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نتیجه جستجو - Self-management

تعداد مقالات یافته شده: 31
ردیف عنوان نوع
1 Comparative educational outcomes of an active versus passive learning continuing professional development activity on self-management support for respiratory educators: A non-randomized controlled mixed-methods study
نتایج آموزشی مقایسه‌ای فعالیت توسعه حرفه‌ای مستمر یادگیری فعال در مقابل غیرفعال بر حمایت خودمدیریتی از مربیان تنفسی: یک مطالعه با روش‌های ترکیبی کنترل‌شده غیرتصادفی-2021
Aim: We compared educational outcomes associated with an active vs. passive continuing professional development activity on self-management support for respiratory educators. Background: There is a need to identify learning activities associated with the most successful continuing professional development programs for respiratory educators. Design: This was a non-randomized controlled mixed-methods study recruiting respiratory educators attending a continuing professional development activity on self-management support. Methods: In the experimental group, active learning methods (role-play simulations) were employed, whereas passive learning methods (lecture) were used in the comparison group. Educators were allocated to the comparison group (first 15 months of the study), then to the experimental group (last 17 months). Educators filled questionnaires measuring pre-/post-activity knowledge about self-management support (score 0–25) and selfreported competence (score 1–10). Scores were compared using mixed-effect models. Interviews with educators were conducted and content analysis was performed. Results: We recruited 94/94 educators (active: n = 51; passive: n = 43). Knowledge scores increased to a greater extent in the active vs. passive learning group (adjusted difference-in-difference [aDID]=2.01; 95% confidence interval [95%CI]: 0.14–3.88), although competence scores increased to a greater extent in the passive learning group (aDID=− 0.38; 95%CI: − 1.56 to − 0.04). Reflecting on their competence, educators of the active learning group identified the need to further improve their self-management support skills, whereas educators of the passive learning group did not. Conclusions: Our results show that an active learning continuing professional development activity on selfmanagement support could help educators to better apply knowledge and appears to engage them in a process of reflection on action.
keywords: Chronic obstructive pulmonary disease | Continuing education | Mixed methods | Patient education as topic | Self-management support
مقاله انگلیسی
2 A Review and Conceptual Analysis of Cancer Pain Self-Management
بررسی و تجزیه و تحلیل مفهومی از خود مدیریت سرطان-2021
Objectives: In this concept analysis article, we will clarify the concept “self-management of cancer pain” by identifying related antecedents, attributes, and consequences to further refine the conceptual and operational definitions of the concept. Design: A review was conducted.
Review/Analysis Methods: The Walker and Avant method was used for this concept analysis. Data sources: CINAHL, PubMed, and PsycInfo were searched systemically.A total of eight studies on “selfmanagement of cancer pain or self-care of cancer pain” published between 2004 and 2019 were identified.
Results: Attributes for self-management of cancer pain include self-efficacy, integration of methods for pain relief into daily life, decision-making related to pain management, process for solving pain-related issues, and initiation of interactions with healthcare professionals. Antecedents include knowledge regarding pain assessment and management, cognitive abilities, motivation, undergoing pain treatment, patient education and counseling, social support, and accountability from all parties involved. Consequences include pain control, improved quality of life, and increased opioid intake.
Conclusions: Self-management of cancer pain was reported to be a self-regulation process with the aim to encourage patients to use skills attained through development of self-efficacy, so they can actively participate in their pain management. This outcome may enhance their quality of life by decreasing their pain, depression, and anxiety and increasing the availability of social support.
مقاله انگلیسی
3 Self-management on heart failure: A meta-analysis
خود مدیریتی در نارسایی قلبی: متاآنالیز-2021
Background and aims: Heart failure (HF) is a severe public health problem all over the World. Selfmanagement is an effective method to progress self-care ability. However, the role of selfmanagement in heart failure has not been thoroughly elucidated.
Methods: The research articles related to heart failure were searched by the PubMed, Embase, Cochrane databases, and China National Knowledge Database on articles published through March 2020. The average 95% of confidence intervals (CIs) were used to calculate using random-effects or fixed-effects. Review Manager (version 5.2) was adopted for meta-analysis, sensitivity analysis, and bias analysis.
Results: Eight (8) eligible studies with 1707 patients with HF were included in this analysis. In the Metaanalysis showed significant differences for Self-management (SM) groups in Dutch Heart Failure Knowledge Scale (DHFK) (MD ¼ 1.36, 95%CI [-0.03, 2.75], P ¼ 0.04; I2 ¼ 83%), in Self-Care of Heart Failure Index (SCHFI) (MD ¼ 5.51, 95%CI [0.62, 10.40], P ¼ 0.03; I2 ¼ 70%), and in Self-Efficacy for Managing Chronic Disease Scale (SEMCDI) (I2 ¼ 47%, Z ¼ 5.43, P of over effect < 0.0001) than control groups. One bias is detected as attrition bias, and another one is reporting bias. Sensitivity analysis satisfied the stability of the results.
Conclusion: Self-management was associated with significant outcomes in patients with HF through knowledge, attitude, and practice (KAP).
keywords: نارسایی قلبی | خود مدیریت | می شود | متاآنالیز | Heart failure | Self-management | KAP | Meta-analysis
مقاله انگلیسی
4 Effects of a symptom management intervention based on group sessions combined with a mobile health application for persons living with HIV in China: A randomized controlled trial
اثرات مداخله مدیریت علائم بر اساس جلسات گروهی همراه با یک برنامه بهداشتی همراه برای افراد مبتلا به HIV در چین: یک آزمایش تصادفی کنترل شده-2021
Objective: This study aims to evaluate the effects of a symptom management intervention (SMI) based on symptom management group sessions combined with a mobile health (mHealth) application (app) on the knowledge of symptom management, the certainty of symptom self-management, symptom severity, symptom distress, medication adherence, social support, and quality of life among persons living with HIV (PLWH) in China.
Methods: A parallel randomized controlled trial with 61 PLWH was conducted in Shanghai, China. The participants in the control group (n ¼ 30) downloaded the Symptom Management (SM) app according to their needs and preferences, and received routine follow-ups. The participants in the intervention group (n ¼ 31) were guided to download and use the SM app, and received four tailored weekly group sessions at routine follow-ups. Each group session lasted for approximately 2 h and targeted one of the major modules of the SM app. All the outcomes were assessed at baseline and post-intervention. The study was registered with the Chinese Clinical Trial Registry (ChiCTR1900024821).
Results: The symptom management knowledge and certainty of symptom self-management were significantly improved after the intervention (all P < 0.01). Compared with the control group, the scores of symptoms reasons knowledge score improved 11.47 points (95% CI: 3.41, 19.53) and scores of symptoms self-management knowledge score improved 12.80 points (95% CI: 4.55, 21.05) in the intervention group after controlling for covariates. However, other outcomes did not show statistically significant differences between the intervention group and the control group (P > 0.05).
Conclusion: The SMI could improve PLWH’s symptom management knowledge and certainty of symptom self-management. Multi-center studies with larger sample sizes and longer follow-ups are needed to further understand the effects of SM app on ameliorating symptom severity and symptom distress. More innovative strategies are also needed to promote and maintain the sustainability of the SM app.
keywords: چین | عفونت های HIV | برنامه های موبایل | پیروی از دارو | کیفیت زندگی | خود مدیریت | حمایت اجتماعی | China | HIV Infections | Mobile applications | Medication adherence | Quality of life | Self-management | Social support
مقاله انگلیسی
5 Feasibility and efficacy of a pilot family model of diabetes self-management intervention in the Republic of the Marshall Islands
امکان سنجی و کارایی یک مدل خانواده آزمایشی مداخله خودمدیریتی دیابت در جمهوری جزایر مارشال-2021
Background: The Republic of the Marshall Islands (RMI) faces numerous health disparities, including one of the highest prevalence of type 2 diabetes mellitus (T2DM) in the world. Diabetes self-management education and support (DSMES) has shown efficacy in improving glycemic control and through increases in knowledge and selfmanagement activities; however, there is limited research on DSMES in the RMI. This study evaluated the feasibility and efficacy of a culturally adapted family model of DSMES (F-DSMES) in the RMI. The F-DSME included 8 h of group educational classes delivered in churches by a community health worker.
Methods: This pilot study assessed retention and dosage rates (e.g., class attendance) among the participants with T2DM (n = 41). Efficacy was evaluated by examining pre- and post-intervention differences in HbA1c, knowledge, family support, and self-management activities among those who completed the post-intervention data collection (n = 23).
Results: The results indicate completion of post-intervention data collection and attendance were associated; 70% of participants who completed the post-intervention data collection received at least 6 h of intervention compared to 3 h for those who did not. Although the reduction in HbA1c was not statistically significant, participants demonstrated statically significant increases in knowledge, family support, and an increase in selfmanagement including in checking of blood glucose and feet.
Conclusions: This study provides important information to help address T2DM disparities in the RMI, including the feasibility and efficacy of F-DSMES. Additional research will help in understanding how to translate improvements in knowledge, family support, and self-management activities into improvements in HbA1c. This may include addressing social ecological factors that affect glycemic control.
keywords: Type 2 diabetes mellitus | Diabetes self-management education | HbA1c | Pre- and post-intervention | Marshallese
مقاله انگلیسی
6 Effects of self-management interventions on heart failure: Systematic review and meta-analysis of randomized controlled trials - Reprint
اثرات مداخلات خودمراقبتی بر نارسایی قلبی: بررسی سیستماتیک و متاآنالیز آزمایش های کنترل شده تصادفی - چاپ مجدد-2021
Background: Self-management intervention is an important component of disease management in patients with heart failure. It can improve heart failure knowledge, quality of life, and heart failure-related hospitalizations of heart failure patients. However, studies on the effect of two self-management interventions tasks have reported conflicting results.
Objective: This study conducted an up-to-date systematic review of the literature to evaluate the effects of self-management interventions on heart failure knowledge, quality of life, and heart failure-related hospitalizations in patients with heart failure. Design: Systematic review and meta-analysis. Data sources: We searched PubMed, Embase, Web of Science, Cochrane Library, and the references of articles in 14th December 2019.
Methods: The study characteristics included: authors, year, country, sample size, mean age of patients with heart failure, duration of intervention, recruitment and intervention delivery, interventions based on self-efficacy theory, cognitive behavioral therapy, disease management, self-care education. The risk of bias for each study was assessed independently by two investigators based on the Cochrane Handbook. This study used Revman to analyze different research outcomes. The fixed-effect model was used in the absence of significant heterogeneity or low heterogeneity, and if the heterogeneity was high, the random effect model was used.
Results: A total of 4977 publications were retrieved in this study. After eliminating duplicates and screening for titles and abstracts, 209 articles were retrieved for full-text evaluation. Finally, a total sample size analyzed across 15 randomized controlled trials was 2630 participants. This study showed that selfmanagement interventions significantly improved heart failure knowledge (0.61, 95% confidence interval (CI) 0.27–0.95, p = 0.0004), quality of life (0.20, 95% CI 0.02–0.38, p = 0.03), and heart failure-related hospitalization (OR 0.40, 95% CI 0.29 to 0.55, p<0.00001) in patients with heart failure.
Conclusions: This study reveals the beneficial effects of self-management interventions on heart failure knowledge, quality of life, and heart failure-related hospitalization in patients with heart failure. Therefore, high quality randomized controlled designs are needed to explore the optimal self-management interventions for patients with heart failure.
keywords: نارسایی قلبی | خود مدیریت | دانش نارسایی قلب | کیفیت زندگی | بستری شدن از نارسایی های قلب | Heart failure | Self-management | Heart failure knowledge | Quality of life | Heart failure-related hospitalization
مقاله انگلیسی
7 Development and validation of INTENSS, a need-supportive training for nurses to support patients self-management
توسعه و اعتبار سنجی های آمیز، آموزش نیازمندی برای پرستاران برای حمایت از خود مدیریت بیماران-2021
Background: The growing prevalence of chronic illnesses requires nurses to support self-management and help patients integrate the chronic illness into their life. To our knowledge there are currently no training programs that combine the necessary components to adequately enhance nurses competencies in self-management support. Objective: The systematic development and validation of a need-supportive training in self-management support for nurses. Design: A three-phased study, according to van Meijel et al. (2004), with collection of building blocks, design, and validation of the need-supportive character of the training. Setting and participants: Eight training groups with 30 nurses, 34 nursing students and nine social healthcare workers from different nursing colleges in Flanders, Belgium. Methods: In phase one a literature review, current practice analysis, and problem and needs analysis were per- formed. In phase two, the INTENSS training intervention was developed, framed within the Self-Determination Theory and the 5A’s-Model. The training consisted of a basic training module and a video-interaction guidance module. The intervention was subsequently tested in eight training groups (N = 73). Participants provided feedback during focus group discussions. The intervention was cyclically adapted to trainees experiences and suggestions. In phase three, we evaluated the need-supportive character of the training intervention. Results: Phase one indicated the need for training, since nurses application of self-management support was limited and practiced from a narrow medical point of view. In phase two we developed a theory-driven and multifaceted training, building on attitude, knowledge, skills and reflection in the training. The training was framed within the Self-Determination Theory both at the didactical level as well as on content and format. Overall, participants appreciated the building blocks of the training as supporting their basic needs for auton- omy, relatedness and competence. Conclusions: INTENSS, a multifaceted need-supportive training in self-management support was developed, successfully taking into account participants needs.
keywords: توسعه مداخله | آموزش | تحصیلات | نظریه خود تعیین | پشتیبانی از خود مدیریت | مراقبت های بهداشتی | پرستاری | بیماری مزمن | Intervention development | Training | Education | Self-determination theory | Self-management support | Health care | Nursing | Chronic illness
مقاله انگلیسی
8 Exploring health literacy and self-management after kidney transplantation: A prospective cohort study
بررسی سواد بهداشتی و خود مدیریت پس از پیوند کلیه: یک مطالعه کوهورت آینده نگر-2021
Objective: Investigate the influence of health literacy and self-management on complications, kidney function and graft failure after kidney transplantation. Methods: We included patients who received a kidney transplant between May 2012 and May 2013 and monitored outcomes until December 2018. Health literacy was measured using the Newest Vital Sign and self-management using the Partner in Health scale (before discharge, and after 6 and 12 months). Subscales are aftercare & knowledge, coping, recognition and management of symptoms, healthy lifestyle. Complications were categorized as rejection, viral infections, and bacterial infections. Kidney function was measured using eGFR and graft survival using days until failure. Results: We included 154 patients. Higher health literacy at baseline and at 12 months was related to more viral infections (p = 0.02; p < 0.01). Lower ‘coping’ at baseline was related to more bacterial infections (p = 0.02). Higher ‘after-care and knowledge’ at 6 months (p < 0.01), and ‘recognition and management of symptoms’ at 6 months were associated with lower graft failure (p < 0.01). Conclusion: Health literacy did not influence kidney transplant related outcomes. Higher knowledge and management of symptoms were related to lower graft failure. Practice implications: Self-management support is a key focus for health care providers in the multi- disciplinary team. © 2021 Published by Elsevier B.V.
keywords: سواد بهداشتی | عوامل روان شناختی | پیوند کلیه، عوارض | خود مراقبتی | بقای پیوند | مرحله پایانی بیماری کلیوی | Health literacy | Psychosocial factors | Renal transplantation, complications | Self-care | Graft survival | End-stage renal disease
مقاله انگلیسی
9 A:L:L: Y:O:U: N:E:E:D: I:S: L:O:V:E: Manual on health self-management and patient-reported outcomes among low-income young adult Mexicans on chronic dialysis: Feasibility study
همه:شما:نیاز داشتن:است:عشق:دستیابی به سلامت خود مدیریت و نتایج گزارش شده بیمار در میان افراد کم درآمد جوانان مکزیکی های مزمن در دیالیز مزمن: مطالعه امکان سنجی-2021
Purpose: We evaluated disease knowledge/self-management skills among low-income Mexican young adults maintained on dialysis and to test the effectiveness of the A.L.L. Y.O.U. N.E.E.D. I.S. L.O.V.E (AYNIL) Manual – Spanish Version on patient-reported outcomes. This is a low literacy teaching tool designed with patients and educators input. Design and methods: A quasi-experimental study was conducted in 17 chronic dialysis patients at Mexico Citys Hospital General de México, Dr. Eduardo Liceaga. Ages 18–30-year-old completed disease knowledge/selfmanagement and quality of life measures before the intervention and 6 weeks later.
Results: Significant increases were observed on disease knowledge/self-management scores in the STARx questionnaire from 47 (IQ: 40,51) to 50 (IQ: 48,54) p = 0.04. The UNC-TRxANSITION Index increased significantly from 4.8 (IQ: 3.9,5.7) to 7.7 (IQ: 7.5,8.2) p ≤0.001. Significant increases in scores were detected in the “Burden of kidney disease” (p = 0.008), “Effects of kidney disease” “ (p = 0.03) and “ Dialysis staff encouragement” (p = 0.027) based on the KDQoL survey.
Conclusions: In this vulnerable population, the Spanish version of the A.L.L. Y.O.U. N.E.E.D. I.S. L.O.V.E. - AYNIL Manual improved CKD/ESRD disease knowledge/self-management skills and HRQoL. This study highlighted the need for low-literacy educational tools to improve patient-reported outcomes. Practice implications: Young adults with CKD/ESRD can benefit from patient-centered educational interventions to enhance their autonomy and the development of self-management behaviors that improve patientreported outcomes and potential complications of the disease. Special attention is needed in low-income patients with low rates of adherence to treatments and poor self-management skills.
keywords: اقدامات گزارش شده بیمار گزارش شده است | خود مدیریت | ابزارهای کم سواد آموزی | آموزش بیمار | کیفیت زندگی | خود مراقبتی | Patient-reported outcome measures | Self-management | Low-literacy tools | Patient education | Quality of life | Self-care
مقاله انگلیسی
10 “I didn’t know what I could do”: Behaviors, knowledge and beliefs, and social facilitation after distal radius fracture
"من نمی دانستم چه کاری می توانم انجام دهم": رفتارها، دانش و باورها، و تسهیل اجتماعی پس از شکستگی رادیوس دیستال-2021
Background: Biomedical models have limitations in explaining and predicting recovery after distal radius fracture (DRF). Variation in recovery after DRF may be related to patients’ behaviors and beliefs, factors that can be framed using a lens of self-management. We conceptualized the self-management process using social cognitive theory as reciprocal interactions between behaviors, knowledge and beliefs, and social facilitation. Understanding this process can contribute to needs identification to optimize recovery. Purpose: Describe the components of the self-management process after DRF from the patient’s perspec- tive. Study design: Qualitative descriptive analysis. Methods: Thirty-one adults aged 45-72 with a unilateral DRF were recruited from rehabilitation centers and hand surgeons’ practices. They engaged in one semi-structured interview 2-4 weeks after discon- tinuation of full-time wrist immobilization. Data were analyzed using qualitative descriptive techniques, including codes derived from the data and conceptual framework. Codes and categories were organized using the three components of the self-management process. Results: Participants engaged in medical, role, and emotional management behaviors to address multidi- mensional sequelae of injury, with various degrees of self-direction. They described limited knowledge of their condition and its medical management, naive beliefs about their expected recovery, and uncer- tainty regarding safe movement and use of their extremity. They reported informational, instrumental, and emotional support from health care professionals and a broader circle. Conclusions: Descriptions of multiple domains of behaviors emphasized health-promoting actions beyond adherence to medical recommendations. Engagement in behaviors was reciprocally related to partici- pants’ knowledge and beliefs, including illness and pain-related perceptions. The findings highlight rel- evance of health behavior after DRF, which can be facilitated by hand therapists as part of the social environment. Specifically, hand therapists can assess and address patients’ behaviors and beliefs to sup- port optimal recovery. © 2021 Elsevier Inc. All rights reserved.
keywords: اعتقاد | درمان دست | رفتار بهداشتی | کیفی | محیط اجتماعی | Belief | Hand therapy | Health behavior | Qualitative | Social environment
مقاله انگلیسی
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