Self-management in patients with end stage renal disease: exploring domains and dimensions.
Self-management in patients with end stage renal disease: exploring domains and dimensions.
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终末期肾病患者的自我管理：探索领域和维度。
DOI：
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发表时间：
2005
期刊：
影响因子：
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通讯作者：
S. Burrows‐Hudson
中科院分区：
文献类型：
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作者：
R. B. Curtin;D. Mapes;D. Schatell;S. Burrows‐Hudson
慢性病的管理和适当治疗是卫生保健领域的持续挑战。随着人口老龄化，慢性病的流行率预计会增加。由于根据定义，慢性病是无法治愈的，因此控制、最小化或管理其负面影响成为主要目标。从自我管理的角度来看，既不是临床医生也不是卫生保健系统必须完成大部分慢性病管理，而是患者自己。此外，自我管理已被证明与改善的结果。自我管理包括两个领域：健康护理自我管理和日常生活自我管理。自我保健管理包括自我保健活动、保健伙伴关系、沟通、自我保健自我效能和坚持。日常生活的自我管理需要实现/保持日常角色和功能的“正常”。终末期肾病（ESRD）是一种慢性疾病，自我管理尤为重要。了解自我管理的组成部分可能有助于患者和临床医生接受这种方法，进入它所需要的相互关系，并最大限度地提高终末期肾病患者的积极成果。
The management and appropriate treatment of chronic disease are ongoing challenges in health care. As the population ages, the prevalence of chronic disease can be expected to increase. Since by definition there is no cure for chronic disease, controlling, minimizing, or managing its negative effects becomes a primary goal. In the self-management perspective, it is neither clinicians nor health care systems who must accomplish the bulk of chronic disease management but rather the patients themselves. Moreover, self-management has been shown to be associated with improved outcomes. Self-management is comprised of two domains: self-management of health care and self management of everyday life. Self-management of health care includes self-care activity, partnership in care, communication, self-care self-efficacy, and adherence. Self-management of everyday life entails achieving/maintaining "normality" in everyday roles and functioning. End stage renal disease (ESRD) is a chronic disease for which self-management is particularly relevant. Understanding the components of self-management may help patients and clinicians to embrace this approach, to enter the mutual relationship it requires, and to maximize positive outcomes for patients with ESRD.