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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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最新影响因子:6.302 | 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/
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)
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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.
《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。
大类(学科) | 小类(学科) | 学科排名 |
医学 |
PRIMARY HEALTH CARE (初级卫生保健) 2区 MEDICINE, GENERAL & INTERNAL (医学:内科) 2区 |
28/155 2/19 |
年度总发文量 | 年度论文发表量 | 年度综述发表量 |
95 | 90 | 5 |
引文计数(2018)
文献(2015-2017)
1054次引用
1234篇文献
序号 | 类别 | 排名 | 百分位 |
1 |
大类(学科):Medicine
小类(学科):Family Practice
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#9/33
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研究方向:医学-核医学
发表一篇学和医学成像类SCI论文
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