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Delineating the concept of self-management in chronic conditions: a concept analysis.
Van de Velde, Dominique; De Zutter, Freya; Satink, Ton; Costa, Ursula; Janquart, Sara; Senn, Daniela; De Vriendt, Patricia.
Afiliación
  • Van de Velde D; Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences, Occupational Therapy Program, Ghent University, Ghent, Belgium.
  • De Zutter F; Occupational Therapy, Artevelde University College, Ghent, Belgium.
  • Satink T; Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences, Occupational Therapy Program, Ghent University, Ghent, Belgium.
  • Costa U; Occupational Therapy, HAN University of Applied Sciences, Nijmegen, The Netherlands.
  • Janquart S; Occupational Therapy and Occupational Science, Health University of Applied Science Tyrol, Innsbruck, Austria.
  • Senn D; Faculty of Medicine and Health Sciences, Department of Rehabilitation Sciences, Occupational Therapy Program, Ghent University, Ghent, Belgium.
  • De Vriendt P; Occupational Therapy, School of Health Professions, Zurich University of Applied Sciences, Winterthur, Switzerland.
BMJ Open ; 9(7): e027775, 2019 07 16.
Article en En | MEDLINE | ID: mdl-31315862
OBJECTIVES: Self-management is a concept frequently used within healthcare but lacks consensus. It is the aim of this study to clarify the concept. DESIGN: Concept analysis according to Walker and Avant, comprises eight steps: select concept, determine purpose, identify uses, determine defining attributes, identify model case, identify additional cases, identify antecedents and consequences and define empirical referents. SOURCES USED: PubMed, Scopus and Web of Science. RESULTS: Ten attributes delineating the concept have been identified and organised into three groups. Group (a): person-oriented attributes: the person must (1) actively take part in the care process, (2) take responsibility for the care process and (3) have a positive way of coping with adversity. Group (b): person-environment-oriented attributes: (4) the person must be informed about the condition, disease and treatment and self-management, (5) should be individualised, which entails expressing needs, values and priorities, (6) requires openness to ensure a reciprocal partnership with healthcare providers and (7) demands openness to social support. Finally, Group (c): summarising attributes: self-management (8) is a lifetime task, (9) assumes personal skills and (10) encompasses the medical, role and emotional management. CONCLUSIONS: The findings of this study recognise the complexity of the concept, but also show the need for further investigation to make the concept more measurable. Clarity about the concept will enhance understanding and facilitate implementation in self-management programmes for chronic conditions.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención a la Salud / Automanejo Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Humans Idioma: En Revista: BMJ Open Año: 2019 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Reino Unido
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Atención a la Salud / Automanejo Tipo de estudio: Prognostic_studies Aspecto: Determinantes_sociais_saude Límite: Humans Idioma: En Revista: BMJ Open Año: 2019 Tipo del documento: Article País de afiliación: Bélgica Pais de publicación: Reino Unido