A Middle-Range Theory of Self-Care of Chronic Illness

被引：664

作者：

Riegel, Barbara ^{[1
,2
]}

Jaarsma, Tiny ^{[3
]}

Stroemberg, Anna ^{[2
]}

机构：

[1] Univ Penn, Sch Nursing, Philadelphia, PA 19104 USA

[2] Linkoping Univ, Div Nursing Sci, Dept Med & Hlth Sci, Fac Hlth Sci,Dept Cardiol UHL,Cty Council Ostergo, Linkoping, Sweden

[3] Dept Social & Welf Studies, Norrkoping, Sweden

来源：

ADVANCES IN NURSING SCIENCE | 2012年 / 35卷 / 03期

关键词：

chronic illness; middle-range theory; self-care; CHRONIC HEART-FAILURE; QUALITY-OF-LIFE; DECISION-MAKING; MANAGEMENT; BEHAVIOR; HEALTH; INTERVENTION; ATTENTION; KNOWLEDGE; EFFICACY;

D O I：

10.1097/ANS.0b013e318261b1ba

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Nearly 50% of adults have one or more chronic illnesses. Self-care is considered essential in the management of chronic illness, but the elements of self-care in this context have not been specified in a middle-range theory. This article describes a middle-range theory of self-care that addresses the process of maintaining health with health promoting practices within the context of the management required of a chronic illness. The key concepts include self-care maintenance, self-care monitoring, and self-care management. Assumptions and propositions of the theory are specified. Factors influencing self-care including experience, skill, motivation, culture, confidence, habits, function, cognition, support from others, and access to care are described.

引用

页码：194 / 204

页数：11

共 51 条

[1]

[Anonymous], 2005, HDB ATTITUDES

[2] Using Reflection Strategies to Link Course Knowledge to Clinical Practice: The RN-to-BSN Student Experience [J].

Asselin, Marilyn E. .

JOURNAL OF NURSING EDUCATION, 2011, 50 (03) :125-133

[3] SELF-EFFICACY MECHANISM IN HUMAN AGENCY [J].

BANDURA, A .

AMERICAN PSYCHOLOGIST, 1982, 37 (02) :122-147

[4] Modelling emergency decisions: recognition-primed decision making. The literature in relation to an ophthalmic critical incident [J].

Bond, Susan ;

Cooper, Simon .

JOURNAL OF CLINICAL NURSING, 2006, 15 (08) :1023-1032

[5]

Cameron L.D., 2003, SELF REGULATION HLTH

[6]

Casalenuovo G.A., 2002, Fatigue in diabetes mellitus: Testing a middle range theory of well-being derived from Neuman's theory of optimal client system stability and the Neuman Systems Model (Dissertation presented for the Doctor of Philosophy Degree). U.S.A.: The University of Tennessee

[7] Cultural diversity in heart failure management: Findings from the DISCOVER Study (Part 2) [J].