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Self-management of patients with tracheostomy in the home setting: a scoping review

PURPOSE: The aim of this study was to create a model of patient-centered outcomes with respect to self-management tasks and skills of patients with a tracheostomy in their home setting. METHODS: A scoping review using four search engines was undertaken (Medline, CINAHL, PsycINFO, Cochrane Library) t...

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Autores principales: Weidlich, Sandra, Pfeiffer, Jens, Kugler, Christiane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10570259/
https://www.ncbi.nlm.nih.gov/pubmed/37823948
http://dx.doi.org/10.1186/s41687-023-00643-2
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author Weidlich, Sandra
Pfeiffer, Jens
Kugler, Christiane
author_facet Weidlich, Sandra
Pfeiffer, Jens
Kugler, Christiane
author_sort Weidlich, Sandra
collection PubMed
description PURPOSE: The aim of this study was to create a model of patient-centered outcomes with respect to self-management tasks and skills of patients with a tracheostomy in their home setting. METHODS: A scoping review using four search engines was undertaken (Medline, CINAHL, PsycINFO, Cochrane Library) to identify studies relevant to this issue and published since 2000. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statements for Scoping Reviews (PRISMA-ScR), the Joanna Briggs Institute (JBI) approach of conducting and reporting a scoping review, and the Participants, Concept, Context (PCC) scheme were employed. The following elements of the framework synthesis study data were screened, and presented based on the self-management model of Lorig and Holman. RESULTS: 34 publications from 17 countries met the criteria for study inclusion: 24 quantitative, 8 qualitative and 2 mixed methods designs. Regarding the dimensions of self-management, 28 articles reported on “managing the therapeutic regimen”, 27 articles discussed “managing role and behavior changes”, and 16 articles explored “managing emotions”. A model of self-management of patients with tracheostomy was developed, which placed the patient in the center, since it is this individual who is completing the tasks and carrying out his or her skill sets. CONCLUSION: This scoping review represents the first comprehensive overview and modeling of the complex self-management tasks and skills required of patients with tracheostomy in their home setting. The theoretical model can serve as a cornerstone for empirical intervention studies to better support this patient-centered outcome for this population in the future. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s41687-023-00643-2.
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spelling pubmed-105702592023-10-14 Self-management of patients with tracheostomy in the home setting: a scoping review Weidlich, Sandra Pfeiffer, Jens Kugler, Christiane J Patient Rep Outcomes Review PURPOSE: The aim of this study was to create a model of patient-centered outcomes with respect to self-management tasks and skills of patients with a tracheostomy in their home setting. METHODS: A scoping review using four search engines was undertaken (Medline, CINAHL, PsycINFO, Cochrane Library) to identify studies relevant to this issue and published since 2000. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Statements for Scoping Reviews (PRISMA-ScR), the Joanna Briggs Institute (JBI) approach of conducting and reporting a scoping review, and the Participants, Concept, Context (PCC) scheme were employed. The following elements of the framework synthesis study data were screened, and presented based on the self-management model of Lorig and Holman. RESULTS: 34 publications from 17 countries met the criteria for study inclusion: 24 quantitative, 8 qualitative and 2 mixed methods designs. Regarding the dimensions of self-management, 28 articles reported on “managing the therapeutic regimen”, 27 articles discussed “managing role and behavior changes”, and 16 articles explored “managing emotions”. A model of self-management of patients with tracheostomy was developed, which placed the patient in the center, since it is this individual who is completing the tasks and carrying out his or her skill sets. CONCLUSION: This scoping review represents the first comprehensive overview and modeling of the complex self-management tasks and skills required of patients with tracheostomy in their home setting. The theoretical model can serve as a cornerstone for empirical intervention studies to better support this patient-centered outcome for this population in the future. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s41687-023-00643-2. Springer International Publishing 2023-10-12 /pmc/articles/PMC10570259/ /pubmed/37823948 http://dx.doi.org/10.1186/s41687-023-00643-2 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Review
Weidlich, Sandra
Pfeiffer, Jens
Kugler, Christiane
Self-management of patients with tracheostomy in the home setting: a scoping review
title Self-management of patients with tracheostomy in the home setting: a scoping review
title_full Self-management of patients with tracheostomy in the home setting: a scoping review
title_fullStr Self-management of patients with tracheostomy in the home setting: a scoping review
title_full_unstemmed Self-management of patients with tracheostomy in the home setting: a scoping review
title_short Self-management of patients with tracheostomy in the home setting: a scoping review
title_sort self-management of patients with tracheostomy in the home setting: a scoping review
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10570259/
https://www.ncbi.nlm.nih.gov/pubmed/37823948
http://dx.doi.org/10.1186/s41687-023-00643-2
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