Alice D'Abramo, Paola Arcadi, Büşra Yürük, Izabella Uchmanowicz, Gianluca Pucciarelli, Silvio Simeone, Roberto Latina, Rosaria Alvaro, Ercole Vellone, Mariachiara Figura
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引用次数: 0
Abstract
Aim: To identify and synthesize self-care behaviours among vulnerable migrants, defined as individuals exposed to structural barriers, instability, fragmented care, and increased health risks, along Mediterranean and Western Balkan migration routes, and to map these behaviours onto the domains of self-care maintenance, monitoring, and management described in Riegel's Middle-Range Theory of Self-Care.
Design: A mixed-methods systematic review using a convergent integrated approach.
Methods: Searches were conducted from inception to 11 June 2026 in PubMed, Scopus, Web of Science, and EBSCOhost (CINAHL, APA PsycArticles, APA PsycInfo, Psychology and Behavioural Sciences Collection). Self-care behaviours were identified inductively and mapped onto Riegel's domains.
Results: Thirty-seven studies were included. Maintenance was the most extensively represented domain and was shaped by family, cultural, and religious contexts. Monitoring was less represented and included instrument-, symptom-, and screening-based practices. Management combined biomedical, self-directed, traditional, spiritual, and relational responses.
Conclusion: Self-care among vulnerable migrants extends beyond individual behaviours and is shaped by relational, cultural, social, and structural conditions across maintenance, monitoring, and management.
Reporting method: PRISMA statement.
Implications for the profession and/or patient care: Nursing care should recognize self-care as relational and structurally shaped, extending beyond individual education to patients' social contexts.
Impact: This review examines migrant self-care in migration contexts, highlighting the extensive representation of maintenance behaviours and the comparatively limited representation of monitoring. Findings support more context-sensitive nursing care and policy.
Patient or public contribution: No Patient or Public Contribution. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Reframes migrant self-care as relational and context-dependent. Identifies gaps in existing self-care frameworks in capturing structural and relational dimensions.
目的：识别和综合弱势移民的自我保健行为，定义为地中海和西巴尔干移民路线上暴露于结构性障碍、不稳定、支离破碎的护理和增加的健康风险的个体，并将这些行为映射到Riegel自我保健中程理论中描述的自我保健维护、监测和管理领域。设计：采用融合集成方法的混合方法系统评价。方法：在PubMed、Scopus、Web of Science和EBSCOhost （CINAHL、APA PsycArticles、APA PsycInfo、Psychology and Behavioural Sciences Collection）中进行自成立至2026年6月11日的检索。自我照顾行为被归纳识别并映射到Riegel域。结果：纳入37项研究。维修是最广泛代表的领域，受家庭、文化和宗教背景的影响。监测较少，包括仪器、症状和基于筛查的实践。管理结合了生物医学、自我导向、传统、精神和关系反应。结论：弱势移民的自我保健不仅仅是个人行为，还受到关系、文化、社会和结构条件的影响，包括维护、监测和管理。报告方式：PRISMA报表。对专业和/或病人护理的影响：护理应该认识到自我护理是关系的和结构形成的，从个体教育延伸到病人的社会环境。影响：本综述考察了移民背景下的移民自我保健，强调了维护行为的广泛代表性和监测的相对有限代表性。研究结果支持更具情境敏感性的护理护理和政策。患者或公众捐赠：无患者或公众捐赠。这篇论文对更广泛的全球临床社区有什么贡献？将移民的自我照顾重新定义为关系和情境依赖。确定现有自我保健框架在获取结构和关系维度方面的差距。
期刊介绍：
The Journal of Clinical Nursing (JCN) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of nursing practice. The primary aim is to promote a high standard of clinically related scholarship which advances and supports the practice and discipline of nursing. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, JCN seeks to enrich insight into clinical need and the implications for nursing intervention and models of service delivery. Emphasis is placed on promoting critical debate on the art and science of nursing practice.
JCN is essential reading for anyone involved in nursing practice, whether clinicians, researchers, educators, managers, policy makers, or students. The development of clinical practice and the changing patterns of inter-professional working are also central to JCN''s scope of interest. Contributions are welcomed from other health professionals on issues that have a direct impact on nursing practice.
We publish high quality papers from across the methodological spectrum that make an important and novel contribution to the field of clinical nursing (regardless of where care is provided), and which demonstrate clinical application and international relevance.
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