Abstract:
BACKGROUND:Self-management refers to the strategies, decisions and activities individuals take to manage a long-term health condition. Self-management has potential importance for reducing both the personal and health service impact of illness. Stroke represents a significant health and social burden, however there is a lack of clarity about the factors that support successful self-management following stroke. OBJECTIVE:This study sought to investigate the factors which facilitate or hinder stroke self-management from the patients' perspective. DESIGN:Nested qualitative exploratory phase within a mixed-methods paradigm. Data were analysed thematically using Analytic Induction to guide development of themes. SETTING:Participants had experienced a stroke and were recruited from rural and urban community stroke support groups based in the South of England. METHOD:Five focus groups (n=28) using a semi-structured interview guide were conducted. Interviews were digitally recorded and transcribed. FINDINGS:The term 'self-management' was unfamiliar to participants. On further exploration, participants described how self-management activities were helped or hindered. Self-management was viewed as an important, unavoidable feature of life after stroke. Three key themes identified from the data affect stroke self-management: Individual capacity; support for self-management and self-management environment. People following stroke reported feeling ill-prepared to self-manage. The self-management support needs of patients following stroke are currently often unmet. CONCLUSION:Successful stroke self-management consists of features which may be modifiable at the individual level, in addition to the presence of external support and an environment which supports and facilitates people following stroke to self-manage. These findings extend current conceptualisations of stroke self-management.
journal_name
Int J Nurs Studjournal_title
International journal of nursing studiesauthors
Boger EJ,Demain SH,Latter SMdoi
10.1016/j.ijnurstu.2014.05.006subject
Has Abstractpub_date
2015-01-01 00:00:00pages
175-87issue
1eissn
0020-7489issn
1873-491Xpii
S0020-7489(14)00131-Xjournal_volume
52pub_type
杂志文章abstract:BACKGROUND:It is generally assumed that integrated care has a cost-saving potential in comparison with traditional care. However, there is little evidence on this potential with respect to integrated nursing home care. AIMS AND OBJECTIVES:DESIGN/METHODS/SETTINGS/PARTICIPANTS: Between 1999 and 2003, formal and informal...
journal_title:International journal of nursing studies
pub_type: 杂志文章
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abstract::This paper summarizes the results of a study analyzing the social, economic and political factors affecting the nursing education system in the Federal Republic of Germany (F.R.G.). Using a hermeneutic-dialectical approach the researcher examined the circumstances surrounding the conceptualization, implementation and ...
journal_title:International journal of nursing studies
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abstract:BACKGROUND:Cancer patients often experience psychological distress. Life review has increasingly been used to enhance their mental health and well-being. However, no systematic review has synthesized the evidence, and its effects remain unclear. OBJECTIVE:To examine and synthesize the best available evidence on the ef...
journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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更新日期:2012-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
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更新日期:2014-02-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
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journal_title:International journal of nursing studies
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更新日期:2010-04-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2013.06.002
更新日期:2014-02-01 00:00:00
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pub_type: 临床试验,杂志文章
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更新日期:1994-02-01 00:00:00
abstract::This study investigated whether postpartum depressive symptoms and parenting stress are related to exclusive breastfeeding in mothers at 2-3 months postpartum. Data were collected from 734 Icelandic mothers postpartum. Parenting stress, depressive symptoms, feeding methods and demographical data were assessed by self-...
journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2004.10.009
更新日期:2006-01-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章,评审
doi:10.1016/0020-7489(95)00023-x
更新日期:1995-12-01 00:00:00
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journal_title:International journal of nursing studies
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journal_title:International journal of nursing studies
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更新日期:2009-08-01 00:00:00
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更新日期:2013-09-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.12.015
更新日期:2010-08-01 00:00:00
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pub_type: 杂志文章,随机对照试验
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更新日期:2011-09-01 00:00:00
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更新日期:2016-11-01 00:00:00
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journal_title:International journal of nursing studies
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更新日期:2018-09-01 00:00:00
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journal_title:International journal of nursing studies
pub_type: 杂志文章
doi:10.1016/j.ijnurstu.2009.12.009
更新日期:2010-05-01 00:00:00