Self-Management of Cardiovascular-Kidney-Metabolic Syndrome: A Concept Analysis.

IF 1.6 Q2 NURSING

Journal of Holistic Nursing Pub Date : 2026-06-16 DOI:10.1177/08980101261458446

Margaret A Ayorinde, Lakeshia Cousin, Staja Q Booker, Jennifer R Dungan

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引用次数: 0

Abstract

PurposeTo clarify and define self-management (SM) within cardiovascular-kidney-metabolic (CKM) syndrome through concept analysis, with implications for holistic nursing.DesignConcept analysis using Walker and Avant's eight-step method.MethodsSix databases were searched for peer-reviewed articles (2005-2025). Twenty-one studies met the inclusion criteria. Findings were interpreted through the Individual and Family Self-Management Theory and Neuman's Systems Model. Qualitative literature enriched interpretation of the holistic dimensions of each attribute.FindingsFour defining attributes emerged: self-monitoring, personalized and precision care, collaborative care, and sustained engagement; each carrying behavioral and experiential significance. Five antecedents and six consequences were identified across biological, psychosocial, structural, and spiritual dimensions. Self-Management in CKM is distinct from self-care as traditionally conceptualized, due to pathophysiological interdependence, system-level coordination, and experiential complexity.ConclusionsThis analysis provides a holistic, theory-informed definition of Self-Management in CKM and a foundation for middle-range theory development. The framework supports nurse-led interventions addressing the whole person across interacting chronic conditions.

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心肾代谢综合征的自我管理：一个概念分析。

目的通过概念分析，明确心肾代谢综合征（CKM）患者的自我管理（SM），为整体护理提供依据。采用Walker和Avant的八步法进行设计概念分析。方法检索6个数据库2005-2025年的同行评议论文。21项研究符合纳入标准。研究结果通过个人和家庭自我管理理论和纽曼系统模型进行解释。定性文献丰富了对各属性整体维度的解释。发现出现了四个定义属性：自我监控、个性化和精确护理、协作护理和持续参与；每种都具有行为和经验意义。在生物、社会心理、结构和精神层面上确定了五个前因和六个后果。CKM的自我管理不同于传统概念上的自我护理，这是由于病理生理上的相互依赖、系统层面的协调和经验的复杂性。这一分析为CKM中的自我管理提供了一个整体的、有理论依据的定义，并为中期理论的发展奠定了基础。该框架支持护士主导的干预措施，解决整个人的相互作用的慢性疾病。

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

Journal of Holistic Nursing NURSING-

CiteScore

4.30

自引率

10.00%

发文量

期刊介绍： Manuscripts are solicited that deal with the processes of knowledge development and application including research, concept analysis and theory development, practical applications of research and theory, clinical case studies and analysis, practice applications in general, educational approaches and evaluation, and aesthetic expressions of holistic knowledge. While the journal seeks to support work grounded in evidence, the editorial philosophy suggests that there are many diverse sources of “evidence” beyond the realm of what is called “empirical” and that many methods are appropriate for discovering evidence and generating knowledge.