Self-Management Support Needs of Patients with Chronic Diseases in a South African Township: A Qualitative Study
Self-Management Support Needs of Patients with Chronic Diseases in a South African Township: A Qualitative Study
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DOI：
10.1080/07370016.2017.1260983
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发表时间：
2017-01-01
影响因子：
1
通讯作者：
Mafutha, Nokuthula G.
中科院分区：
文献类型：
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作者：
Dube, Loveness;Rendall-Mkosi, Kirstie;Mafutha, Nokuthula G.
尽管发展中国家需要慢性病自我管理策略，但很少有研究旨在根据背景调整方案;然而，文化对人们看待自己和环境的方式有直接影响。本研究旨在探讨慢性病患者的知识、态度、自我管理需求与行为。进行了4个患者焦点小组（n=32）、2个患者访谈、小组观察和关键知情人访谈（n=12）。出现了五个主题：健康系统和服务提供挑战、医疗保健提供者的态度和行为、与药物和生活方式改变相关的依从性挑战、患者的个人和诊所经历以及自我管理工具偏好。研究结果提供了一个窗口的机会，为发展中国家的社区健康护理发展适应环境的自我管理计划。
Despite the need for chronic disease self-management strategies in developing countries, few studies have aimed to contextually adapt programs; yet culture has a direct impact on the way people view themselves and their environment. This study aimed to explore the knowledge, attitudes, and self-management needs and practices of patients with chronic diseases. Four patient focus groups (n=32), 2 patient interviews, group observations, and key informant interviews (n=12) were conducted. Five themes emerged: health-system and service-provision challenges, healthcare provider attitudes and behavior, adherence challenges related to medication and lifestyle changes, patients' personal and clinic experiences and self-management tool preferences. The findings provide a window of opportunity for the development of contextually adapted self-management programs for community health nursing in developing countries.