Faculty of Health Sciences, University of Ljubljana, Ljubljana, Slovenia.
Faculty of Organizational Sciences, University of Maribor, Kranj, Slovenia.
Health Serv Manage Res. 2024 Aug;37(3):189-197. doi: 10.1177/09514848231201405. Epub 2023 Sep 12.
Self-care of patients with chronic noncommunicable diseases is an essential component of contemporary healthcare. The purpose of this paper is to present a novel self-care process model and place it in the broader context of professional care. The extended Event-driven Process Chain approach to process modelling was used, focusing on a detailed overview of sequences of events, connections and activities and other elements/building blocks. A self-care process model was designed. The model is divided into two parts. The first part represents the self-care process when patients are able to manage their symptoms and be independent. The second part includes the process when patients are unable to perform self-care and/or need professional support. By identifying the essential elements of this process and incorporating them into the patients' care process, we can ensure that professional support for self-care creates a dynamic balance in the patients' ecosystems. Patients with chronic noncommunicable diseases need to make timely decisions about individual aspects of their health and seek professional help. In this way, an optimal level of health and well-being of patients can be achieved. Focusing on the patients' self-care process could also reduce treatment costs and improve the quality of life of patients. The novel designed model of the process of self-care, with all its essential elements, can be supported by digital technology, especially in the decision-making process and needs to become an important part of healthcare and long-term care systems.
慢性病患者的自我护理是当代医疗保健的重要组成部分。本文旨在提出一种新的自我护理流程模型，并将其置于专业护理的更广泛背景下。使用了扩展的事件驱动流程链方法进行流程建模，重点是详细概述事件序列、连接和活动以及其他元素/构建块。设计了一个自我护理流程模型。该模型分为两部分。第一部分代表患者能够管理其症状并独立时的自我护理流程。第二部分包括当患者无法进行自我护理和/或需要专业支持时的流程。通过确定该流程的基本要素并将其纳入患者的护理流程中，可以确保专业支持的自我护理在患者的生态系统中创造出动态平衡。慢性病患者需要及时做出关于个人健康方面的决策，并寻求专业帮助。通过这种方式，可以实现患者的最佳健康和幸福感水平。关注患者的自我护理流程还可以降低治疗成本并提高患者的生活质量。具有所有基本要素的新型自我护理流程模型可以得到数字技术的支持，特别是在决策过程和需求中，并且需要成为医疗保健和长期护理系统的重要组成部分。
