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首页> 外文期刊>Psychology & Health >Illness representations in patients with multimorbid long-term conditions: Qualitative study
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Illness representations in patients with multimorbid long-term conditions: Qualitative study

机译：多病态长期疾病患者的疾病表现：定性研究

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摘要

Most research on illness representations explores how patients view single conditions, but many patients report more than one long-term condition (known as multimorbidity). It is not known how multimorbidity impacts on patient illness representations. This exploratory qualitative study examined patients’ representations of multimorbid long-term conditions and sought to assess how models of illness representation might need modification in the presence of multimorbidity. We explored two major issues: (1) the impact of multimorbidity on patient representations of their individual conditions and (2) the representation of multimorbidity itself. Twenty eight adults with at least two long-term conditions (mean of 4) were interviewed. The presence of multimorbidity impacted on patient illness representations in relation to the dimensions of identity, perceived cause, coherence and consequences. Representations of multimorbidity itself concerned representations of the burden of medication and perceived priorities among conditions and synergies and antagonisms between conditions and their management. The results have implications for the measurement of multimorbidity (through scales such as the Illness Perception Questionnaire) and the use of illness representations in the design and delivery of interventions to improve health behaviour and outcomes of patients with multiple long-term conditions.View full textDownload full textKeywordsillness representations, long-term conditions, multimorbidityRelated var addthis_config = { ui_cobrand: "Taylor & Francis Online", services_compact: "citeulike,netvibes,twitter,technorati,delicious,linkedin,facebook,stumbleupon,digg,google,more", pubid: "ra-4dff56cd6bb1830b" }; Add to shortlist Link Permalink http://dx.doi.org/10.1080/08870446.2012.662973
机译：大多数关于疾病表征的研究都探索了患者如何看待单一病况，但是许多患者报告了不止一种长期病（称为多发病）。尚不清楚多发病如何影响患者的疾病表现。这项探索性的定性研究检查了患者多病态长期病状的表现，并试图评估在存在多病态时如何需要修改疾病表现模型。我们探讨了两个主要问题：（1）多发病率对患者各自病情表征的影响；（2）多发病率本身的表征。采访了至少有两个长期病情（平均4个）的28位成年人。在身份，感知原因，连贯性和后果等方面，多发病的存在影响着患者疾病的表征。多发病的表象本身涉及药物负担和病情之间感知的优先权以及病情及其管理之间的协同作用和拮抗作用。研究结果对多发病率的测量（通过疾病感知问卷等量表）以及在设计和提供干预措施以改善多种长期病情患者的健康行为和结果的干预措施中使用疾病表征具有重要意义。查看全文下载全文关键字关键字疾病表示法，长期病状，多发病相关var addthis_config = {ui_cobrand：“泰勒和弗朗西斯在线”，servicescompact：“ citeulike，netvibes，twitter，technorati，delicious，linkedin，facebook，stumbleupon，digg，google，更多”，pubid ：“ ra-4dff56cd6bb1830b”};添加到候选列表链接永久链接http://dx.doi.org/10.1080/08870446.2012.662973

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