Chronic disease self-management: a hybrid concept analysis

Nurs Outlook. Mar-Apr 2015;63(2):154-61. doi: 10.1016/j.outlook.2014.07.005. Epub 2014 Aug 12.


Background: Chronic diseases require chronic disease self-management (CDSM). Existing CDSM interventions, while improving outcomes, often do not lead to long-lasting effects. To render existing and new CDSM interventions more effective, an exploration of the concept of CDSM from both the literature and patient perspectives is needed. The purpose of this study was to describe the current conceptualization of CDSM in the literature, identify potential inadequacies in this conceptualization based on a comparison of literature- and patient-based CDSM descriptions, and to offer a more comprehensive definition of CDSM.

Methods: A hybrid concept analysis was completed.

Discussion: In the literature, CDSM is defined as behaviors influenced by individual characteristics. Patients in the fieldwork phase discussed aspects of CDSM not well represented in the literature.

Conclusions: CDSM is a complex process involving behaviors at multiple levels of a person's environment. Pilot work to develop and test CDSM interventions based on both individual and external characteristics is needed.

Keywords: Chronic disease; Concept analysis; Self-management.

MeSH terms

  • Aged
  • Attitude of Health Personnel
  • Chronic Disease
  • Concept Formation
  • Disease Management*
  • Epilepsy / psychology
  • Epilepsy / therapy*
  • Female
  • Health Knowledge, Attitudes, Practice
  • Humans
  • Male
  • Middle Aged
  • Patient Compliance
  • Self Care*