The hard work of self-management: Living with chronic knee pain.
The hard work of self-management: Living with chronic knee pain.
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DOI：
10.3402/qhw.v6i3.7035
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发表时间：
2011
影响因子：
1.8
通讯作者：
Morden A
中科院分区：
文献类型：
--
作者：
Ong BN;Jinks C;Morden A
自我管理是许多西方国家的一项关键政策举措，大多数方法都是为长期患病的人设计的，其基础是给予支持和建议，以管理病情的影响(S)。人们对自己已经做了什么的关注较少。在这篇文章中，我们关注自我管理在日常生活中的意义和实施，以及与设计和维护常规适应策略相关的艰苦工作。这项总部位于英国的定性研究调查了膝盖疼痛的人们是如何生活的。从访谈(基线时22人，6个月时15人)和每月日记中可以看出，自我管理可以基于从经验中内隐和渐进的学习，也可以基于对行动的明确评估。无论是哪种方式，具体化和情绪化的艰苦工作都涉及到维持日常生活，使人们能够履行社会角色和人际关系。在推广具体的自我管理方法之前，需要承认和借鉴这种个别的和有背景的工作。
Self-management is a key policy initiative in many western countries, and most approaches are designed for people with long-term conditions based upon giving support and advice in order to manage the impact of the condition(s). Less attention has been paid to what people already do themselves. In this paper we focus on the meaning and enactment of self-management in everyday life and the hard work associated with devising and maintaining routine adaptive strategies. This UK-based qualitative study examined how people live with knee pain. From the interviews (22 at baseline, 15 at 6 months) and monthly diaries, it emerged that self-management could be based on implicit and incremental learning from experience or on explicit evaluation of actions. Either way, embodied and emotional hard work was involved in maintaining a daily life that allowed people to fulfil social roles and relationships. This individual and contextualised work needs to be recognised and drawn upon before specific self-management approaches are promoted.
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