Other Titles
Symposium: Challenges in the context of self-care and family caregivers
Abstract
Purpose: Chronic disease and its comorbidities represent the cause of episodes of hospitalization for lack of disease control, or its consequences. Ineffective self-management contributes to hospital readmissions and the high number of episodes of specialized care, indicates deficiencies in primary care. The study purpose was creat an explanatory model on self-management carried out by people with demonstration of ineffectiveness, in order to infer the elements of a health intervention that promotes a responsible self-management.
Methods: Selected for study were those with chronic illness, with five or more hospitalizations. Twenty-two participants were followed for a maximum of a year and a half, in a multicases study(1). Data were obtained from the analysis of documentation, participant observation and interviews. The data were analyzed according to the method proposed by Strauss and Corbin, to generate a Grounded Theory (2,3). Beginning with a microanalysis, which was organized in an open coding, than grouping the concepts and their relationships through an axial analysis, and summarizing the data, drawing up theoretical reduction in a selective coding, finally, presenting the theory.
Results: In this study emerge a pattern of vulnerability with personal and contextual conditions. Socio-economic and cultural poverty arises like the context of greater vulnerability straight by family background(4).
Conclusion: Analysis of personal circumstances showed that attitude toward life and illness and personal attributes grouped participants in four patterns, which we named as "style": responsible, independent, formally guided and negligent. Some of these conditions are hardly conducive to a healthy transition (5) and Identify the style of self-management can enable nurses to anticipate some difficulties.
Sigma Membership
Non-member
Type
Presentation
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Self-Care, Vulnerability, Self-Management
Recommended Citation
Bastos, Fernanda S., "Self-management on chronic diseases" (2014). INRC (Congress). 43.
https://www.sigmarepository.org/inrc/2014/presentations_2014/43
Conference Name
25th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Hong Kong
Conference Year
2014
Rights Holder
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Review Type
Abstract Review Only: Reviewed by Event Host
Acquisition
Proxy-submission
Self-management on chronic diseases
Hong Kong
Purpose: Chronic disease and its comorbidities represent the cause of episodes of hospitalization for lack of disease control, or its consequences. Ineffective self-management contributes to hospital readmissions and the high number of episodes of specialized care, indicates deficiencies in primary care. The study purpose was creat an explanatory model on self-management carried out by people with demonstration of ineffectiveness, in order to infer the elements of a health intervention that promotes a responsible self-management.
Methods: Selected for study were those with chronic illness, with five or more hospitalizations. Twenty-two participants were followed for a maximum of a year and a half, in a multicases study(1). Data were obtained from the analysis of documentation, participant observation and interviews. The data were analyzed according to the method proposed by Strauss and Corbin, to generate a Grounded Theory (2,3). Beginning with a microanalysis, which was organized in an open coding, than grouping the concepts and their relationships through an axial analysis, and summarizing the data, drawing up theoretical reduction in a selective coding, finally, presenting the theory.
Results: In this study emerge a pattern of vulnerability with personal and contextual conditions. Socio-economic and cultural poverty arises like the context of greater vulnerability straight by family background(4).
Conclusion: Analysis of personal circumstances showed that attitude toward life and illness and personal attributes grouped participants in four patterns, which we named as "style": responsible, independent, formally guided and negligent. Some of these conditions are hardly conducive to a healthy transition (5) and Identify the style of self-management can enable nurses to anticipate some difficulties.