Tanimura Chika, Oba Keiko, Noguchi Yoshimi, Itamochi Tomoyuki
School of Health Science, Faculty of Medicine, Tottori University, Yonago 683-8503, Japan.
Department of Nursing Science, Faculty of Nursing and Nutrition, The University of Shimane, Izumo 693-8550, Japan.
Yonago Acta Med. 2024 May 11;67(2):80-92. doi: 10.33160/yam.2024.05.007. eCollection 2024 May.
This review aimed to clarify the concept of self-management in the context of physical frailty and to provide insights that support the development of interventions to prevent physical frailty. A concept analysis using thirty-three studies was performed, six attributes of the concept "self-management of physical frailty" were identified: {Cooperating with healthcare professionals or familiar persons}, {Investing and managing in resources}, {Acquisition and maintenance of individualized self-management strategies}, {Self-directed process}, {Goal setting and personalized action planning} and {Living with one's own health condition with a positive attitude}. Self-management of physical frailty can be defined as a process in which an individual independently sets goals and action plans, engages in strategies such as exercise and nutritional management, and lives with one's own health condition with a positive attitude by collaborating with healthcare professionals and others, in addition to utilizing resources. To support the process in which an individual independently sets goals and action plans, engages in strategies, self-management support based on learning theories that lead to cognitive, emotional, and behavioral changes is necessary.
本综述旨在阐明身体虚弱背景下自我管理的概念，并提供有助于制定预防身体虚弱干预措施的见解。通过对33项研究进行概念分析，确定了“身体虚弱自我管理”这一概念的六个属性：{与医疗保健专业人员或熟悉的人合作}、{资源投入与管理}、{获取并维持个性化自我管理策略}、{自我导向过程}、{目标设定与个性化行动计划}以及{以积极态度面对自身健康状况}。身体虚弱的自我管理可定义为这样一个过程：个体通过与医疗保健专业人员及其他人合作，并利用资源，独立设定目标和行动计划，采取运动和营养管理等策略，以积极态度面对自身健康状况。为支持个体独立设定目标和行动计划、采取策略的过程，基于能够导致认知、情感和行为改变的学习理论的自我管理支持是必要的。
