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A complex intervent...
A complex intervention of self-management for patients with COPD or CHF in primary care improved performance and satisfaction with regard to own selected activities : a longitudinal follow-up
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- Zakrisson, Ann-Britt, 1955- (författare)
- Örebro universitet,Institutionen för hälsovetenskaper,Region Örebro län,Department of University Healthcare Research Centre,Orebro Univ, Fac Med & Hlth, Dept Univ Healthcare Res Ctr, Orebro, Sweden
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- Arne, Mats, 1954- (författare)
- Uppsala universitet,Lung- allergi- och sömnforskning,Cty Council Varmland, Ctr Clin Res, Karlstad, Sweden
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- Hasselgren, Mikael, 1964- (författare)
- Örebro universitet,Institutionen för medicinska vetenskaper,Orebro Univ, Sch Med Sci, Orebro, Sweden
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- Lisspers, Karin, Docent, 1954- (författare)
- Uppsala universitet,Allmänmedicin och preventivmedicin
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- Ställberg, Björn, Docent (författare)
- Uppsala universitet,Allmänmedicin och preventivmedicin
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- Theander, Kersti (författare)
- Centre for clinical research, County Council of Värmland, Sweden,Cty Council Varmland, Ctr Clin Res, Karlstad, Sweden
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(creator_code:org_t)
- 2018-11-27
- 2019
- Engelska.
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Ingår i: Journal of Advanced Nursing. - : Blackwell Publishing. - 0309-2402 .- 1365-2648. ; 75:1, s. 175-186
- Relaterad länk:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
Ämnesord
Stäng
- AIM: To test a self-management intervention in primary health care for patients with Chronic Obstructive Pulmonary Disease or Chronic Heart Failure on self-efficacy, symptoms, functioning and health.BACKGROUND: Patients with Chronic Obstructive Pulmonary Disease or Chronic Heart Failure experience often the same symptoms such as shortness of breath, cough, lack of energy, dry mouth, numbness or tingling in hands and feet, pain and sleeping problems.DESIGN: A multicentre randomized control trial.METHOD: The trial was conducted with one intervention group (n=73) and one control group (n=77). The trial was performed from September 2013 - September 2015 at nine primary health care centres in three county councils in Sweden. At baseline patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure experienced any symptom. Follow-ups were performed after three months and one year. The intervention was structured on Bandura's theory of self-efficacy in six meetings and individual action plans based on personal problems were performed and discussed.RESULTS: At baseline, there were no differences between the groups except for SF-36 social function. After three months, the intervention group improved performance and satisfaction with regard to own selected activities, otherwise no differences were found.CONCLUSION: When designing a program, the patient's own difficulties must be taken into consideration if person-centered care is to be established. It is feasible to include both patients with Chronic Obstructive Pulmonary Disease and Chronic Heart Failure in the same group in primary health care. Health care professionals need supervision in pedagogics during intervention in self-management.
Ämnesord
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Omvårdnad (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Nursing (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Hälsovetenskap -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
Nyckelord
- Chronic heart failure
- chronic obstructive pulmonary disease
- nurses
- patient education
- primary health care
- self-management support
Publikations- och innehållstyp
- ref (ämneskategori)
- art (ämneskategori)
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