Patients with complex chronic diseases: perspectives on supporting self-management

被引：100

作者：

Sevick, Mary Ann

Trauth, Jeanette M.

Ling, Bruce S.

Anderson, Roger T.

Piatt, Gretchen A.

Kilbourne, Amy M.

Goodman, Robert M.

机构：

[1] VA Pittsburgh Heathcare Syst, Ctr Hlth Equ Res & Promot, Pittsburgh, PA 15240 USA

[2] VA Pittsburgh Heathcare Syst, Ctr Geriatr Res Educ & Clin, Pittsburgh, PA 15240 USA

[3] Univ Pittsburgh, Sch Med, Pittsburgh, PA USA

[4] Univ Pittsburgh, Grad Sch Publ Hlth, Pittsburgh, PA USA

[5] Penn State Coll Med, Dept Publ Hlth Sci, Hershey, PA USA

[6] Univ Pittsburgh, Med Ctr, Inst Diabet, Pittsburgh, PA USA

[7] Ann Arbor Natl Serious Mental Illness Treatment R, Ann Arbor, MI USA

[8] Univ Michigan, Dept Psychiat, Ann Arbor, MI 48109 USA

[9] Indiana Univ, Sch Hlth Phys Educ & Recreat, Bloomington, IN USA

来源：

JOURNAL OF GENERAL INTERNAL MEDICINE | 2007年 / 22卷 / Suppl 3期

关键词：

comorbidity; chronic disease; self care; health behavior; patient compliance;

D O I：

10.1007/s11606-007-0316-z

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

A Complex Chronic Disease (CCD) is a condition involving multiple morbidities that requires the attention of multiple health care providers or facilities and possibly community (home)-based care. A patient with CCD presents to the health care system with unique needs, disabilities, or functional limitations. The literature on how to best support self-management efforts in those with CCD is lacking. With this paper, the authors present the case of an individual with diabetes and end-stage renal disease who is having difficulty with self-management. The case is discussed in terms of intervention effectiveness in the areas of prevention, addiction, and self-management of single diseases. Implications for research are discussed.

引用

页码：438 / 444

页数：7