Patients' perception towards chronic disease self-management and its program: A cross-sectional survey.

IF 1.8 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

Chronic Illness Pub Date : 2024-12-01 Epub Date: 2023-07-04 DOI:10.1177/17423953231185385

Nur Atiyah Abdul Halim, Nur Hikmah Ahmad Sopri, Yuet Yen Wong, Qarem Mohamed Mustafa, Qi Ying Lean

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引用次数: 0

Abstract

Objective: This study aimed to assess the perceptions towards chronic disease self-management and its program among patients with chronic diseases.

Methods: A cross-sectional study using pre-validated questionnaire was conducted among patients with chronic diseases at outpatient pharmacy in a hospital in Penang, Malaysia from April to June 2021.

Results: Of 270 patients participated in this study, 87.8% were interested in chronic disease self-management. Nonetheless, they faced common barriers including time constraint (71.1%), no health monitoring devices (44.1%) and poor health knowledge (43.0%). More than half of the patients expressed that having a better knowledge of the disease and its treatment (64.1%), getting supportive guidance from healthcare providers (59.6%) and having monitoring devices (58.1%) were the top three facilitators to self-management. The patients preferred chronic disease self-management programs that (a) discuss the topic of motivation (b) are available both as mobile applications and hands-on training, (c) individual session, (d) range between 1 and 5 sessions with a duration of 1 to 2 h/session, (e) occurring on monthly basis, (f) conducted by doctor or healthcare professionals and (g) fully sponsored by government or at affordable fee.

Conclusion: The findings serve as pre-requisite step in future design and development of chronic disease self-management program, targeting the patients' needs and preferences.

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患者对慢性疾病自我管理的认知及其方案：一项横断面调查。

目的：了解慢性疾病患者对慢性疾病自我管理及其程序的认知。方法：采用预验证问卷对2021年4 - 6月在马来西亚槟城某医院门诊药房就诊的慢性病患者进行横断面研究。结果：270例患者中，87.8%的患者对慢性病自我管理感兴趣。然而，他们面临的共同障碍包括时间限制（71.1%）、没有健康监测设备（44.1%）和健康知识贫乏（43.0%）。超过一半的患者表示，更好地了解疾病及其治疗（64.1%）、获得医疗保健提供者的支持性指导（59.6%）和拥有监测设备（58.1%）是自我管理的前三大促进因素。患者首选的慢性病自我管理方案(a)讨论动机主题(b)以移动应用程序和实践培训的形式提供，(c)个人会议，(d) 1至5次会议，每次会议持续1至2小时，(e)每月举行，(f)由医生或医疗保健专业人员进行，以及(g)由政府全额赞助或以可负担的费用进行。结论：本研究结果为今后设计和开发针对患者需求和偏好的慢性疾病自我管理程序奠定了基础。

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

Chronic Illness Multiple-

CiteScore

3.80

自引率

0.00%

发文量

期刊介绍： Chronic illnesses are prolonged, do not resolve spontaneously, and are rarely completely cured. The most common are cardiovascular diseases (hypertension, coronary artery disease, stroke and heart failure), the arthritides, asthma and chronic obstructive pulmonary disease, diabetes and epilepsy. There is increasing evidence that mental illnesses such as depression are best understood as chronic health problems. HIV/AIDS has become a chronic condition in those countries where effective medication is available.