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題名:以病人為中心照護對臨床的成效
書刊名:護理雜誌
作者:林佳慧曾雯琦蔣尚霖蔣立琦
作者(外文):Lin, Chia-hueiTzeng, Wen-chiiChiang, Shang-linChiang, Li-chi
出版日期:2012
卷期:59:6
頁次:頁104-110
主題關鍵詞:以病人為中心照護護理實證照護Patient-centered careNursingEvidence-based practice
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(3) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:0
  • 點閱點閱:24
以病人為中心議題在三十年前首被提出,目前已成為當前醫療服務的潮流。然而此概念一直以來未被具體界定,許多質量性研究從瞭解「醫師與病人的關係」開始去抽絲剝繭釐清這個概念,並探討醫師與病人的關係型態對病人滿意度、醫療健康行為順從性及健康狀態的影響。一直到2000年Mead和Bower回顧過去實證性與理論性文章,才初步將此概念具體化。可惜的是,該文章並未涵蓋護理所提的概念與研究結果,而以病人為中心的理念其實一直都是護理服務的本質之一,因此,缺乏護理對此概念的詮釋可能欠缺完整,故本文除整合文獻對此概念的詮釋外,也嘗試以系統性文獻回顧,深入探討與護理相關之「以病人為中心」的介入措施成效。文獻搜尋至2011年2月,資料庫包括:Cochrane Controlled TrialsRegister、JBI(The Joanna Briggs Institute)、MEDLINE、CINAHL、Pubmed、ProQuest、PsycInfo及CEPS等,共計納入13篇文獻,結果顯示「以病人為中心」之護理措施對疾病的改善仍有限,但對病人的自我照顧知識與技巧,及滿意度都能有效提升。而分析納入的研究對於「以病人為中心」的定義仍依據傳統的定義,未能涵蓋Mead和Bower的所有概念。此外,因各篇研究異質性高,且欠缺本土性研究,故本文縱整相關「以病人為中心」的成果指標,希望藉此提供國內護理研究及臨床實務之參考,亦期望護理可以順著這波時代趨勢,發揮護理專業之長處,領導及整合醫療環境的品質提升。
An extensive body of literature advocating a "patient-centered" approach to medical care has emerged over the past three decades. This approach is now a mainstream trend in healthcare. Despite its popularity, there remains little consensus regarding the content or definition of patient-centered care. Various quantitative and qualitative research studies have extracted core meanings from "doctor-patient relationship" perspectives and investigated the relationships of these meanings with patient satisfaction, compliance with health promoting behavior, and health status. Mead and Bower’s review of the conceptual and empirical literature represented the first attempt to develop a model of the doctorpatient relationship that considered the multiple aspects embraced by the "patient-centered" approach. However, any interpretation of the "patient-centered" concept that fails to consider the perspective of nursing is likely incomplete, as patient-centered care is the essence of nursing. This paper reviewed the concept of "patient-centered care", conducted a systematic review of randomized control trials to explore the effectiveness of patient-centered care, and integrated nursing-related studies that focused on patient-centered care. Our search covered articles published through the end of February 2011 in the Cochrane Controlled Trials Register, JBI, MEDLINE, CINAHL, Pubmed, ProQuest, PsycInfo, and CEPS, with 13 relevant articles identified. The majority of trials addressed by these studies demonstrated a positive "patient-centered care" effect on self-care knowledge and skills but a limited / insignificant effect on disease improvement. The reviewed studies used traditional definitions of "patientcentered care" that were inconsistent with the concepts defined by Mead and Bower. Heterogeneities exist between reviewed studies and the lack of related research in Taiwan. We thus integrated outcome indicators related to "patient-centered care". This study may be referenced by nursing research and clinical care professionals responsible to improve and integrate medical care quality.
期刊論文
1.Balint, E.(1969)。The possibilities of patient-centered medicine。The Journal of the Royal College of General Practitioners,17(82),269-276。  new window
2.Counsell, S. R.、Holder, C. M.、Liebenauer, L. L.、Palmer, R. M.、Fortinsky, R. H.、Kresevic, D. M.、Covinsky, K. E.(2000)。Effects of a multicomponent intervention on functional outcomes and process of care in hospitalized older patients: A randomized controlled trial of acute care for elders in a community hospital。Journal of the American Geriatrics Society,48(12),1572-1581。  new window
3.Davis, K.、Schoenbaum, S. C.、Audet, A. M.(2005)。A 2020 vision of patient-centered primary care。Journal of General Internal Medicine,20(10),953-957。  new window
4.Hoeffer, B.、Talerico, K. A.、Rasin, J.、Mitchell, C. M.、Stewart, B. J.、McKenzie, D.、Barrick, A. L.、Rader, J.、Sloane, P. D.(2006)。Assisting cognitively impaired nursing home residents with bathing: Effects of two bathing interventions on caregiving。The Gerontologist,46(4),524-532。  new window
5.Hornsten, A.、Lundman, B.、Stenlund, H.、Sandstrom, H.(2005)。Metabolic improvement after intervention focusing on personal understanding in type 2 diabetes。Diabetes Research and Clinical Practice,68(1),65-74。  new window
6.Jerant, A. F.、Azari, R.、Martinez, C.、Nesbitt, T. S.(2003)。A randomized trial of telenursing to reduce hospitalization for heart failure: Patient-centered outcomes and nursing indicators。Home Health Care Services Quarterly,22(1),1-20。  new window
7.Kaplan, S. H.、Greenfield, S.、Ware, J. E.(1989)。Assessing the effects of physician-patient interactions on the outcomes of chronic disease。Medical Care,27(3, Suppl.),S110-S127。  new window
8.Kinmonth, A. L.、Woodcock, A.、Griffin, S.、Spiegal, N.、Campbell, M. J.、The Diabetes Care From Diagnosis Research Team(1998)。The Diabetes Care From Diagnosis Research Team. Randomised controlled trial of patient centred care of diabetes in general practice: Impact on current wellbeing and future disease risk。British Medical Journal (Clinical research ed.),317(1161),1202-1208。  new window
9.Laine, C.、Davidoff, F.(1996)。The patient-physician. Patientcentered medicine: A professional evolution。Journal of the American Medical Association,275(2),152-156。  new window
10.Lewin, S.、Skea, Z.、Entwistle, V. A.、Zwarenstein, M.、Dick, J.(2009)。Interventions for providers to promote a patientcentred approach in clinical consultations。Cochrane Database of Systematic Reviews,4。  new window
11.Long, A. R.、Gambling, T.、Young, R. J.、Taylor, J.、Mason, J. M.、Team, P.(2005)。Acceptability and satisfaction with a telecarer approach to the management of type 2 diabetes。Diabetes Care,25(2),283-289。  new window
12.Meulepas, M. A.、Braspenning, J. C.、de Grauw, W. J.、Lucas, A. E.、Wijkel, D.、Grol, R. P.(2008)。Patient-oriented intervention in addition to centrally organised checkups improves diabetic patient outcome in primary care。Quality and Safety in Health Care,17(5),324-328。  new window
13.Morrell, D.(1972)。Symptom interpretation in general practice。The Journal of the Royal College of General Practitioners,22(118),297-309。  new window
14.Piette, J. D.、Weinberger, M.、McPhee, S. J.(2000)。The effect of automated calls with telephone nurse follow-up on patient-centered outcomes of diabetes care: A randomized, controlled trial。Medical Care,38(2),218-230。  new window
15.Ruland, C. M.、Holte, H. H.、Rφislien, J.、Heaven, C.、Hamilton, G. A.、Kristiansen, J.、Ellison, M. C.(2010)。Effects of a computer-supported interactive tailored patient assessment tool on patient care, symptom distress, and patients’ need for symptom management support: A randomized clinical trial。Journal of the American Medical Informatics Association,17(4),403-410。  new window
16.Sloane, Philip D.、Hoeffer, Beverly、Mitchell, C. Madeline、McKenzie, Darlene A.、Barrick, Ann Louise、Rader, Joanne、Stewart, Barbara J.、Talerico, Karen Amann、Rasin, Joyce H.、Zink, Richard C.、Koch, Gary G.(2004)。Effect of Person-Centered Showering and the Towel Bath on Bathing-Associated Aggression, Agitation, and Discomfort in Nursing Home Residents with Dementia: A Randomized, Controlled Trial。Journal of the American Geriatrics Society,52(11),1795-1804。  new window
17.Song, M. K.、Donovan, H. S.、Piraino, B. M.、Choi, J.、Bernardini, J.、Verosky, D.、Ward, S. E.(2010)。Effects of an intervention to improve communication about end-of-life care among African Americans with chronic kidney disease。Applied Nursing Research,23(2),65-72。  new window
18.Song, M. K.、Kirchhoff, K. T.、Douglas, J.、Ward, S.、Hammes, B.(2005)。A randomized, controlled trial to improve advance care planning among patients undergoing cardiac surgery。Medical Care,43(10),1049-1053。  new window
19.Tzeng, L. R.、Chiang, L. C.、Hsueh, K. C.、Ma, W. F.、Fu, L. S.(2010)。A preliminary study to evaluate a patient-centred asthma education programme on parental control of home environment and asthma signs and symptoms in children with moderate-to-severe asthma。Journal of Clinical Nursing,79(9),1424-1433。  new window
20.Wolf, D.、Lehman, L.、Quinlin, R.、Rosenzweig, M.、Friede, S.、Zullo, T.、Hoffman, L.(2008)。Can nurses impact patient outcomes using a patient-centered care model。The Journal of Nursing Administration,38(12),532-540。  new window
21.Mead, N.、Bower, P.(2000)。Patient-centredness: A conceptual framework and review of the empirical literature。Social Science and Medicine,51(7),1087-1110。  new window
圖書
1.McWhinney, I.(1989)。The need for a transformed clinical method。Communicating with medical patients。London, England:Sage。  new window
2.Stewart, M.、Brown, J. B.、Weston, W. W.、McWhinney, I.、McWilliam, C.、Freeman, T.(1995)。Patient-centered medicine: Transforming the clinical method。London:Sage。  new window
其他
1.Centre for Evidence-Based Medicine(201202)。Oxford centre for evidence-based medicine 2011 levels of evidence,http://www.cebm.net/index.aspx?o=5653。  new window
2.Centre for Evidence-Based Medicine(201203)。Oxford centre for evidence-based medicine- Levels of evidence,http://www.cebm.net/index.aspx?o=1025。  new window
 
 
 
 
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