwide readership, authors are expected to make clear the wider international relevance of their work and to demonstrate sensitivity to cultural considerations and differences.
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