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Self-management in older patients with chronic illness
Chronic illness causes the majority of disease burden and health costs in developed countries; however, this could be substantially reduced by optimal patient self‐management. This study examined the levels of self‐management in patients (n = 300) with chronic illness (chronic heart failure, chronic...
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Published in: | International journal of nursing practice 2008-10, Vol.14 (5), p.373-382 |
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container_title | International journal of nursing practice |
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creator | Gallagher, Robyn Donoghue, Judith Chenoweth, Lynn Stein-Parbury, Jane |
description | Chronic illness causes the majority of disease burden and health costs in developed countries; however, this could be substantially reduced by optimal patient self‐management. This study examined the levels of self‐management in patients (n = 300) with chronic illness (chronic heart failure, chronic respiratory disease, Parkinson's disease and chronic schizophrenia) of moderate severity who had experienced an illness exacerbation in the last month. Patient's perceptions of self‐efficacy in relation to their self‐management and their sense of coherence were also assessed at baseline and 1 month later. No changes occurred in self‐perceptions or self‐management from baseline to follow‐up. Patients at risk of poor self‐management included people with low self‐efficacy, poor sense of coherence, older age and a primary diagnosis of chronic schizophrenia. As self‐efficacy is the only predictor known to be amenable to intervention, self‐efficacy enhancing support should be promoted. |
doi_str_mv | 10.1111/j.1440-172X.2008.00709.x |
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This study examined the levels of self‐management in patients (n = 300) with chronic illness (chronic heart failure, chronic respiratory disease, Parkinson's disease and chronic schizophrenia) of moderate severity who had experienced an illness exacerbation in the last month. Patient's perceptions of self‐efficacy in relation to their self‐management and their sense of coherence were also assessed at baseline and 1 month later. No changes occurred in self‐perceptions or self‐management from baseline to follow‐up. Patients at risk of poor self‐management included people with low self‐efficacy, poor sense of coherence, older age and a primary diagnosis of chronic schizophrenia. 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Oct 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4949-e82403cf47c919035870b8f210731f5df23ccb641ee60f513d40a340f54136283</citedby><cites>FETCH-LOGICAL-c4949-e82403cf47c919035870b8f210731f5df23ccb641ee60f513d40a340f54136283</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1440-172X.2008.00709.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1440-172X.2008.00709.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,31034,31035,50923,51032</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18808538$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gallagher, Robyn</creatorcontrib><creatorcontrib>Donoghue, Judith</creatorcontrib><creatorcontrib>Chenoweth, Lynn</creatorcontrib><creatorcontrib>Stein-Parbury, Jane</creatorcontrib><title>Self-management in older patients with chronic illness</title><title>International journal of nursing practice</title><addtitle>Int J Nurs Pract</addtitle><description>Chronic illness causes the majority of disease burden and health costs in developed countries; however, this could be substantially reduced by optimal patient self‐management. This study examined the levels of self‐management in patients (n = 300) with chronic illness (chronic heart failure, chronic respiratory disease, Parkinson's disease and chronic schizophrenia) of moderate severity who had experienced an illness exacerbation in the last month. Patient's perceptions of self‐efficacy in relation to their self‐management and their sense of coherence were also assessed at baseline and 1 month later. No changes occurred in self‐perceptions or self‐management from baseline to follow‐up. Patients at risk of poor self‐management included people with low self‐efficacy, poor sense of coherence, older age and a primary diagnosis of chronic schizophrenia. As self‐efficacy is the only predictor known to be amenable to intervention, self‐efficacy enhancing support should be promoted.</description><subject>Aged</subject><subject>Chronic Disease</subject><subject>chronic illness</subject><subject>Chronic illnesses</subject><subject>Chronic schizophrenia</subject><subject>Chronic sickness</subject><subject>Health costs</subject><subject>Humans</subject><subject>Medical treatment</subject><subject>New South Wales</subject><subject>Nursing</subject><subject>older</subject><subject>Older people</subject><subject>Perceptions</subject><subject>Prospective Studies</subject><subject>Self Care</subject><subject>self-efficacy</subject><subject>self-management</subject><subject>Selfefficacy</subject><subject>Selfmanagement</subject><subject>Sense of coherence</subject><issn>1322-7114</issn><issn>1440-172X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><recordid>eNqNkd1PFDEUxRsjEUT_BTPhQZ9muLcf007iiyGKEAJRVIgvN7PdDnSdj7WdDct_b8fdQOKD2pee3P7OSW4PYxlCgekcLgqUEnLU_LrgAKYA0FAV6yds7-HhadKC81wjyl32PMYFQBqgesZ20RgwSpg9Vl66tsm7uq9vXOf6MfN9NrRzF7JlPfo0iNmdH28zexuG3tvMt23vYnzBdpq6je7l9t5nXz-8_3L0MT-7OD45eneWW1nJKneGSxC2kdpWWIFQRsPMNBxBC2zUvOHC2lkp0bkSGoViLqEWMkmJouRG7LM3m9xlGH6uXByp89G6tq17N6wi6VIKrbjhiXz9V7KsVIVamH-CSnOluJgSD_4AF8Mq9Gld4tyUQkjEBJkNZMMQY3ANLYPv6nBPCDR1RQuaKqGpEpq6ot9d0TpZX23zV7POzR-N23IS8HYD3PnW3f93MJ2cnieR7PnG7uPo1g_2OvygUqdfo6vzY_r87fL0u_4kyYhf88muUg</recordid><startdate>200810</startdate><enddate>200810</enddate><creator>Gallagher, Robyn</creator><creator>Donoghue, Judith</creator><creator>Chenoweth, Lynn</creator><creator>Stein-Parbury, Jane</creator><general>Blackwell Publishing Asia</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope><scope>NAPCQ</scope><scope>7X8</scope></search><sort><creationdate>200810</creationdate><title>Self-management in older patients with chronic illness</title><author>Gallagher, Robyn ; 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source | Applied Social Sciences Index & Abstracts (ASSIA); Wiley |
subjects | Aged Chronic Disease chronic illness Chronic illnesses Chronic schizophrenia Chronic sickness Health costs Humans Medical treatment New South Wales Nursing older Older people Perceptions Prospective Studies Self Care self-efficacy self-management Selfefficacy Selfmanagement Sense of coherence |
title | Self-management in older patients with chronic illness |
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