慢性病共病健康干预方法与效果研究进展及启示
Advancements and insights in health interventions for multimorbidity
李祥龙 1曾爽 1周萍 1王盛 2罗力 1王宝悦 1王颖 1李江珠 3王俊4
作者信息
- 1. 复旦大学公共卫生学院国家卫健委卫生技术评估重点实验室,上海 200032
- 2. 华东师范大学公共管理学院
- 3. 南京医科大学护理学院
- 4. 中国人民大学健康中国研究院
- 折叠
摘要
目的 分析国内外基于初级卫生保健或社区的慢性病共病健康干预具体措施及效果开展情况,为我国基于社区开展慢性病多病共管提供参考依据.方法 检索PubMed、Web of Science、中国知网和万方数据平台4个数据库,系统整理慢性病共病的干预措施和成效的相关文献.结果 纳入18篇文献,将慢性病共病的干预措施归纳为六类:自我管理支持、综合医疗照护、药物动态管理、综合医疗照护联合自我管理支持、药物动态管理联合自我管理支持及3种方法的综合运用.结论 应充分考虑人群及疾病特异性和患者体验,为适当的慢性病共病人群提供针对性更强的干预服务.
Abstract
Objective To analyze the specific measures and effectiveness of multimorbidity health interventions based on primary healthcare or community settings,to provide a reference for the management of community-based multimorbidity co-management in China.Methods A systematic review of relevant literature on interventions and outcomes for chronic disease comorbidity was conducted by searching four databases:PubMed,Web of Science,China National Knowledge Infrastructure(CNKI),and Wanfang Data.Results A total of 18 articles were included,categorizing the interventions for chronic disease multimorbidity into six types:self-management support,integrated medical care,dynamic medication management,combined integrated medical care and self-management support,combined dynamic medication management and self-management support,and a comprehensive approach utilizing all three methods.Conclusions It is essential to consider population and disease specificity as well as patient experience to provide targeted intervention services for individuals with chronic disease multimorbidity.
关键词
慢性病共病/健康干预/自我管理/医疗照护/药物管理Key words
Multimorbidity/Health intervention/Self-management/Medical care/Medication management引用本文复制引用
出版年
2024
NETL
NSTL
万方数据