Self-management of patients with chronic diseases during COVID19: a narrative review

Tahereh Ghotbi1, Javad Salami1, Ehsan Allah Kalteh2

  • 1Shiraz University of Medical Sciences, Shiraz, Iran.

Insights

The COVID-19 pandemic created significant self-management challenges for chronic disease patients, including reduced healthcare access and lifestyle changes. Healthcare teams must adapt to support patients effectively during health crises.

Area of Science:

  • Public Health
  • Chronic Disease Management
  • Epidemiology

Background:

  • The COVID-19 pandemic significantly disrupted global healthcare systems.
  • Self-management is crucial for patients with chronic diseases to prevent complications.

Purpose of the Study:

  • To review challenges faced by chronic disease patients in self-management during the COVID-19 pandemic.
  • To identify solutions for improving chronic disease self-management during health crises.

Main Methods:

  • A literature review was conducted using databases like PubMed, Google Scholar, Science Direct, and Springer.
  • Search terms included 'self-management,' 'chronic disease,' and 'COVID-19.'
  • 26 relevant articles published between March 2019 and January 2021 were analyzed.

Main Results:

  • Chronic disease self-management plays a vital role in disease control and complication prevention.
  • Key challenges identified include reduced healthcare services, physical restrictions, economic issues, and lifestyle adjustments.
  • The role of the healthcare team in supporting patient self-management during epidemics was also assessed.

Conclusions:

  • Patients with chronic diseases faced challenges like decreased healthcare access and lifestyle changes due to the pandemic.
  • Healthcare teams need to optimize available resources to provide essential services and support patients.
  • Proactive strategies are needed to ensure continuity of care and effective self-management for chronic conditions during pandemics.
Abstract

Related Concept Videos

Chronic Obstructive Pulmonary Disease-V: Management01:29

Chronic Obstructive Pulmonary Disease-V: Management

Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
2.7K
Chronic Obstructive Pulmonary Disease-V: Nursing Management01:30

Chronic Obstructive Pulmonary Disease-V: Nursing Management

Nursing management of Chronic Obstructive Pulmonary Disease (COPD) is crucial for providing thorough care and support to patients. Nurses play an integral role in this process through detailed assessment, careful planning, targeted interventions, and ongoing evaluation. Here's an overview of the critical steps in nursing management for COPD.
Assessment
4.3K
Myocarditis IV: Nursing Management01:22

Myocarditis IV: Nursing Management

Myocarditis is an inflammatory condition of the myocardium requiring meticulous nursing management for optimal patient outcomes. Effective management begins with a thorough assessment of the patient's medical history, paying close attention to past infections, autoimmune disorders, travel history, and exposure to toxins or drugs. Recent viral infections and systemic diseases are particularly relevant due to their potential role in triggering myocarditis.Physical Examination and MonitoringThe...
46
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
38
Methods of Documentation VI: Case Management Model01:15

Methods of Documentation VI: Case Management Model

The case management model is a multidisciplinary approach that involves healthcare professionals from diverse disciplines, such as physicians, nurses, therapists, social workers, and pharmacists, working collaboratively to address the various needs of patients. Each healthcare professional brings unique expertise and perspectives, contributing to a more comprehensive understanding of the patient's condition and tailoring treatment plans accordingly.
For example, a patient with a chronic...
638
Asthma-IV: Nursing Management01:30

Asthma-IV: Nursing Management

The nursing management of asthma is a comprehensive approach that relies heavily on the expertise and dedication of healthcare professionals. It involves thorough assessment, accurate diagnosis, strategic planning, effective implementation, and diligent evaluation. By meticulously following this step-by-step process, healthcare professionals play a crucial role in providing the best possible care and treatment for patients with asthma, enhancing their overall health and well-being.
First, in...
3.3K