Patients' perceived barriers to active self-management of chronic conditions
Patients' perceived barriers to active self-management of chronic conditions
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DOI：
10.1016/j.pec.2004.08.004
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发表时间：
2005-06-01
影响因子：
3.5
通讯作者：
Moore, M
中科院分区：
文献类型：
--
作者：
Jerant, AF;von Friederichs-Fitzwater, MM;Moore, M
很少有研究发现患者对慢性病的自我管理存在障碍，只有一项研究涉及患有两种或两种以上疾病的患者。为了解健康归因(HioH)的进展情况，我们对54名慢性病患者进行了10个焦点小组，其中46人(85%)患有多种疾病。目标是引出积极的自我管理和获取自我管理支助资源的明显障碍。抑郁、体重问题、运动困难、疲劳、医生沟通不畅、家庭支持不足、疼痛。财务问题是积极自我管理最常被注意到的障碍。获得自我管理支持资源最常见的障碍是缺乏认识、身体症状、交通问题以及费用/缺乏保险覆盖。我们的发现为以健康为中心的方法提供了初步支持，因为所确定的许多障碍可能更适合于基于家庭的干预，而不是基于设施的集中式计划。(C)2004爱思唯尔爱尔兰有限公司。保留所有权利。
Few studies have elicited barriers to patient self-management of chronic conditions, and only one concerned people with two or more conditions. To inform development of Homing in on Health (HioH), a home delivery variant of the Chronic Disease Self-Management Program (CDSMP), we conducted 10 focus groups involving 54 chronically ill people, 46 (85%) of whom had multiple conditions. The goals were to elicit perceived barriers to active self-management and to accessing self-management support resources. Depression, weight problems, difficulty exercising, fatigue, poor physician communication, low family support, pain. and financial problems were the most frequently noted barriers to active self- management. The most common barriers to accessing self- management support resources were lack of awareness, physical symptoms, transportation problems, and cost/lack of insurance coverage. Our findings provided initial support for the Homing in on Health approach, since many of the barriers identified may be more amenable to home-based intervention than to centralized, facility-based programs. (c) 2004 Elsevier Ireland Ltd. All rights reserved.