A Model of Self-Regulation for Control of Chronic Disease
A Model of Self-Regulation for Control of Chronic Disease
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DOI：
10.1177/1090198114547701
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发表时间：
2014-10-01
影响因子：
4.2
通讯作者：
Kaciroti, Niko
中科院分区：
文献类型：
--
作者：
Clark, Noreen M.;Gong, Molly;Kaciroti, Niko
慢性病对个人和社区健康构成越来越大的威胁。疾病的日常管理者是在临床医生的指导下采取行动的患者。患者通过有效的治疗计划控制疾病的能力受到社会和行为因素的显著影响。本文提出了一种慢性病患者管理模型，该模型考虑了对管理的内部和外部影响，并强调了自我调节过程在疾病控制中的核心作用。哮喘可以作为探索该模型的案例。对637名哮喘儿童及其照顾父母进行的为期5年的研究结果表明，该模型的自我调节要素随着时间的推移相当稳定，基线值可预测重要的疾病管理结果。
Chronic disease poses increasing threat to individual and community health. The day-to-day manager of disease is the patient who undertakes actions with the guidance of a clinician. The ability of the patient to control the illness through an effective therapeutic plan is significantly influenced by social and behavioral factors. This article presents a model of patient management of chronic disease that accounts for intrapersonal and external influences on management and emphasizes the central role of self-regulatory processes in disease control. Asthma serves as a case for exploration of the model. Findings from a 5-year study of 637 children with asthma and their care-taking parents supported that the self-regulation elements of the model were reasonably stable over time and baseline values were predictive of important disease management outcomes.