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Self-management in chronic illness: concept and dimensional analysis

机译:慢性病中的自我管理:概念和维度分析

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Aim. To define self-management in chronic illness and explore the concept. Background. Successful management of chronic illness requires an integrated approach with active involvement of the patient, family and healthcare professional. The term self-management is used extensively within the literature as a method to improve chronic illness outcomes and is recognised as an essential component in the treatment of persons with chronic illness, yet the concept of self-management varies greatly depending on context and perspective. As patient involvement is the essence of self-management, the concept of self-management is in need of further exploration. Methods. Dimensional analysis provides the optimal approach to analysing the concept of self-management in chronic illness as it seeks to offer an understanding of the concept through its social construction and examines differences across perspectives and contexts.Conclusions. Antecedents, dimensions and consequences of self-management were identified and a definition and model of self-management was constructed. The salient dimension of adherence to a plan represents the dominance of the healthcare professional's perspective in the literature. Further research exploring self-management from the patient's perspective and encompassing all the aspects of the self-management model is necessary to accurately evaluate the consequences of improved quality of life, improved clinical outcomes and reduced healthcare expenditures. Relevance to clinical practice. Antecedents and dimensions of self-management derived from the chronic illness literature can be used to formulate tailored plans aimed at fostering successful self-management in patients as well as to guide interventions to improve self-management and patient outcomes.
机译:目标。定义慢性病的自我管理并探索其概念。背景。慢性病的成功治疗需要一种综合方法,患者,家庭和医疗保健专业人员应积极参与。自我管理一词在文献中被广泛用作改善慢性疾病预后的方法,并且被公认为治疗慢性病患者的重要组成部分,但是自我管理的概念因上下文和观点而异。由于患者参与是自我管理的本质,因此自我管理的概念需要进一步探索。方法。维度分析提供了一种最佳方法来分析慢性病中自我管理的概念,因为它试图通过其社会建构来提供对该概念的理解,并研究各个观点和环境之间的差异。确定了自我管理的前提,维度和后果,并建立了自我管理的定义和模型。遵守计划的重要方面代表了医疗保健专业人员的观点在文献中的主导地位。从患者的角度探索自我管理并涵盖自我管理模型的所有方面的进一步研究对于准确评估改善生活质量,改善临床结果和减少医疗保健支出的后果是必要的。与临床实践有关。源自慢性病文献的自我管理的前提和维度可用于制定量身定制的计划,旨在促进患者成功的自我管理,并指导干预措施以改善自我管理和患者预后。

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