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.
Advancements and insights in health interventions for multimorbidity
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.
NETL
NSTL
万方数据
