Pinchera Barbara, DelloIacono Donna, Lawless Carolyn A
J Contin Educ Nurs. 2018 Sep 1;49(9):432-440. doi: 10.3928/00220124-20180813-09.
A major concern for nurses and program developers is to deliver the best practices for teaching self-management to people with chronic disease. This study aimed to identify the best practice strategies and interventions across heart failure (HF), chronic obstructive pulmonary disease (COPD), and diabetes mellitus type 2 (DM2) chronic illnesses.
The research design was an integrative review of research using 36 research studies. The analysis and synthesis of these studies provided information from 786 individual studies.
The results indicated the best strategies were programs that were individualized and prolonged in duration to improve self-management. The best interventions for teaching-learning methods were the use of a combination of direct contact options with technological devices. The common barriers to self-management were identified.
Nurses educators and program developers of self-management programs will need to use technology creatively and develop programs that are individualized to fit the patients' chronic illness. J Contin Educ Nurs. 2018;49(9):432-440.
护士和项目开发者主要关心的是为慢性病患者提供自我管理教学的最佳实践方法。本研究旨在确定心力衰竭（HF）、慢性阻塞性肺疾病（COPD）和2型糖尿病（DM2）这几种慢性病的最佳实践策略和干预措施。
研究设计为对36项研究进行综合回顾。对这些研究的分析和综合提供了来自786项个体研究的信息。
结果表明，最佳策略是个性化且持续时间较长的项目，以改善自我管理。教学方法的最佳干预措施是将直接接触方式与技术设备相结合。同时确定了自我管理的常见障碍。
自我管理项目的护士教育工作者和项目开发者需要创造性地使用技术，并开发个性化的项目以适应患者的慢性病。《继续教育护理杂志》。2018年；49(9):432 - 440。
