Patient-Centered Care for Patients with Cardiometabolic Diseases: An Integrative Review

Abstract

Patient-centered care is essential in high-quality health care, as it leads to beneficial outcomes for patients. The objective of this review is to systematize indicators for the care of patients with cardiometabolic diseases based on patient-centered care, extending from the stages of diagnostic evaluation and care planning to intervention. An integrative literature review was conducted by searching seven scientific databases, and a narrative analysis was performed. A total of 15 articles were included, and indicators related to diagnosis and care planning/intervention were extracted. In the planning of care centered on the person with cardiometabolic diseases, the individuality, dynamics of the processes, flexibility and the participation of all stakeholders should be taken into account. The needs of the person must be addressed through the identification of problems; establishment of individual goals; shared decision making; information and education; systematic feedback; case management; meeting the patient’s preferences and satisfaction with care; engagement of the family; and therapeutic management. The indicators for intervention planning extracted were behavioral interventions, therapeutic management programs, lifestyle promotion, shared decision making, education patient and information, interventions with the use of technology, promotion of self-management, program using technology, therapeutic relationship, therapeutic adherence programs and specialized intervention.

The patient-centered care for patients with acute myocardial infarction: what can be improved the disease management

“…Self-care is the ability to take care of oneself, but also the performance of activities indispensable to achieve, maintain or promote optimal health. The implementation of self-care actions promotes a partnership between nurse and patient/family, so that they develop skills and knowledge to adapt and make informed decision-making, which justifies that the promotion and maintenance of self-care are central in the nurse's intervention [11].…”

Experiences of Facilitators and Inhibitors to Treatment Adherence in Patients with Heart Failure

“…Family can influence the success of the treatment program and the stability of changes in lifestyle-related behaviors among people with HF (Shahriari et al, 2013). Results of an integrative review study indicated that family-centered care improved knowledge, self-care management, medication adherence, and individual satisfaction (Marques et al, 2021). HF as a disease is chronic and disabling in nature and requires long-term care; therefore, the participation of family members and their support plays an important role in the management of people with HF because most people with HF live at home with other family members (Kitko et al, 2020; Shahriari et al, 2013).…”

Incorporation of patient and family values and preferences for health‐related outcomes in paediatric obesity management: A systematic review

“…2 Increasingly, patient-centred care is incorporated into comprehensive treatment models, algorithms, and guidelines for preventing and managing chronic diseases including obesity. [3][4][5][6] Since the first Canadian Clinical Practice Guidelines on Managing and Preventing Obesity in Adults and Children were published in 2007, 7 several paediatric-specific obesity clinical practice guidelines have been published, both in Canada and internationally. [8][9][10] To our knowledge, these clinical practice guidelines (CPGs) did not incorporate the values of children living with obesity and their caregivers regarding the prioritization of health outcomes for the different treatment modalities (e.g., behavioural and psychological, pharmacological, and surgical), [8][9][10] an important objective to achieve patient-centred practice guidelines and care.…”

“…[8][9][10] To our knowledge, these clinical practice guidelines (CPGs) did not incorporate the values of children living with obesity and their caregivers regarding the prioritization of health outcomes for the different treatment modalities (e.g., behavioural and psychological, pharmacological, and surgical), [8][9][10] an important objective to achieve patient-centred practice guidelines and care. [3][4][5][6]11 Previous guidelines have also not systematically considered the management preferences of children and their caregivers based on the estimated benefits and harms of available obesity management interventions and the certainty of the evidence for the estimated benefits of harms. Aligning CPG recommendations with health outcome-related values and preferences is emerging as best practice for guideline development, may promote patient acceptability and adherence, and can better inform the physician-patient clinical decision-making process.…”