老年夫妻慢病协同管理研究基础及现况

Older couple-based studies on collaborative management of chronic diseases:basic theory and findings

我国社区卫生资源尚不能满足逐年迅猛增长的老年群体慢病防治需求,改善并长期维持患者自身管理行为是慢病管理的难点。鉴于慢病的日常管理具有长期在家庭中进行的特性,近年来学界提出应充分重视配偶在患者慢病管理中的关键作用。本文就老年夫妻慢病协同管理的流行病学证据、理论基础、干预性研究证据进行综述,旨在为我国高效开展社区老年患者慢病管理提供依据。

China's limited community medical resources cannot meet the needs of chronic disease prevention and treatment due to the rapidly growing ageing population.The improvement and long-term maintenance of patient's self-management is essential for chronic disease management.In view of chronic disease management having a characteristic of being carried out in the family for a long time in recent years,it has been proposed that the key role of spouse in the management of chronic disease should not be underestimated.This article reviews the epidemiological evidence,theoretical foundations and interventional findings of elderly couples'collaborative management with chronic diseases,aiming to provide the evidence for efficiently conducting chronic disease management for community-dwelling older adults.