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Understanding how patients establish strategies for living with asthma: a qualitative study in UK primary care as part of IMP2ART.

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Abstract:

BACKGROUND:In the context of a variable condition such as asthma, patient recognition of deteriorating control and knowing what prompt action to take is crucial. Yet, implementation of recommended self-management strategies remains poor. AIM:To explore how patients with asthma and parents/carers of children with asthma develop and establish recommended self-management strategies for living with asthma, and how clinicians can best support the process. DESIGN AND SETTING:A qualitative study in UK primary care. METHOD:Patients with asthma and parents/carers of children with asthma from 10 general practices were purposively sampled (using age, sex, and duration of asthma) to participate in focus groups or interviews between May 2016 and August 2016. Participants' experiences of health care, management of asthma, and views on supported self-management were explored. Interviews and focus group sessions were audio-recorded and transcribed verbatim. Iterative thematic analysis was conducted, guided by the research questions and drawing on habit theory in discussion with a multidisciplinary research team. RESULTS:A total of 49 participants (45 patients; 4 parents/carers) took part in 32 interviews and five focus groups. Of these, 11 reported using an action plan. Patients learnt how to self-manage over time, building knowledge from personal experience and other sources, such as the internet. Some regular actions, for example, taking medication, became habitual. Dealing with new or unexpected scenarios required reflective abilities, which may be supported by a tailored action plan. CONCLUSION:Patients reported learning intuitively how to self-manage. Some regular actions became habitual; dealing with the unexpected required more reflective cognitive skills. In order to support implementation of optimal asthma self- management, clinicians should consider both these aspects of self-management and support, and educate patients proactively.

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BRITISH JOURNAL OF GENERAL PRACTICE

BRIT J GEN PRACT
最新影响因子:4.19 期刊ISSN:0960-1643 CiteScore:0.85
出版周期:Monthly 是否OA:YES 出版年份:1990

期刊官方网址:http://bjgp.org/

期刊投稿地址:http://bjgp.allentrack.net/cgi-bin/main.plex

自引率:19.00% 研究方向:医学-医学:内科
出版地区:ENGLAND

SCI期刊coverage:Science Citation Index Expanded(科学引文索引扩展)

NCBI查询:PubMed Central (PMC)链接全文检索(pubmed central)

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BRITISH JOURNAL OF GENERAL PRACTICE 期刊简介

英文简介:

The British Journal of General Practice, the foremost academic journal of general practice in the world, is sent out to over 19 000 members and subscribers. It publishes first-rate, peer-reviewed research papers on topics related to general practice and primary care, as well as editorials, discussion papers, literature reviews, and an extensive correspondence section. The BJGP is the highest rated journal of general practice in the world in terms of both impact and immediacy. It is also rated third out of all British general medical journals in terms of immediacy.

中文简介:(来自Google、百度翻译)

《英国全科医学杂志》是世界上最重要的全科医学学术期刊,拥有超过1.9万名会员和订阅者。它出版一流的、同行评议的研究论文,主题涉及全科医学和初级保健,以及社论、讨论论文、文献评论和广泛的通信部分。BJGP是世界上在影响力和即时性方面评分最高的全科医学杂志。在所有英国普通医学期刊中,它的即时性排名第三。

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BRITISH JOURNAL OF GENERAL PRACTICE 期刊中科院评价数据

最新中科院分区

大类(学科) 小类(学科) 学科排名
医学 MEDICINE, GENERAL & INTERNAL(医学,全科和内科) 2区
PRIMARY HEALTH CARE(基本医疗保健) 2区
28/155
2/19

最新公布的期刊年发文量

年度总发文量 年度论文发表量 年度综述发表量
95 90 5
总被引频次:6489
特征因子:0.009370

影响因子趋势图

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BRITISH JOURNAL OF GENERAL PRACTICE 期刊CiteScore评价数据

最新CiteScore值

0.85
=

引文计数(2018)

文献(2015-2017)

=

1054次引用

1234篇文献

文献总数(2014-2016):1234
被引比率:33%
SJR:0.906
SCLmago期刊等级衡量经过加权后的期刊受引用次数,引用次数的加权值由施引期刊的学科领域和声望(SJR)决定。
SNIP:1.242
每篇文章中来源出版物的标准化影响将实际受引用情况对照期刊所属学科领域中预期的受引用情况进行衡量。

CiteScore排名

序号 类别 排名 百分位
1
大类(学科):Medicine 小类(学科):Family Practice
#9/33 点击查看排名表
72th

CiteScore趋势图

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BRITISH JOURNAL OF GENERAL PRACTICE 投稿经验

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