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Self‐care behaviours and trajectory management by people with scleroderma in northeastern Thailand
Author(s) -
Hornboonherm Promjit,
Nanagara Ratanavadee,
Kochamat Apinya,
Wantha Oratai
Publication year - 2017
Publication title -
international journal of nursing practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.62
H-Index - 55
eISSN - 1440-172X
pISSN - 1322-7114
DOI - 10.1111/ijn.12523
Subject(s) - psychosocial , medicine , intervention (counseling) , self management , scleroderma (fungus) , exploratory research , health care , nursing , psychiatry , machine learning , sociology , computer science , anthropology , economics , immunology , inoculation , economic growth
Scleroderma, particularly systemic sclerosis, is a chronic illness that affects a person's physical, emotional, psychosocial, and spiritual dimensions. To investigate self‐care deficits, health behaviours, and trajectory management of Thai people with systemic sclerosis, an exploratory case study method was used through interviews and patient records. Self‐care deficit nursing theory and the chronic illness trajectory framework guided the research. Twelve patients with systemic sclerosis were purposively recruited at a hospital clinic in the northeastern region of Thailand. Thai people living with systemic sclerosis developed specific self‐care agencies in each of 3 identified trajectory patterns to improve their health and well‐being. By applying the theory and framework that guided the research, nurses can promote self‐care behaviours and recognize situations along an illness trajectory that require intervention and management. The results extend the understanding of how people live and cope with systemic sclerosis.