Experiences of older people with multimorbidity regarding self-management of diseases: A systematic review and qualitative meta-synthesis

IF 1.9 4区医学 Q2 NURSING

International Journal of Nursing Practice Pub Date : 2024-07-29 DOI:10.1111/ijn.13289

Jing Tian MSN, Hong Yan Wang MSN, Si Han Peng PhD, Yan Min Tao BA, Jun Cao MSN, Xian Geng Zhang PhD

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引用次数: 0

Abstract

Aim

This qualitative systematic review aimed to consolidate existing evidence on the self-management experience of older patients with multimorbidity worldwide.

Methods

Nine databases were searched, for papers published from database inception to April 2023. The systematic review was conducted according to the systematic review method of qualitative evidence by the Joanna Briggs Institute (JBI).

Results

Seven studies were included. Finally, four themes and 12 subthemes were formed: (1) physical level: reduced physical function and lack of coordinated care; (2) psychological level: mental state of anxiety and positive attitude towards life; (3) social level: technical support, support from family, support from healthcare workers and support from others; and (4) practical level: economic burden, lifestyle changes, self-care in daily life and compliance was much lower than expected.

Conclusions

To improve self-management in older people with multimorbidity, nurses should provide more guidance to patients to improve their self-management skills, and clinicians should recommend effective self-management behaviours.

查看原文本刊更多论文

多病老年人自我管理疾病的经验：系统回顾与定性元综合。

目的：本定性系统综述旨在整合全球范围内患有多种疾病的老年患者自我管理经验方面的现有证据：检索了九个数据库中从数据库建立之初到 2023 年 4 月发表的论文。结果：共纳入 7 项研究：结果：共纳入七项研究。最后形成了 4 个主题和 12 个次主题：（1）生理层面：身体功能下降和缺乏协调护理；（2）心理层面：焦虑的精神状态和积极的生活态度；（3）社会层面：技术支持、家庭支持、医护人员支持和他人支持；（4）实践层面：经济负担、生活方式改变、日常生活自理和依从性远低于预期：为改善多病老年人的自我管理，护士应为患者提供更多指导，以提高他们的自我管理技能，临床医生应推荐有效的自我管理行为。

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

International Journal of Nursing Practice NURSING-

CiteScore

4.10

自引率

0.00%

发文量

审稿时长

3 months

期刊介绍： International Journal of Nursing Practice is a fully refereed journal that publishes original scholarly work that advances the international understanding and development of nursing, both as a profession and as an academic discipline. The Journal focuses on research papers and professional discussion papers that have a sound scientific, theoretical or philosophical base. Preference is given to high-quality papers written in a way that renders them accessible to a wide audience without compromising quality. The primary criteria for acceptance are excellence, relevance and clarity. All articles are peer-reviewed by at least two researchers expert in the field of the submitted paper.