Keywords
health care
self-care
self-management
Abstract
SELF-MANAGEMENT OF CHRONIC DISEASES: A CONCEPT ANALYSIS
Introduction. Due to coronavirus disease 2019, which affected the provision of nursing care to chronic patients, the self-management of patients has increased through the use of modern technology. To support the self-management of chronic patients, it is essential to analyze and clarify the concept of self-management before using it in practice.
Methods. A literature search was performed in the Web of Science, PubMed, CINAHL, ScienceDirect, Sage Journals, MEDLINE, Cochrane Library databases, in addition to Google Scholar and COBISS using the keywords “concept,”“self-care,”“chronic disease,” and “nurse.” Qualitative, quantitative, and mixed methods research, books, and abstracts, related to the selected concept in English were included in the review. Studies were ranked according to the hierarchy of evidence. Concept analysis by Cutcliffe and McKenna was used.
Results. Of the 2974 identified studies, 31 were included in the analysis. Seven attributes were identified: assessment of physical and emotional signs and symptoms, response to changes, consultation with the health care provider, communication, goals, attention to treatment effectiveness, and awareness of the situation. The antecedents are learning, motivation, habits, cultural and religious values, self-efficacy, literacy. The consequences concept includes improving individuals’ clinical outcomes and quality of life and reducing public health costs.
Conclusions. As nursing care focuses more and more on self-management of the disease and not just on treatment, patients are increasingly using different techniques to manage their disease. By incorporating the concept of self-management of chronic disease into modern technology, we cancontribute to patient care.
References
1. Slama-Chaudhry A, Golay A. Patient education and self-management support for chronic disease: methodology for implementing patient-tailored therapeutic programmes. Public health panorama. 2019; 5(2-3): 357-361.
2. Riegel B, Barbaranelli C, Sethares KA, et al. Development and initial testing of the self-care of chronic illness inventory. Journal of Advanced Nursing. 2018; 74(10): 2465-2476.
3. Bratzke LC, Muehrer RJ, Kehl KA, et al. Self-management priority setting and decision-making in adults with multimorbidity: a narrative review of literature. International Journal of Nursing Studies. 2015; 52(3): 744-755.
4. Miller WR, Lasiter S, Ellis RB, et al. Chronic disease self-management: a hybrid conceptanalysis. Nursing Outlook. 2015; 63(2): 154-161.
5. Omisakin FD, Ncama BP. Self, self-care and self-management concepts: implications for self-management education. Educational Research. 2011; 2(12): 1733-1737.
6. Riegel B, Jaarsma T, Stromberg A. A middle-range theory of self-care of chronic illness. Advances in Nursing Science. 2012; 35(3): 194-204.
7. Udlis KA. Self-management in chronic illness: concept and dimensional analysis. Journal of Nursing and Healthcare of Chronic Illness. 2011; 3(2): 130-139.
8. Van de Velde D, De Zutter F, Satink T, et al. Delineating the concept of self-management in chronic conditions: a concept analysis. BMJ Open. 2019; 9(7): e027775.
9. Page MJ, McKenzie JE, Bossuyt PM, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021: 372: n71.
10. Polit DF, Beck, C.T. Nursing research: generating and assessing evidence for nursing practice. Ninth ed. Lippincott Williams & Wilkins; 2012.
11. Pajnkihar M, Vrbnjak D. Zdravstvena nega (2018-2019): zbrano učno gradivo. Maribor: Univerza v Mariboru, Fakulteta za zdravstvene vede: 2018.
12. Pajnkihar M, Vrbnjak D. Zdravstvena nega: (zbrano učno gradivo): (2020-2021). Maribor: Univerza v Mariboru, Fakulteta za zdravstvene vede; 2020.
13. McKenna HP, Cutcliffe JR. An introduction to concepts and their analyses. [In:] Cutcliffe JR, McKenna HP, eds. The essential concepts of nursing. 2005.
14. Ausili D, Barbaranelli C, Rossi E, et al. Development and psychometric testing of a theory-based tool to measure self-care in diabetes patients: the self-care of diabetes inventory. BMC Endocrine Disorders. 2017; 17(1): 66.
15. Dickson VV, Lee C, Yehle KS, et al. Psychometric testing of the self-care of hypertension inventory: conceptual challenges to collaborative care. Journal of Cardiovascular Nursing. 2017; 32(5): 431-438.
16. Garnett A, Ploeg J, Markle-Reid M, et al. Self-management of multiple chronic conditions by community-dwelling older adults: a concept analysis. SAGE Open Nursing. 2018; 4: 237796081775247.
17. Grady PA, Gough LL. Self-management: a comprehensive approach to management of chronic conditions. American Journal of Public Health. 2014; 104(8): e25-e31.
18. Hasanpour-Dehkordi A. Self-care concept analysis in cancer patients: an evolutionary concept analysis. Indian Journal of Palliative Care. 2016; 22(4): 388-394.
19. van Hooft SM, Dwarswaard J, Jedeloo S, et al. Four perspectives on self-management support by nurses for people with chronic conditions: a q-methodological study. International Journal of Nursing Studies. 2015; 52(1): 157-166.
20. Hughes L, 2010. Chronic disease self-management: an evolutionary concept analysis. University of Victoria. Available at http://dspace.library.uvic.ca/bitstream/ handle/1828/4057/Hughes_Lori_MN_2010.pdf ?sequence=1&isAllowed=y [07.10.2020].
21. Høy B, Wagner L, Hall EOC. Self-care as a health resource of elders: an integrative review of the concept. Scandinavian Journal of Caring Sciences. 2007; 21(4): 456-466.
22. Kralik D, Koch T, Price K, et al. Chronic illness self-management: taking action to create order. Journal of Clinical Nursing. 2004; 13(2): 259-267.
23. Ling DL, Yu HJ. Self-management a concept analysis of self-management for cancer patients’ home-based rehabilitation. TMR Integrative Nursing. 2018; 2(1): 4-11.
24. Liu T. A Concept analysis of self-efficacy among Chinese elderly with diabetes mellitus. Nursing Forum. 2012; 47(4): 226-235.
25. Luhr K, Eldh AC, Theander K, et al. Effects of a self-management programme on patient participation in patients with chronic heart failure or chronic obstructive pulmonary disease: a randomized controlled trial. European Journal of Cardiovascular Nursing. 2019; 18(3): 185-193.
26. Mammen J, Rhee H. Adolescent asthma self-management: a concept analysis and operational definition. Pediatric, Allergy, Immunology, and Pulmonology. 2019; 25: 180-189.
27. Marzband R, Zakavi AA. A concept analysis of self-care based on Islamic sources. International journal of nursing knowledge. 2017; 28(3): 153-158.
28. Matarese M, Lommi M, De Marinis MG, et al. A systematic review and integration of concept analyses of self‐care and related concepts. Journal of Nursing Scholarship. 2018; 50(3): 296-305.
29. Osokpo O, Riegel B. Cultural factors influencing self-care by persons with cardiovascular disease: an integrative review. International Journal of Nursing Studies; 2019: 103383.
30. Riegel B, Dickson VV, Faulkner KM. The situation-specific theory of heart failure self-care: revised and updated. Journal of Cardiovascular Nursing. 2016; 31(3): 226-235.
31. Riegel B, Jaarsma T, Stromberg A. Theory of self-care of chronic illness. [In:] Smith MJ,. Liehr PR, eds. Middle range theory for nursing. Springer Publishing Company; 2018, pp. 341-353.
32. Schilling LS, Grey M, Knafl KA. The concept of self-management of type 1 diabetes in children and adolescents: an evolutionary concept analysis. Journal of Advanced Nursing. 2002; 37(1): 87-99.
33. Song M, Lipman TH. Concept analysis: self-monitoring in type 2 diabetes mellitus. International Journal of Nursing Studies. 2008; 45(11): 1700-1710.
34. Vaughan Dickson V, Lee CS, Yehle KS, et al. Psychometric testing of the self-care of coronary heart disease inventory (SC-CHDI). Research in Nursing and Health. 2017; 40(1): 15-22.
35. Weinert C, Cudney S, Hill WG. Rural women, technology, and self-management of chronic illness. Canadian Journal of Nursing Research. 2008; 40(3): 114-134.
36. Wilde MH, Garvin S. A concept analysis of self-monitoring. Journal of Advanced Nursing. 2007; 57(3): 339-350.
37. World Health Organization. Self-care in the context of primary health care; report of the regional consultation Bangkok, Thailand, 7-9 Januari 2009. World Health Organization; 2009: 7-9.
38. Walker LO, Avant KC. Strategies for theory construction in nursing. 6th ed. Boston: Pearson, cop. 2019.
39. Wagner EH, Groves T. Care for chronic diseases: the efficacy of coordinated and patient centred care is established, but now is the time to test its effectiveness. British Medical Journal. 2002; 325(7370): 913-914.
40. Bernell S, Howard SW. Use your words carefully: what is a chronic disease? Frontiers in Public Health. 2016; 4: 159.
41. Raghupathi W, Raghupathi V. An empirical study of chronic diseases in the United States: a visual analytics approach. International Journal of Environmental Research and Public Health. 2018; 15(3): 431.
42. Smith SM, O’Dowd T. Chronic diseases: what happens when they come in multiples? British Journal of General Practice. 2007; 57(537): 268-270.
43. Liddy C, Blazkho V, Mill K. Challenges of self-management when living with multiple chronic conditions: systematic review of the qualitative literature. Canadian Family Physician. 2014; 60(12): 1123-1133.
44. Contant É, Loignon C, Bouhali T, et al. A multidisciplinary self-management intervention among patients with multimorbidity and the impact of socioeconomic factors on results. BMC Family Practice. 2019; 20(1): 53.
45. Ryan P, Sawin KJ. The individual and family self-management theory: background and perspectives on context, process, and outcomes. Nursing Outlook. 2009; 57(4): 217-225.e6.
46. Fukuoka Y, Gay CL, Joiner KL, et al. A novel diabetes prevention intervention using a mobile app: a randomized controlled trial with overweight adults at risk. American journal of preventive medicine. 2015; 49(2): 223-237.
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