Faculty of Nursing Midwifery and Health, University of Technology Sydney, Sydney, Australia.
Int J Nurs Stud. 2012 Feb;49(2):230-42. doi: 10.1016/j.ijnurstu.2011.11.005. Epub 2011 Dec 6.
Chronic obstructive pulmonary disease is a common, chronic and burdensome condition requiring the individual to engage in a range of self-management strategies. The capacity to engage in self-management is dependent on a range of internal (e.g., personal) and external (e.g., health service) factors.
This paper seeks to define self-management, identify the determinants which influence the individual's ability to cope and adjust to living with chronic obstructive pulmonary disease in the community, and identify implications for clinical practice and research.
Integrative review.
Medline, Embase, PubMed, CINAHL, Google Scholar.
Integrative review using prospective research questions. Papers were included in the review if they were published in peer reviewed journals and written in English between 2000 and 2010. Articles were accepted for inclusion if they discussed the determinants that influenced self-management of chronic obstructive pulmonary disease in the community. Confirmation of results and discussion themes was validated by specialists in chronic obstructive pulmonary disease and complex care.
Self-management is less well characterised in chronic obstructive pulmonary disease compared with other chronic conditions. Functional limitation and the need to balance disease management with everyday life are the two key elements that patients face in managing their condition. Provider characteristics, socioeconomic status and health literacy are sparsely discussed yet are known to influence chronic obstructive pulmonary disease self-management.
Chronic obstructive pulmonary disease self-management must be a key focus internationally as the disease incidence increases. Collaborative care is required between patients and health providers in order facilitate patients in confident management of their condition.
慢性阻塞性肺疾病是一种常见的、慢性的、负担沉重的疾病，需要患者采取一系列自我管理策略。进行自我管理的能力取决于一系列内部（如个人）和外部（如卫生服务）因素。
本文旨在定义自我管理，确定影响个体在社区中应对和适应慢性阻塞性肺疾病的能力的决定因素，并确定对临床实践和研究的影响。
综合回顾。
Medline、Embase、PubMed、CINAHL、Google Scholar。
使用前瞻性研究问题进行综合审查。如果论文发表在同行评议的期刊上，并且是在 2000 年至 2010 年间用英文撰写的，则将其纳入审查。如果文章讨论了影响慢性阻塞性肺疾病在社区中自我管理的决定因素，则接受纳入。慢性阻塞性肺疾病和复杂护理方面的专家对结果的确认和讨论主题进行了验证。
与其他慢性疾病相比，慢性阻塞性肺疾病的自我管理特征描述得较少。功能限制和需要平衡疾病管理与日常生活是患者在管理病情时面临的两个关键要素。提供者特征、社会经济地位和健康素养讨论得很少，但已知会影响慢性阻塞性肺疾病的自我管理。
随着疾病发病率的增加，慢性阻塞性肺疾病的自我管理必须成为国际上的一个重点。为了促进患者对自身病情的自信管理，患者和卫生提供者之间需要进行协作式护理。
