Self-management A concept analysis of self-management for cancer patients’ home-based rehabilitation

作     者：Dong-Lan Ling Hong-Jing Yu 

作者机构：Urology Surgical Department The Second Affiliated Hospital of Guangzhou Medical University Guangzhou China Department of Nursing The Second Affiliated Hospital of Guangzhou Medical University Guangzhou China 

出 版 物：《TMR Integrative Nursing》 (TMR整合护理)

年 卷 期：2018年第2卷第1期

页      面：4-11页

学科分类：10[医学] 

主　　题：Self-management Concept analysis Cancer patients rehabilitation Home-based rehabilitation 

摘      要：Objective： To explore and clarify the concept of self-management in the context of cancer patients’ home-basedrehabilitation. This concept analysis will provide a theoretical lens for nurses to help cancer patients to developself-management strategies and enables them to improve their ability in symptom self-management of home-basedrehabilitation. Method： Walker and Avant’s framework （2011） was used to analyse the concept of ***： Self-management is defined as a dynamic process that involves perception of one’s needs, resource utilisation,problem solving and active participation. Antecedents of self-management include self-efficacy, disease knowledge andsocial support. Improving cancer patients’ ability in symptom self-management can improve their health outcomes andquality of life and reduce healthcare expenditures. Although Strategy and Effectiveness of Symptom Self-Managementscale is perceived as an ideal instrument to measure self-management and thus it is used worldwide, whether thisinstrument fits to measure this concept for cancer patients in Chinese context has still not yet been verified and thusfurther research is needed. Conclusion： According to the concept analysis, nurses should encourage cancer patients toinvolve actively in making a home-based rehabilitation plan and promote their ability in symptom self-management ofhome-based rehabilitation so as to improve their health outcomes and reduce healthcare expenditures.