Self-care for people coping with long-term health conditions in the community.
| Autor: | Trappes-Lomax, Tessa |
|---|---|
| Předmět: |
PSYCHOLOGICAL adaptation
ATTITUDE (Psychology) PSYCHOLOGY information storage & retrieval systems INTEGRATED health care delivery LONG-term health care MEDICAL personnel MEDLINE ONLINE information services HEALTH outcome assessment PSYCHOLOGICAL resilience HEALTH self-care SOCIAL services STATISTICS SYSTEMATIC reviews DATA analysis PATIENTS' attitudes |
| Zdroj: | Journal of Integrated Care; 2016, Vol. 24 Issue 2, p76-106, 31p |
| Abstrakt: | Purpose – Long-term health problems put great pressures on health and social care services. Supporting “self-care” has measurable benefits in helping patients cope better, but is difficult to do in practice. The purpose of this paper is to help improve services by exploring existing evidence about the views of patients and general practitioners. Design/methodology/approach – The search terms were identified following detailed discussion with service users. Five databases (PUBMED, CINAHL, TRIP, SCIE and PSYCINFO) were interrogated against pre-set questions and criteria. The data were managed in EndNote v6 and analysed in a series of Word tables. Findings – In total, 37 community-based studies were identified, covering diverse chronic illnesses. Analysis of “barriers and enablers” showed a very complex picture, with health systems often actively inhibiting the responsiveness and flexibility which support self-care. Directly seeking service user and practitioner views could shape more effective services. Research limitations/implications – Further research is needed into: the purpose and outcomes of user involvement, the relationship between integrated care and self-care, how patient motivation and resilience can be encouraged in primary care and the effect of current incentive schemes on self-care support. Due to organisational changes, eligible studies were reviewed by one researcher only and these were mainly qualitative studies lacking generalisability. However, the results spanned a range of settings and health conditions. They are also clearly supported by later primary research findings. Practical implications – Several evidence-based, achievable opportunities to improve self-care support in primary care settings are identified. Originality/value – This user-driven study offers detailed analysis of what helps or hinders self-care in everyday life. [ABSTRACT FROM AUTHOR] |
| Databáze: | Complementary Index |
| Externí odkaz: |
|