Self-management education: History, definition, outcomes, and mechanisms
Self-management education: History, definition, outcomes, and mechanisms
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DOI：
10.1207/s15324796abm2601_01
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发表时间：
2003-08-01
影响因子：
3.8
通讯作者：
Holman, HR
中科院分区：
文献类型：
--
作者：
Lorig, KR;Holman, HR
自我管理已成为行为干预和健康行为的流行术语。对于慢性病的治疗尤其如此。本文简要介绍了自我管理的历史。它提出了三项自我管理任务——医疗管理、角色管理和情绪管理——以及六项自我管理技能——解决问题、决策、资源利用、形成医患伙伴关系、行动计划和自我定制。此外，文章还提供了自我管理干预措施有效性的证据，并提出了一种可能的机制，即自我效能感，这些干预措施通过该机制发挥作用。最后，本文讨论了将自我管理教育纳入主流医疗保健系统的问题和解决方案。
Self-management has become a popular term for behavioral interventions as well as for healthful behaviors. This is especially true for the management of chronic conditions. This article offers a short history of self-management. It presents three self-management tasks-medical management, role management, and emotional management-and six self-management skills-problem solving, decision making, resource utilization, the formation of a patient-provider partnership, action planning, and self-tailoring. In addition, the article presents evidence of the effectiveness of self-management interventions and posits a possible mechanism, self-efficacy, through which these interventions work. In conclusion the article discusses problems and solutions for integrating self-management education into the mainstream health care systems.