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來源文獻資料
摘要
外文摘要
引文資料
題名:
系統性文獻回顧自我管理在國內慢性病介入研究之應用
書刊名:
護理暨健康照護研究
作者:
郭嘉琪
/
王秀紅
作者(外文):
Kuo, Chia-chi
/
Wang, Hsiu-hung
出版日期:
2012
卷期:
8:1
頁次:
頁50-60
主題關鍵詞:
自我管理
;
慢性病
;
系統性文獻回顧
;
Self-management
;
Chronic illness
;
Systematic review
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
10
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
10
共同引用:
1
點閱:64
背景: 慢性病管理為全球重要健康議題,近年來陸續有研究運用自我管理於國內慢性病照護的成果發表,但卻缺乏系統性文獻回顧探討本土性之自我管理介入成效。 目的: 透過系統性文獻回顧評析自我管理方案與探討其成效。 方法: 搜尋台灣期刊論文索引、 CEPS、CINAHL、Cochrane Library、PubMed/MEDLINE共五個中英文資料庫, 2011年 4月以前之文獻,鍵入「自我管理」與「 Taiwan」等關鍵字,共獲得 217篇相關文獻,扣除重複及略讀題目與摘要篩選文獻,最後共 12篇文獻符合標準,以 Modified Jadad Scale評定其研究品質得分介於 2至 6.5分。 結果: 本系統性文獻回顧結果顯示,在國內自我管理方案已應用於糖尿病、氣喘、末期腎病、心衰竭、癲癇、自閉症等慢性病。自我管理方案有團體、個別、電訪、網路之多元介入方式,介入時間從數小時至三個月不等。自我管理可顯著提升慢性病個案的疾病認知,增進自我照顧行為,增加自我效能;生理指標之成效結果則不一。 結論/實務應用: 依據實證結果,建議健康照護者在運用自我管理方案於慢性病人時,介入為期時間至少四週,第一次後測時間至少大於四週,追蹤時間至少三個月,包含健康照護、日常生活、情緒壓力管理之方案內容與成效指標,設計追蹤討論與諮詢管道,以便提升自我管理的知識、行為、生理、心理之成效。
以文找文
Background: Chronic illness management is an increasingly important global health issue. A growing number of studies have been conducted on chronically ill patients in Taiwan to evaluate the effects of self-management. However, systematic literature reviews are not sufficient to make positive conclusions regarding the efficacy of domestic self-management interventions. Purpose: This paper used a systematic review of the literature to evaluate self-management interventions and explore their effectiveness. Methods: Researchers searched the following five Chinese and English electronic databases for relevant literature articles: Taiwan Journal Index, CEPS, CINAHL, Cochrane Library, and PubMed/MEDLINE. Keywords including “selfmanagement” and “Taiwan” were keyed in and the search was limited to articles published before April 2011. A total of 217 articles that matched search criteria were extracted. Article topics were screened and repeated topics removed. Twelve articles met study inclusion criteria and were selected for further analysis. The quality of the 12 studies was assessed using a Modified Jadad Scale, with scores ranging from 2 to 6.5. Results: Findings of this systematic review showed that self-management interventions have already been introduced for Taiwanese patients suffering from chronic illnesses such as diabetes, asthma, end-stage renal disease, cardiac failure, epilepsy and autism. Self-management interventions were introduced through various channels such as group therapy, one-to-one therapy, telephone interviews, and the Internet. Length of intervention ranged from as short as a few hours to as long as three months. Self-management was shown to promote significantly the disease perception of chronically ill patients. Self-care behavior and self-efficacy also both improved significantly. However, patients’ psychological indicators varied. Conclusions/Implications for practice: Empirical results demonstrated that, in order to yield the best outcome, self-management programs for chronically ill patients should be conducted for a length of at least four weeks, first measurements should be done for at least 4 weeks, and follow-up assessments, including health care, daily life, emotional stress protocol content and management indicators, should take place for at least 3 months. Follow-up, discussions and consultations should be designed to deepen patient knowledge about self-management, shape behavior, and prepare them physically and psychologically to handle self-management.
以文找文
期刊論文
1.
黃薏樺、李玟玲、陳淑玲、于雲榮、陳秀敏(20100600)。以目標設定法促進第二型糖尿病個案的自我管理成效。護理暨健康照護研究,6(2),107-116。
延伸查詢
2.
Oremus, M.、Wolfson, C.、Perrault, A.、Demers, L.、Momoli, F.、Moride, Y.(2001)。Interrater reliability of the modified Jadad quality scale for systematic reviews of Alzheimer's disease drug trials。Dementia and Geriatric Cognitive Disorders,12(3),232-236。
3.
Lorig, K. R.、Holman, H. R.(2003)。Self-management education: History, definition, outcomes, and mechanisms。Annals of Behavioral Medicine,26(1),1-7。
4.
Creer, T. L.、Renne, C. M.、Christian, W. R.(1976)。Behavioral contributions to rehabilitation and childhood asthma。Rehabilitation Literature,37(8),226-232。
5.
胡怡芬、李文宏、陳珮蓉、戴芳楟、林為森(20090600)。以社區導向的基層照護模式提供社區糖尿病友團體整合性服務之前驅性研究。秀傳醫學雜誌,9(1/2),9-19。
延伸查詢
6.
Tsay, S. L.、Hung, L. O.(2004)。Empowerment of patients with end-stage renal disease: A randomized controlled trial。International Journal of Nursing Studies,41(1),59-65。
7.
Hill-Briggs, F.(2003)。Problem solving in diabetes self-management: A model of chronic illness self-management behavior。Annals of Behavioral Medicine: A Publication of the Society of Behavioral Medicine,25(3),182-193。
8.
Clark, N. M.、Janz, N. K.、Dodge, J. A.、Sharpe, P. A.(1992)。Self-regulation of health behavior: The “take PRIDE” program。Health Education Quarterly,19(3),341-354。
9.
宋藝君、陳淑芬、林秋菊(20080800)。慢性病自我管理的概念分析。新臺北護理期刊,10(2),49-56。
延伸查詢
10.
鄭淑貞(20081000)。自我管理之概念分析--探討氣喘兒童的自我管理。護理雜誌,55(5),73-78。
延伸查詢
11.
Bandura, Albert(1991)。Social Cognitive Theory of Self-regulation。Organizational Behavior and Human Decision Processes,50(2),248-287。
12.
葉湘芬、邵榮華(20100800)。心臟衰竭老人飲食自我效能與自我管理行為之探討。志為護理,9(4),96-107。
延伸查詢
13.
Coster, S.、Norman, I.(2009)。Cochrane reviews of educational and self-management interventions to guide nursing practice: A review。International Journal of Nursing Studies,46(4),508-528。
其他
1.
李玉嬋、吳淑芳、朱玉如(Li, Y. C., Wu, S. F., & Ju, F. Y.)(2009)。社區糖尿病高危險群健康自我管理課程之效果探討〈以北投區健康服務中心為例〉(The effect of health-promotion intervention for the diabetes high-risk population in Peitou health center),臺北市:國立臺北教育大學。
延伸查詢
2.
林秀奇、鳳 華(Lin, H. C., & Feng, H.)(2010)。自我管理訓練增進成年自閉症者職場社會技能之成效研究(The effects of self-management on the job-related social skills assessment for an adult with autism)。
延伸查詢
3.
葉美玉、梁淑華(Yeh, M. Y., & Liang, S. H.)(2007)。自我管理計畫對癲癇病患的成效(Effects of self-management program on epilepsy patients)。
延伸查詢
4.
J. Barlow, C. Wright, J. Sheasby, A. Turner & J. Hainsworth(2002)。Self-management approaches for people with chronic conditions: A review。
5.
Chang, M. L., Liu, W. T., Wang, C. H., & Kuo, H. P.(2007)。The clinical use of an internet-based asthma teleconsultation system。
6.
Chiang, L. C., Huang, J. L., Yeh, K. W., & Lu, C. M.(2004)。Effects of a self-management asthma educational program in Taiwan based on PRECEDE-PROCEED model for parents with asthmatic children。
7.
J. Corbin & A. Strauss(1985)。Managing chronic illness at home: Three links of work。
8.
Huang, L. H., Shyur, S. D., Weng, J. D., Chuo, H. T., Ma, Y. C., Lin, S. C., … Wu, W. C.(2004)。The short-term influence of self-management on asthma in children。
9.
Huang, M. C., Hsu, C. C., Wang, H. S., & Shin, S. J.(2010)。Prospective randomized controlled trial to evaluate effectiveness of registered dietitian-led diabetes management on glycemic and diet control in a primary care setting in Taiwan。
10.
Jan, R. L., Wang, J. Y., Huang, M. C., Tseng, S. M., Su, H. J., & Liu, L. F.(2007)。An internet-based interactive telemonitoring system for improving childhood asthma outcomes in Taiwan。
11.
A. A. Jonker, H. C. Comijs, K. C. Knipscheer & D. J. Deeg(2009)。Promotion of self-management in vulnerable older people: A narrative literature review of outcomes of the chronic disease self-management program (CDSMP)。
12.
M. Lau-Walker & D. R. Thompson(2009)。Self-management in long-term health conditions--A complex concept poorly understood and applied?。
13.
K. Lorig, D. Lubeck, R. G. Kraines, M. Seleznick & H. R. Holman(1985)。Outcomes of self-help education for patients with arthritis。
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