慢性病自我照顾中程理论的更新。

IF 2.2 4区 医学 Q2 NURSING
Barbara Riegel, Tiny Jaarsma, Anna Strömberg
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引用次数: 0

摘要

背景:自我保健在慢性疾病的管理中是必不可少的。2012年,我们发表了一个中庸理论,将自我保健作为一个通过促进健康和管理慢性疾病来维持健康的过程。理论中的三个关键概念是自我护理维持、自我护理监测和自我护理管理。自我护理维护指的是那些为了改善幸福感、保持健康或保持身体和情绪稳定而进行的行为。自我保健监测是日常警惕监视、自我意识和身体监测或身体倾听的过程。自我保健管理包括对出现的体征和症状的反应。2019年,我们更新了这一理论,明确了症状对自我保健的重要贡献。该理论的假设和命题在原出版物中有详细说明;这两者在本次更新中都进行了扩展。目的:在这里,我们更新了理论,以反映我们思维的变化,以及从已发表的文献和与他人的讨论中学到的东西。一个重要的补充是详细讨论了自我照顾的6个基本的个人需求:经验、知识、技能、反思、决策和动机。这些需求是动态交互的;它们出现的顺序并不意味着反映它们发展的顺序。对实践和研究的启示:这些因素在指导自我保健干预措施的发展方面尤为重要。读者现在可以参考这个版本,而不是2012年的版本。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
An Update to the Middle-Range Theory of Self-Care of Chronic Illness.

Background: Self-care is essential in the management of chronic illness. In 2012, we published a middle-range theory addressing self-care as a process of maintaining health through health-promoting practices and managing chronic illness. Three key concepts in the theory were self-care maintenance, self-care monitoring, and self-care management. Self-care maintenance refers to those behaviors performed to improve well-being, preserve health, or maintain physical and emotional stability. Self-care monitoring is the process of routine vigilant surveillance, self-awareness, and body monitoring or body listening. Self-care management involves the response to signs and symptoms when they occur. In 2019, we updated the theory, specifying the important contribution of symptoms to self-care. Assumptions and propositions of the theory were specified in the original publication; both are expanded in this update.

Purpose: Here, we update the theory to reflect changes in our thinking and what has been learned from published literature and discussions with others. An important addition is a detailed discussion of 6 essential intrapersonal requirements for self-care: experience, knowledge, skills, reflection, decision-making, and motivation. These requirements interact dynamically; the order in which they are presented is not meant to reflect the order in which they are developed.

Implications for practice and research: These factors are particularly important in guiding the development of self-care interventions. Readers can now refer to this version instead of the 2012 publication.

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来源期刊
CiteScore
2.80
自引率
6.20%
发文量
93
审稿时长
>12 weeks
期刊介绍: Consistently ranked as one of the most-read and most assigned journals by faculties of graduate programs in nursing, Advances in Nursing Science (ANS) is intellectually challenging, innovative and progressive, and features articles from a wide range of scholarly traditions. The journal particularly encourages works that speak to the need for global sustainability and that take an intersectional approach, recognizing class, color, sexual and gender identity, and other dimensions of human experience related to health. Articles in ANS are peer-reviewed and chosen for their pioneering perspectives and for their significance in contributing the evolution of the discipline of nursing.
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