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THE ELDERLY NEEDS IN SELF-MANAGEMENT OF CHRONIC DISEASE: ENVISIONING A NURSING INTERVENTION PROGRAMME

ABSTRACT

Objective

To characterise the health profile of community-dwelling older people and identify the domains of the disease self-management process for nursing interventions

Method

Mixed-method study, with 48 participants from Porto, Portugal, between September 2018 and July 2019. A questionnaire was used to assess disease and health-related variables, and a semi-structured interview was also undertaken focused on chronic disease self-management. Qualitative data were submitted to thematic content analysis

Results

93.7% of participants present comorbidities, mainly cardiovascular and endocrine diseases. Three themes emerged from the interviews: Mastery in the management of medications; Difficulty in adopting a stable, healthy behaviour; Importance of a close and trusting relationship with health professionals

Conclusion

The self-management needs of older people that can be diminished through nursing interventions were highlighted, emphasising areas to be intervened and strategies to be used in programmes aimed at promoting the health literacy of this population

DESCRIPTORS
Elderly; Self-management; Chronic Disease; Ageing; Nursing

Universidade Federal do Paraná Av. Prefeito Lothário Meissner, 632, Cep: 80210-170, Brasil - Paraná / Curitiba, Tel: +55 (41) 3361-3755 - Curitiba - PR - Brazil
E-mail: cogitare@ufpr.br