Supported self-management in long-term conditions in an African context.

IF 1 Q4 REHABILITATION
South African Journal of Physiotherapy Pub Date : 2024-04-30 eCollection Date: 2024-01-01 DOI:10.4102/sajp.v80i1.1978
Leigh Hale, Amanda Wilkinson, Sonti Pilusa, Aimee Stewart
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引用次数: 0

Abstract

Self-management is an important strategy to improve quality of life, appropriately manage long-term health conditions, and reduce the economic burden of long-term health conditions. However, equitable healthcare access remains an issue, and the focus on 'self' in self-management is problematic. Our review aims to explore the conceptualisation and evolution of supported self-management in an African context and its relevance to physiotherapy. A state-of-the-art review of the literature was undertaken by the authors. The authors knowledge of the subject area and a database search retrieved recent articles exploring patients' and healthcare providers' understanding of supported self-management in Africa. Relevant articles were read, and data summaries of included studies were extracted and tabulated. Findings were organised deductively. Sixteen studies, 11 primary research, and 5 reviews (2016-2023) undertaken in a variety of sub-Saharan countries with healthcare workers (~n = 177) and people (~n = 16 115) living with a mix of non-communicable and communicable conditions were considered in this state-of-the-art review. Self-management perceptions were drawn from Western authors spanning development research and understanding of the concepts in Western thinking. We conclude that imported concepts, such as supported self-management for long-term conditions, should be considered within local health delivery solutions. These should be embedded in an understanding of traditional African health systems.

Clinical implications: There is a need to develop locally derived African solutions. Self-management strategies for long-term health conditions should be developed, considering traditional holistic African health systems.

非洲长期病症的辅助自我管理。
自我管理是提高生活质量、适当管理长期健康状况和减轻长期健康状况经济负担的重要策略。然而,公平获得医疗保健服务仍然是一个问题,而且自我管理中对 "自我 "的关注也存在问题。我们的综述旨在探讨非洲背景下支持性自我管理的概念化和演变,以及它与物理治疗的相关性。作者对最新文献进行了综述。作者通过对该主题领域的了解和数据库搜索,检索到了探讨非洲患者和医疗服务提供者对支持性自我管理的理解的最新文章。作者阅读了相关文章,并对所纳入研究的数据摘要进行了提取和制表。对研究结果进行了演绎整理。本最新综述考虑了在撒哈拉以南的多个国家进行的 16 项研究、11 项初步研究和 5 项综述(2016-2023 年),研究对象包括医护人员(~n = 177)和患有非传染性和传染性疾病的人群(~n = 16 115)。自我管理的概念来自西方学者的发展研究和对西方思维中概念的理解。我们得出的结论是,应当在当地的医疗服务解决方案中考虑引进的概念,如针对长期病症的支持性自我管理。这些方案应融入对非洲传统医疗体系的理解:临床意义:有必要制定源自非洲本地的解决方案。临床意义:有必要制定源于非洲本地的解决方案。应考虑到非洲传统的整体医疗体系,制定针对长期健康状况的自我管理策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
1.70
自引率
9.10%
发文量
35
审稿时长
30 weeks
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