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首页> 外文期刊>Journal of nursing and healthcare of chronic illness >A thematic analysis of the conceptualisation of self-care, self-management and self-management support in the long-term conditions management literature
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A thematic analysis of the conceptualisation of self-care, self-management and self-management support in the long-term conditions management literature

机译：长期病情管理文献中自我护理，自我管理和自我管理支持的概念化主题分析

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A thematic analysis of the conceptualisation of self-care, self-management and self-management support in the long-term conditions management literature Aim. To conduct a thematic analysis of the conceptualisation of self-care in the chronic illness management literature. Background. The growing prevalence of chronic illness is an increasing challenge for health and social-care services that attempt to better support self-care and self-management. There is currently a lack of consensus about the meaning and usage of these terms in a rapidly expanding research and policy literature. This may hinder the service innovation based on such policy imperative and evidence. Methods. An iterative literature search was performed, across a wide variety of research databases, using the existing subject headings 'self-care' and 'chronic disease'. Publications (1995-2008) were included if they had a primary focus on self-care or self-management of a long-term condition and provided some form of definition for these concepts. Publications were subject to systematic data extraction and subsequent thematic analysis. Results. The search resulted in 1469 publications, of which 247 were included. Publications represented a wide range of quantitative and qualitative designs focused on several long-term condition areas. Definitions of self-care (SC), self-management (SM) and self-management support (SMS) were multidimensional and varied as to who is involved, what is entailed and what is achieved. Whilst overlap exists, it is the nature of the networks involved (broad, focused or co-ordinated), the imperative for action (optional, unavoidable or essential), and the goals to be achieved (maintenance, coping or facilitation) that conceptually distinguish self- care, self-management and self-management support. Conclusions. Definitions of self-care, self-management and self-management support are complex and multidimensional. Key conceptual distinctions can be made between these terms sug...
机译：对长期条件管理文献中自我护理，自我管理和自我管理支持的概念化进行主题分析。在慢性病管理文献中对自我护理的概念进行主题分析。背景。慢性病的日益流行，对试图更好地支持自我护理和自我管理的健康和社会护理服务构成了越来越大的挑战。在迅速发展的研究和政策文献中，目前对这些术语的含义和用法尚缺乏共识。这可能会阻碍基于此类政策要求和证据的服务创新。方法。使用现有主题“自我保健”和“慢性病”，在广泛的研究数据库中进行了迭代文献搜索。如果出版物（1995-2008年）主要关注长期状况的自我保健或自我管理，并且为这些概念提供了某种形式的定义，则将其包括在内。对出版物进行系统的数据提取和随后的主题分析。结果。搜索结果为1469种出版物，其中包括247种。出版物代表了集中在几个长期条件领域的大量定量和定性设计。自我护理（SC），自我管理（SM）和自我管理支持（SMS）的定义是多维的，在涉及的人员，涉及的内容和实现的方面各不相同。虽然存在重叠，但所涉及的网络的性质（广泛的，集中的或协调的），行动的必要性（可选的，不可避免的或必不可少的）以及要实现的目标（维护，应对或促进）在概念上是不同的自我护理，自我管理和自我管理支持。结论。自我保健，自我管理和自我管理支持的定义是复杂且多维的。可以在这些术语之间进行关键的概念区分。

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