Self-care research: Where are we now? Where are we going?
Self-care research: Where are we now? Where are we going?
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DOI：
10.1016/j.ijnurstu.2019.103402
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发表时间：
2021-05-29
影响因子：
8.1
通讯作者：
Jaarsma, Tiny
中科院分区：
文献类型：
--
作者：
Riegel, Barbara;Dunbar, Sandra B.;Jaarsma, Tiny
背景和目的：自我护理的有益效果包括改善健康状况，降低发病率，死亡率和医疗费用。在这篇文章中，我们解决自我护理研究的现状，并提出了一个议程，为未来的研究的基础上，在罗马，意大利在2019年6月举行的国际自我护理研究中心的成立大会。该中心的愿景是一个自我保健被个人，家庭和社区优先考虑的世界，并且是每一次医疗保健遇到的第一道防线。该中心的使命是领导自我保健的研究奋进，提高概念的清晰度和促进跨学科的工作，通过共同的愿景解决知识差距。一个集中的研究议程可以加深我们的理论理解自我保健和自我保健的机制，这可以有助于发展有效的干预措施，提高outcome.Methods：在会议讨论中，我们确定了七个主要原因自我保健是具有挑战性的，这可以分为行为改变和疾病相关因素的一般类别。我们确定了六个具体的知识差距，如果得到解决，可能有助于应对这些挑战：习惯形成对行为改变的影响，面对干扰自我护理的压力生活事件时的弹性，文化对自我护理行为选择的影响，多种慢性疾病的自我护理困难，严重精神疾病患者的自我护理，以及其他人（护理伙伴、家人、同伴支持者和医疗保健专业人员）对自我护理的影响。实现成果的计划：为了实现该中心的愿景和使命，我们将领导一个合作研究计划，解决自我保健知识差距和改善成果，创建一个支持性的知识转移和支持自我保健研究创新的国际网络，并支持和培训其他自我保健研究。除了这些具体的短期目标，这项工作的重要政策影响进行了讨论。(c)2019年，任作家。由Elsevier Ltd.发布。这是一个CC BY-NC-ND许可证下的开放获取文章（http://creativecommons.org/licenses/by-nc-nd/4.0/）
Background and objective: The beneficial effects of self-care include improved well-being and lower morbidity, mortality, and healthcare costs. In this article we address the current state of self-care research and propose an agenda for future research based on the inaugural conference of the International Center for Self-Care Research held in Rome, Italy in June 2019. The vision of this Center is a world where self-care is prioritized by individuals, families, and communities and is the first line of approach in every health care encounter. The mission of the Center is to lead the self-care research endeavor, improving conceptual clarity and promoting interdisciplinary work informed by a shared vision addressing knowledge gaps. A focused research agenda can deepen our theoretical understanding of self-care and the mechanisms underlying self-care, which can contribute to the development of effective interventions that improve outcomes.Methods: During conference discussions, we identified seven major reasons why self-care is challenging, which can be grouped into the general categories of behavior change and illness related factors. We identified six specific knowledge gaps that, if addressed, may help to address these challenges: the influence of habit formation on behavior change, resilience in the face of stressful life events that interfere with self-care, the influence of culture on self-care behavioral choices, the difficulty performing self-care with multiple chronic conditions, self-care in persons with severe mental illness, and the influence of others (care partners, family, peer supporters, and healthcare professionals) on self-care. Plans to achieve results: To achieve the vision and mission of the Center, we will lead a collaborative program of research that addresses self-care knowledge gaps and improves outcomes, create a supportive international network for knowledge transfer and support of innovations in self-care research, and support and train others in self-care research. Beyond these specific short-term goals, important policy implications of this work are discussed. (c) 2019 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license ( http://creativecommons.org/licenses/by-nc-nd/4.0/ )