Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, SA, Australia.
College of Humanities, Arts and Social Sciences, Flinders University, Adelaide, SA, Australia.
J Appl Gerontol. 2023 Jul;42(7):1687-1709. doi: 10.1177/07334648231161929. Epub 2023 Mar 7.
Given the high prevalence of chronic conditions and multimorbidity in older adults, there is a need to better conceptualize and measure self-care and self-management to promote a person-centered approach. This scoping review aimed to identify and map instruments measuring self-care and self-management of chronic conditions by older adults. We searched six electronic databases, charted data from the studies and tools and reported the results in accordance with the PRISMA-ScR guidelines. A total of 107 articles (103 studies) containing 40 tools were included in the review. There was substantial variation in the tools in terms of their aims and scope, structure, theoretical foundations, how they were developed, and the settings in which they have been used. The quantity of tools demonstrates the importance of assessing self-care and self-management. Consideration of the purpose, scope, and theoretical foundation should guide decisions about tools suitable for use in research and clinical practice.
鉴于老年人慢性病和多种疾病的高发率，有必要更好地概念化和衡量自我护理和自我管理，以促进以患者为中心的方法。本范围综述旨在确定和绘制由老年人衡量慢性病自我护理和自我管理的工具。我们搜索了六个电子数据库，从研究和工具中提取数据，并按照 PRISMA-ScR 指南报告结果。共有 107 篇文章（103 项研究）包含 40 种工具被纳入综述。这些工具在其目的和范围、结构、理论基础、开发方式以及使用环境方面存在很大差异。工具的数量表明评估自我护理和自我管理的重要性。考虑目的、范围和理论基础应指导适合用于研究和临床实践的工具的决策。
