Abstract：
:In this qualitative study stroke patients rehabilitating in nursing homes experienced an increase in their autonomy (particularly in self-determination, independence and self-care) in the last weeks before discharge. The change in autonomy was found to be related to regained abilities and self-confidence, and to patients' strategies (e.g. taking initiative, being assertive). The attitude of health professionals and family, and the nursing home could influence patient autonomy. Overprotection, paternalism, care routines and an inconsistent approach constrain autonomy. Conversely, attentiveness, tailored interventions and a respectful dialogue facilitate autonomy, like moderate instrumental and emotional support by the family. Nursing homes can enhance autonomy by minimizing care routines and by providing room for doing activities independently and privately. Attention to patient autonomy may improve patients' active participation in rehabilitation, quality of life, and autonomous living after discharge. Multidisciplinary guidelines based on the results may increase attention to the stroke patients' autonomy and stimulate a team approach.
journal_name
Patient Educ Counsjournal_title
Patient education and counselingauthors
Proot IM,Crebolder HF,Abu-Saad HH,Macor TH,Ter Meulen RHdoi
10.1016/s0738-3991(99)00113-5subject
Has Abstractpub_date
2000-10-01 00:00:00pages
275-83issue
3eissn
0738-3991issn
1873-5134pii
S0738399199001135journal_volume
41pub_type
杂志文章abstract：OBJECTIVE:Our aim was to develop a measurement which enables research into the interdependent nature of clinical encounters. The prime objective was to develop an instrument capable of assessing the extent to which patients have been involved in (shared) decision making from two viewpoints-that of the patient and the c...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2009.07.009
更新日期：2010-02-01 00:00:00
abstract：:The revised Diabetes Attitudes Scale (DAS) was completed by nearly 1000 nurses and nursing students in South Australia. Confirmatory factor analysis was used to compare the factor structure with that previously obtained in the USA with patients with diabetes. The instrument was found to be robust. It was concluded tha...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(96)00932-9
更新日期：1996-10-01 00:00:00
abstract：:Upper gastrointestinal symptoms are a common complaint among the general population but only a small proportion of sufferers seek medical advice. The aim of this study was to examine what kind of perceptions persons using self medication have about the causes of their gastrointestinal symptoms, whether they have made ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(98)00103-7
更新日期：1999-05-01 00:00:00
abstract：OBJECTIVE:Culture and ethnicity have often been cited as barriers in establishing an effective and satisfying doctor-patient relationship. The aim of this paper is to gain more insight in intercultural medical communication difficulties by reviewing observational studies on intercultural doctor-patient communication. I...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2005.11.014
更新日期：2006-12-01 00:00:00
abstract：OBJECTIVE:This paper describes a translational project that explored the feasibility and effect of introducing a coordinated approach to emotional care. METHODS:The project was undertaken using Action Research on one ward at St John of God Hospital Subiaco, Western Australia. A senior Registered Nurse was appointed to...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.04.011
更新日期：2008-10-01 00:00:00
abstract：OBJECTIVE:Clinicians worldwide seek to educate and support heart failure patients to engage in self-care. We aimed to describe self-care behaviors of patients from 15 countries across three continents. METHODS:Data on self-care were pooled from 5964 heart failure patients from the United States, Europe, Australasia an...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.02.017
更新日期：2013-07-01 00:00:00
abstract：OBJECTIVE:Patient engagement has been credited with contributing to improved outcomes and experiences of care. Patient engagement has become a widely used term, but remains a poorly understood concept in healthcare. Citations for the term have increased throughout the healthcare-related disciplines without a common def...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2016.09.002
更新日期：2017-01-01 00:00:00
abstract：OBJECTIVES:(i) To develop a prototype measure of co-production of health (CPH) in consultations for people with long-term conditions (LTCs); and (ii) to undertake initial validation of it, using a measure of patient-centred care, as defined by the Roter interaction analysis system (RIAS). METHODS:Mixed methods were ap...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2015.07.005
更新日期：2015-07-08 00:00:00
abstract：:We aimed to examine risk perceptions among patients at moderate to high cardiovascular risk. A questionnaire about perceived absolute risk of myocardial infarction and stroke was sent to 2424 patients with hypertension or diabetes. Response rate was 86.3% and 1557 patients without atherosclerotic disease were included...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(02)00248-3
更新日期：2004-01-01 00:00:00
abstract：OBJECTIVE:A multisite field trial testing whether improved outcomes associated with intensive referral to mutual help groups (MHGs) could be maintained after the intervention was adapted for the circumstances and needs of rural veterans in treatment for substance use disorder (SUD). METHODS:In three Veterans Affairs t...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2017.07.012
更新日期：2018-01-01 00:00:00
abstract：OBJECTIVE:The role of the consultation in mediating improved clinical outcomes has been demonstrated in both conventional and complementary medicine but to date no depth study has explored how complementary medical consultations achieve such benefits. This study explored rheumatoid arthritis (RA) patients' perceptions ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2011.11.008
更新日期：2012-12-01 00:00:00
abstract：:The quality of Internet information needs to be evaluated and several tools exist for this purpose. However, none have demonstrated reliability and validity. This study tested the internal consistency and validity of the information quality tool (IQT), quality scale (QS) and DISCERN using 89 web sites discussing smoki...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(02)00124-6
更新日期：2003-06-01 00:00:00
abstract：OBJECTIVE:Experimental studies have found that clinician-expressed empathy improves patients' information recall in (advanced) cancer consultations. It remains unclear, however, whether these results are generalizable to clinical care and, if so, what the underlying mechanism is. We aimed to i) determine the relationsh...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.10.025
更新日期：2020-10-22 00:00:00
abstract：:The perception of the diagnosis of infertility and the openness of patients about infertility was investigated among 108 infertile couples. Husbands and wives answered a structured questionnaire. The perception of diagnosis was in 38% of the cases different from the medical diagnosis. Patients perceived the diagnosis ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/0738-3991(95)00852-7
更新日期：1996-08-01 00:00:00
abstract：OBJECTIVE:To determine the relative contributions of health literacy (HL) and illness and medication beliefs to medication adherence among older COPD patients and determine the pathways through which they operate. METHODS:The study was conducted using data from a prospective cohort of COPD patients in New York City an...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2020.11.024
更新日期：2020-11-25 00:00:00
abstract：:Attention to providers' communication skills is likely to increase, given the confluence of forces that have highlighted the importance of communication in healthcare. In the United States, interpersonal and communication skills have been explicitly identified as a priority throughout the continuum of medical educatio...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/s0738-3991(03)00085-5
更新日期：2003-05-01 00:00:00
abstract：OBJECTIVE:To explore primary care practitioners approach to and management of menstrual disorders using a sociological perspective. METHODS:Semi-structured interviews of primary care practitioners with an iterative approach to recruitment and analysis informed by grounded theory. RESULTS:Two broad approaches to patie...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2004.12.002
更新日期：2006-01-01 00:00:00
abstract：OBJECTIVE:To evaluate the effects of the Diabetes Education and Self-Management for Ongoing and Newly Diagnosed (DESMOND) program on patient activation in adults living with type 2 diabetes (T2D). METHODS:233 individuals attended a DESMOND program in 26 locations across regional Western Australia. Individuals complete...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2019.10.013
更新日期：2020-04-01 00:00:00
abstract：OBJECTIVE:New pharmacological measures assessing medication adherence, including longitudinal drug levels in hair, are emerging. Little is known, however, about how best to present results from such measures to patients and clinicians in comprehensive, easy-to-understand, acceptable formats. We, therefore, developed th...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.12.029
更新日期：2019-06-01 00:00:00
abstract：OBJECTIVE:To study the influence of the presentation of results of a preventive medical examination on risk perception and willingness to seek help for work-related fatigue or being overweight. METHODS:A factorial design experiment was conducted, presenting workers (n = 82) with vignettes including eight scenarios of ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2018.02.011
更新日期：2018-07-01 00:00:00
abstract：OBJECTIVE:To describe a systematic assessment of patient educational materials for the Growing Right Onto Wellness (GROW) trial, a childhood obesity prevention study targeting a low health literate population. METHODS:Process included: (1) expert review of educational content, (2) assessment of the quality of material...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2013.08.010
更新日期：2013-12-01 00:00:00
abstract：OBJECTIVE:To explore how a video of a patient with advanced dementia impacts the rationale for patients' decisions about future care. METHODS:Participants were read a verbal description of advanced dementia and asked their preferences for future care--either life-prolonging, limited, or comfort care--and the rationale...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2010.02.004
更新日期：2010-11-01 00:00:00
abstract：OBJECTIVE:A systematic review and qualitative synthesis was undertaken to deduce the knowledge, attitudes, skills and training of mental health professionals regarding complicated grief (CG). METHODS:PsychInfo, Embase, Medline, CINAHL, PBSC, Web of Science and ERIC databases were used to identify relevant literature. ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2017.03.010
更新日期：2017-08-01 00:00:00
abstract：OBJECTIVE:Randomized controlled trials in patient education often have difficulty enrolling vulnerable populations-specifically, older, poorer, and less educated individuals. We undertook a randomized controlled trial (RCT) of an educational intervention for arthritis management, which included strategies to remove lit...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.06.017
更新日期：2008-11-01 00:00:00
abstract：:The study examines the meaning of waiting time in an outpatient department. Attention is payed to the activities of the patients and companions during the waiting time, the potential for health education programmes during the waiting time and the form such a health education programme should take. The setting was the ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/s0738-3991(05)80021-7
更新日期：1994-04-01 00:00:00
abstract：OBJECTIVES:To assess the supportive care needs and interest in related services among brain tumour patients and their carers and to compare the level of unmet needs to other cancer populations. METHODS:A cross-sectional survey was posted to 363 households who were subscribed to the Queensland Cancer Fund Brain Tumour ...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/j.pec.2008.01.020
更新日期：2008-05-01 00:00:00
abstract：OBJECTIVE:(1) To investigate the impact of education on patients' knowledge; (2) to determine if educational interventions are related to health behavior change in cardiac patients; and (3) to describe the nature of educational interventions. METHODS:A literature search of several electronic databases was conducted fo...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2014.01.012
更新日期：2014-05-01 00:00:00
abstract：:This study compared an activation intervention to passive education in a randomized attention-control trial of 232 patients with type 2 diabetes. The activation intervention was based on Expanding Patient Involvement in Care (EPIC) trials, and was compared to time-matched passive education viewing of ADA video-tapes. ...
journal_title：Patient education and counseling
pub_type： 临床试验,杂志文章,随机对照试验
doi：10.1016/j.pec.2003.11.008
更新日期：2005-01-01 00:00:00
abstract：:Physician counseling on physical activities for sedentary people is usually based on anamneses. The aim of the present study was to investigate the accuracy of self-perception of participation in physical activities, and the correlation of physical activity with background factors. A random sample of 276 individuals a...
journal_title：Patient education and counseling
pub_type： 杂志文章
doi：10.1016/S0738-3991(03)00119-8
更新日期：2004-04-01 00:00:00
abstract：OBJECTIVE:Patient-provider communication is critical in primary care. Canada's unique health system, population distribution, and cultural context suggest there is value in addressing the topic in the Canadian context. We conducted a scoping review to synthesize recent Canadian literature to inform practice in primary ...
journal_title：Patient education and counseling
pub_type： 杂志文章,评审
doi：10.1016/j.pec.2017.11.008
更新日期：2018-05-01 00:00:00
