PhD Student, University of Nebraska Medical Center, College of Nursing, Norfolk, NE, USA.
Professor, University of Nebraska Medical Center, College of Nursing, Omaha, NE, USA.
West J Nurs Res. 2020 Nov;42(11):948-962. doi: 10.1177/0193945920902146. Epub 2020 Feb 20.
Multiple chronic conditions (MCC) are becoming increasingly common and self-management (SM) interventions to address MCC are emerging. Prior reviews have broadly examined SM interventions in MCC; however, interventional components were not thoroughly described. Components of SM interventions that have been delivered to individuals with MCC were identified. A review of CINAHL, Cochrane, PubMed, PsycINFO, Scopus, and Embase was completed. This search yielded 13,994 potential studies; 31 studies among those 13,994 studies met inclusion for analysis. The literature is multidisciplinary and describes a wide variety of interventional strategies implementing various combinations of components. A descriptive analysis of the studies' components, application of the components, delivery methods, and primary outcomes demonstrated clear variations between programs. The most common components noted in the 31 studies were education, action planning/goal setting, self-monitoring, and social/peer support. The variation in SM programs limits conclusive evidence for which components are recommended to improve self-management in individuals with MCC.
多种慢性疾病（MCC）越来越常见，针对 MCC 的自我管理（SM）干预措施也在不断涌现。先前的综述广泛考察了 MCC 中的 SM 干预措施；然而，干预措施的组成部分并未得到彻底描述。确定了针对患有 MCC 的个体提供的 SM 干预措施的组成部分。对 CINAHL、Cochrane、PubMed、PsycINFO、Scopus 和 Embase 进行了综述。该搜索产生了 13994 项潜在研究；在这 13994 项研究中，有 31 项符合纳入分析的标准。该文献来自多个学科，描述了各种干预策略，实施了各种组成部分的组合。对研究组成部分、组成部分的应用、传递方法和主要结果的描述性分析表明，各方案之间存在明显差异。在这 31 项研究中最常见的组成部分是教育、行动计划/目标设定、自我监测和社会/同伴支持。SM 方案的差异限制了关于哪些组成部分可用于改善 MCC 个体自我管理的结论性证据。
