Situation-Specific Theory of Self-care
In general, situation-specific theories are defined as theories that focus on a specific phenomenon in a particular clinical environment and that incorporate sociopolitical, cultural, and historical contexts.5,6 Situation-specific theories are developed to facilitate understanding of specific populations and to provide a theoretical framework of plans for actions.5 Riegel and Dickson1 developed a situation-specific theory to study self-care in patients with heart failure (HF). According to Riegel and Dickson,1 self-care con- sists of 2 components: self-care maintenance and self- care management.1 Self-care maintenance consists of symptom monitoring and treatment adherence, and it involves following the advice of healthcare providers regarding treatment and lifestyle. Self-care man- agement builds on self-care maintenance by incorpo- rating active, deliberative decision making in response to the recognition of a change in symptoms. Riegel and Dickson1 provided preliminary evidence that their situation-specific theory is useful for the explanation and prediction of HF self-care and outcomes. To our knowledge, this theory has not been adopted for other populations. Forthisarticle,RiegelandDickson’s1 situation-specific theory of HF self-care was modified for use in DM self- care. Additions were made to Riegel and Dickson’s1 original HF situation-specific theory to include the DM- specific activity of sign monitoring (eg, self-monitoring of blood glucose). Reflective of these additions, in this article, DM self-care maintenance consists of sign/ symptom monitoring and treatment adherence, and DM self-care management includes 5 stages: (1) rec- ognizing signs and/or symptoms, (2) evaluating sign
Situation-Specific Theory of Self-careIn general, situation-specific theories are defined as theories that focus on a specific phenomenon in a particular clinical environment and that incorporate sociopolitical, cultural, and historical contexts.5,6 Situation-specific theories are developed to facilitate understanding of specific populations and to provide a theoretical framework of plans for actions.5 Riegel and Dickson1 developed a situation-specific theory to study self-care in patients with heart failure (HF). According to Riegel and Dickson,1 self-care con- sists of 2 components: self-care maintenance and self- care management.1 Self-care maintenance consists of symptom monitoring and treatment adherence, and it involves following the advice of healthcare providers regarding treatment and lifestyle. Self-care man- agement builds on self-care maintenance by incorpo- rating active, deliberative decision making in response to the recognition of a change in symptoms. Riegel and Dickson1 provided preliminary evidence that their situation-specific theory is useful for the explanation and prediction of HF self-care and outcomes. To our knowledge, this theory has not been adopted for other populations. Forthisarticle,RiegelandDickson’s1 situation-specific theory of HF self-care was modified for use in DM self- care. Additions were made to Riegel and Dickson’s1 original HF situation-specific theory to include the DM- specific activity of sign monitoring (eg, self-monitoring of blood glucose). Reflective of these additions, in this article, DM self-care maintenance consists of sign/ symptom monitoring and treatment adherence, and DM self-care management includes 5 stages: (1) rec- ognizing signs and/or symptoms, (2) evaluating sign
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