关键词: chronic disease chronic illness digital health literacy health literacy meta-analysis non-communicable disease protocol self-care systematic review

来  源:   DOI:10.3390/healthcare12070762   PDF(Pubmed)

Abstract:
Self-care plays a critical role in symptom recognition, management, and risk factor modification for patients with chronic illnesses. Despite its significance, self-care levels in this population are generally poor. Health literacy (HL) is pivotal for promoting effective self-care, yet the association across specific chronic illnesses remains fragmented and conflicting. Therefore, a systematic review and meta-analysis will be conducted. Inclusion criteria encompass quantitative studies involving adult patients with at least one chronic illness reporting on the association between a measure of HL and one or more elements of self-care behaviors as outcomes. Databases to be searched include PubMed, CINAHL, APA PsycINFO, Embase, Web of Science, and Cochrane Central Register of Controlled Trials. The studies will undergo risk of bias and certainty of evidence assessment using ROBINS-E and GRADE. Extracted data will include authors, publication date, aim(s), study location, design, sample characteristics, chronic illness type, study length, HL, and self-care measures. Understanding the link between HL and self-care can aid healthcare providers in implementing strategies to enhance health-promoting behaviors, contributing valuable insights to the scientific community and fostering nuanced discussions. This protocol ensures methodological transparency, stimulates discourse, and paves the way for informed interventions to improve overall health outcomes.
摘要:
自我护理在症状识别中起着至关重要的作用,管理,和慢性病患者的危险因素修改。尽管意义重大,这一人群的自我护理水平普遍较差。健康素养(HL)对于促进有效的自我保健至关重要,然而,跨特定慢性疾病的关联仍然支离破碎和相互矛盾。因此,将进行系统评价和荟萃分析.纳入标准包括定量研究,涉及至少患有一种慢性疾病的成年患者,报告HL的量度与自我护理行为的一个或多个要素之间的关联作为结果。要搜索的数据库包括PubMed,CINAHL,APAPsycINFO,Embase,WebofScience,和Cochrane中央控制试验登记册。这些研究将使用ROBINS-E和GRADE进行偏倚和确定性证据评估的风险。提取的数据将包括作者,出版日期,aim(s),研究地点,设计,样本特征,慢性病类型,研究长度,HL,和自我保健措施。了解HL和自我护理之间的联系可以帮助医疗保健提供者实施增强健康促进行为的策略。为科学界贡献宝贵的见解,并促进细致入微的讨论。该协议确保方法的透明度,刺激话语,并为知情干预措施改善整体健康结果铺平道路。
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