The Experience of Self-Care in People With Osteoporosis: A Qualitative Descriptive Study.

IF 2.9 3区 医学 Q1 NURSING
Chiara Tedesco, Vicente Bernalte-MartÍ, Mara Tormen, Angela Cuoco, Gianluca Pucciarelli, Ercole Vellone, Maddalena De Maria, Emanuela Basilici Zannetti, Noemi Cittadini, Annalisa Pennini, Salvatore Maria Tecce, Amarildo Smakaj, Umberto Tarantino, Rosaria Alvaro
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Abstract

Introduction: Osteoporosis requires long-term self-care engagement, yet little is known about how individuals experience and manage self-care in everyday life. Understanding these experiences is essential to inform tailored nursing interventions. The objective of the study was to explore and describe the experience of self-care maintenance, monitoring, and management in people with osteoporosis.

Design: A qualitative descriptive study.

Methods: We conducted semi-structured interviews. Data were analyzed using Mayring's qualitative content analysis with a deductive approach based on Riegel's theory of self-care. We reported data in accordance with the Consolidated Criteria for Reporting Qualitative Studies (COREQ) checklist.

Results: Participants (1 Male, 19 Females; Aged 55-80) Identified Four Themes of self-care: maintenance (e.g., Medication Adherence, Physical Activity), monitoring (e.g., Symptom Recognition, Test Interpretation), management (e.g., Lifestyle Reflections, Prevention), and general self-care. Key factors included motivation, trust in healthcare professionals, and integration of health behaviors into daily life. Barriers were low self-efficacy, poor symptom recognition, and inconsistent adherence.

Conclusion: Self-care in osteoporosis is a multidimensional and dynamic process influenced by individual beliefs, contextual factors, and support from healthcare professionals. Recognizing the variability in patients' self-care behaviors is essential to develop personalized education and support. Strengthening general health behaviors may enhance disease-specific self-care. This understanding can guide healthcare professionals in designing more effective, tailored care strategies.

骨质疏松症患者自我照顾的经验:一项定性描述性研究。
骨质疏松症需要长期的自我护理参与,然而人们对个体在日常生活中如何体验和管理自我护理知之甚少。了解这些经验对于为量身定制的护理干预提供信息至关重要。本研究的目的是探讨和描述骨质疏松症患者自我护理维护、监测和管理的经验。设计:定性描述性研究。方法:采用半结构化访谈。数据分析采用Mayring的定性内容分析和基于Riegel自我护理理论的演绎方法。我们按照报告定性研究的综合标准(COREQ)清单报告数据。结果:参与者(男性1名,女性19名,年龄55-80岁)确定了四个自我保健主题:维持(如药物依从性,身体活动),监测(如症状识别,测试解释),管理(如生活方式反思,预防)和一般自我保健。关键因素包括动机、对医疗保健专业人员的信任以及将健康行为融入日常生活。障碍是低自我效能,较差的症状识别和不一致的依从性。结论:骨质疏松患者的自我护理是一个多维的动态过程,受个体信念、环境因素和医护人员支持的影响。认识到患者自我护理行为的可变性对于制定个性化的教育和支持至关重要。加强一般健康行为可以增强疾病特异性的自我保健。这种理解可以指导医疗保健专业人员设计更有效、更有针对性的护理策略。
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
6.30
自引率
5.90%
发文量
85
审稿时长
6-12 weeks
期刊介绍: This widely read and respected journal features peer-reviewed, thought-provoking articles representing research by some of the world’s leading nurse researchers. Reaching health professionals, faculty and students in 103 countries, the Journal of Nursing Scholarship is focused on health of people throughout the world. It is the official journal of Sigma Theta Tau International and it reflects the society’s dedication to providing the tools necessary to improve nursing care around the world.
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