Abstract:
We still do not have comprehensive knowledge of which framework of patient-centered care (PCC) is appropriate for diabetes care, which elements of PCC are evidence-based, and the mechanism by which PCC elements are associated with outcomes through mediators. In this review, we elaborate on these issues. We found that for diabetes care, PCC elements such as autonomy support (patient individuality), cooperation and collaboration (system-level approach), com-munication and education (behavior change techniques), emotional support (biopsychosocial approach), and family/other involvement and support are critically important. All of these factors are directly associated with different patient outcomes and indirectly associated with outcomes through patient activation. We present the practical implications of these PCC elements.
摘要:
我们仍然不全面了解哪一个以患者为中心的护理(PCC)框架适合糖尿病护理,PCC的哪些要素是基于证据的,以及通过调解员将PCC要素与结果相关联的机制。在这次审查中,我们详细阐述这些问题。我们发现对于糖尿病治疗,PCC元素,如自主性支持(患者个性),合作与协作(系统级方法),通信和教育(行为改变技巧),情感支持(生物心理社会方法),家庭/其他方面的参与和支持至关重要。所有这些因素都与不同的患者结果直接相关,并通过患者激活间接与结果相关。我们介绍了这些PCC元素的实际含义。