Self-Management in Daily Life with Psoriasis: An Integrative Review of Patient Needs for Structured Education

The aim of this integrative review is to identify and discuss patient needs for education to support self-management in daily life with psoriasis. As psoriasis increasingly gains recognition as a serious chronic autoimmune skin disease with long-term impairment on the life course, and not mainly a c...

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Main Authors: Gitte Susanne Rasmussen, Helle Terkildsen Maindal, Kirsten Lomborg
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/890860
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author Gitte Susanne Rasmussen
Helle Terkildsen Maindal
Kirsten Lomborg
author_facet Gitte Susanne Rasmussen
Helle Terkildsen Maindal
Kirsten Lomborg
author_sort Gitte Susanne Rasmussen
collection DOAJ
description The aim of this integrative review is to identify and discuss patient needs for education to support self-management in daily life with psoriasis. As psoriasis increasingly gains recognition as a serious chronic autoimmune skin disease with long-term impairment on the life course, and not mainly a cosmetic problem, nurses are highly challenged to develop efficient education to support patient self-management. The paper includes five stages: (1) problem identification, (2) literature search, (3) data evaluation, (4) data analysis and synthesis, and (5) presentation, based on theoretic scaffolding around the concept “need.” Nineteen of 164 original papers within nursing, medicine and psychology, and reflecting patient perspective were included. To capture the patients’ cultural understanding of the implications of the disease and care, we developed an interlevel model indicating that self-experienced burden of disease and its visibility, personal conditions such as illness perception, and the patient’s age at onset time are high-impact factors that should be addressed in future structured patient education programmes. The research on patient needs has hitherto focused on adults, but the problems and vulnerability associated with having a chronic and visible disease during adolescence must be acknowledged, and patient education initiatives designed for this young group are recommended.
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spelling doaj-art-d5c1e560f37d4c579a8561b6987572702025-02-03T01:12:33ZengWileyNursing Research and Practice2090-14292090-14372012-01-01201210.1155/2012/890860890860Self-Management in Daily Life with Psoriasis: An Integrative Review of Patient Needs for Structured EducationGitte Susanne Rasmussen0Helle Terkildsen Maindal1Kirsten Lomborg2Department of Dermatology, Aarhus University Hospital, 8000 Aarhus, DenmarkDepartment of Public Health, Aarhus University, 8000 Aarhus, DenmarkDepartment of Public Health, Aarhus University, 8000 Aarhus, DenmarkThe aim of this integrative review is to identify and discuss patient needs for education to support self-management in daily life with psoriasis. As psoriasis increasingly gains recognition as a serious chronic autoimmune skin disease with long-term impairment on the life course, and not mainly a cosmetic problem, nurses are highly challenged to develop efficient education to support patient self-management. The paper includes five stages: (1) problem identification, (2) literature search, (3) data evaluation, (4) data analysis and synthesis, and (5) presentation, based on theoretic scaffolding around the concept “need.” Nineteen of 164 original papers within nursing, medicine and psychology, and reflecting patient perspective were included. To capture the patients’ cultural understanding of the implications of the disease and care, we developed an interlevel model indicating that self-experienced burden of disease and its visibility, personal conditions such as illness perception, and the patient’s age at onset time are high-impact factors that should be addressed in future structured patient education programmes. The research on patient needs has hitherto focused on adults, but the problems and vulnerability associated with having a chronic and visible disease during adolescence must be acknowledged, and patient education initiatives designed for this young group are recommended.http://dx.doi.org/10.1155/2012/890860
spellingShingle Gitte Susanne Rasmussen
Helle Terkildsen Maindal
Kirsten Lomborg
Self-Management in Daily Life with Psoriasis: An Integrative Review of Patient Needs for Structured Education
Nursing Research and Practice
title Self-Management in Daily Life with Psoriasis: An Integrative Review of Patient Needs for Structured Education
title_full Self-Management in Daily Life with Psoriasis: An Integrative Review of Patient Needs for Structured Education
title_fullStr Self-Management in Daily Life with Psoriasis: An Integrative Review of Patient Needs for Structured Education
title_full_unstemmed Self-Management in Daily Life with Psoriasis: An Integrative Review of Patient Needs for Structured Education
title_short Self-Management in Daily Life with Psoriasis: An Integrative Review of Patient Needs for Structured Education
title_sort self management in daily life with psoriasis an integrative review of patient needs for structured education
url http://dx.doi.org/10.1155/2012/890860
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