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首页> 外文期刊>Patient education and counseling >Who's in charge? The role of responsibility attribution in self-management among people with chronic illness.
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Who's in charge? The role of responsibility attribution in self-management among people with chronic illness.

机译：谁负责？责任归属在慢性病患者自我管理中的作用。

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OBJECTIVE: To explore how responsibility attribution influences self-management regimens among people with chronic illness. METHODS: This qualitative content analysis included 26 interviews with people living with chronic illness. RESULTS: The participants attributed responsibility to internal, external or a combination of these factors, meaning that they either assumed responsibility for self-management or considered other people or factors responsible. Internal responsibility was associated with a multifaceted self-management regimen, whereas external responsibility was related to "conventional" self-management such as taking medication, managing symptoms and lifestyle changes. CONCLUSION: How responsibility is attributed is vital for the way in which individuals perform self-management. In this study, those who attributed responsibility to external factors mainly performed recommended behaviours to control their illness. In contrast, to take charge of their illness and be an active participant in the care, individuals must take responsibility for themselves, i.e. internal responsibility. PRACTICE IMPLICATIONS: Health-care providers should acknowledge and support individuals' wishes about various levels of responsibility as well as different kinds of patient-provider relationships.
机译：目的：探讨责任归因如何影响慢性病患者的自我管理方式。方法：该定性内容分析包括对26位慢性病患者的访谈。结果：参与者将责任归因于内部，外部或这些因素的组合，这意味着他们要么承担自我管理的责任，要么认为其他人或负责任的因素。内部责任与多方面的自我管理方案有关，而外部责任与“常规”自我管理有关，例如服药，管理症状和改变生活方式。结论：责任的归属方式对个人进行自我管理至关重要。在这项研究中，那些将责任归于外部因素的人主要是通过推荐行为来控制自己的病情。相反，要负责其疾病并积极参与护理，个人必须对自己承担责任，即内部责任。实践的意义：卫生保健提供者应承认并支持个人关于各种责任级别以及不同类型的患者与提供者之间关系的愿望。

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