“患者激活”理念与慢性病患者的研究

The Concept of “Patient Activation” and the Research of Patients with Chronic Diseases

近年来,全球慢性疾病的患病率逐年上升。慢性病照护模式强调激活患者参与自我疾病和健康管理的意愿、知识、能力和信心,有利于增加患者的健康相关行为,改善健康结局和生活质量,优化卫生资源的有效使用率。通过回顾国外患者激活相关文献,从概念、评估工具、影响因素和如何提高激活水平等方面进行综述,引进患者激活的思维,为提高我国慢性病患者自我健康管理的意识和能力,改善健康结局提供理论依据和实践参考。

In recent years, the prevalence of chronic diseases worldwide has been increasing by years. Chronic diseases care model emphasizes that activating patients＇ awareness, knowledge, ability and confidence in self disease and health management is helpful to increase patients＇ health related behaviors, improve health outcomes and quality of life, and optimize the effective utilization of health resources. This study is designed to illustrate the concept, assessment tools, influencing factors and how to improve the level of activation by reviewing related literatures. It aims at providing practical references to our medical staff concerning how to increase chronic diseases patients ＇ self-management awareness and ability, and to improve their health outcomes.