A Middle-Range Explanatory Theory of Self-Management Behavior for Collaborative Research and Practice
A Middle-Range Explanatory Theory of Self-Management Behavior for Collaborative Research and Practice
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DOI：
10.1111/nuf.12169
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发表时间：
2017-04-01
期刊：
影响因子：
2.4
通讯作者：
Blok, Amanda C.
中科院分区：
文献类型：
--
作者：
Blok, Amanda C.
目标。报告自我管理行为的概念的分析。自我管理行为通常与疾病管理相关，经常被与慢性病管理相关的护士研究人员和国际卫生组织用于疾病管理干预的发展。Orem的自我保健框架的背景下进行了概念分析。步行者和先锋的八步概念分析方法指导了分析。检索学术数据库中的相关文献，包括CIHAHL、科克伦系统评价数据库和对照试验登记册、MEDLINE、PsycARTICLES和PsycINFO以及SocINDEX.REVIEW METHODS。对2001年4月至2015年3月期间发表的使用术语“自我管理行为”的文献进行了属性、前因和后果分析。共审查了189篇期刊文章。自我管理行为被定义为与生活方式、问题、计划、协作和精神支持相关的主动行动，以及与环境变化相关的反应行动，以实现受身体、心理、社会经济和文化特征以及协作和获得支持的影响的目标。自我管理行为的理论定义和中间解释理论将指导未来的疾病管理合作研究和临床实践。
AIM. To report an analysis of the concept of self-management behaviors.BACKGROUND. Self-management behaviors are typically associated with disease management, with frequent use by nurse researchers related to chronic illness management and by international health organizations for development of disease management interventions.DESIGN. A concept analysis was conducted within the context of Orem's self-care framework. Walker and Avant's eight-step concept analysis approach guided the analysis.DATA SOURCES. Academic databases were searched for relevant literature including CIHAHL, Cochrane Databases of Systematic Reviews and Register of Controlled Trials, MEDLINE, PsycARTICLES and PsycINFO, and SocINDEX.REVIEW METHODS. Literature using the term "self-management behavior" and published between April 2001 and March 2015 was analyzed for attributes, antecedents, and consequences.RESULTS. A total of 189 journal articles were reviewed. Self-management behaviors are defined as proactive actions related to lifestyle, a problem, planning, collaborating, andmental support, as well as reactive actions related to a circumstantial change, to achieve a goal influenced by the antecedents of physical, psychological, socioeconomic, and cultural characteristics, as well as collaborative and received support.CONCLUSIONS. The theoretical definition and middle-range explanatory theory of self-management behaviors will guide future collaborative research and clinical practice for disease management.