"Modifying" or "Retreating"- Self-management of physical health among a group of people with schizophrenia. An ethnographic study from Denmark.

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Tytuł:: "Modifying" or "Retreating"- Self-management of physical health among a group of people with schizophrenia. An ethnographic study from Denmark.
Autorzy:: Lerbaek B; Clinic for Internal and Emergency Medicine, Aalborg University Hospital, Aalborg, Denmark.; Clinical Nursing Research Unit, Aalborg University Hospital, Aalborg, Denmark.; Clinic Psychiatry South, Psychiatry, Aalborg University Hospital, Aalborg, Denmark.; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Jørgensen R; Unit for Psychiatric Research, Psychiatry, Aalborg University Hospital, Aalborg, Denmark.
Buus N; Relationships Australia NSW, Macquarie Park, New South Wales, Australia.; Faculty of Health, Department of Regional Health Research, University of Southern Denmark, Syddanmark, Denmark.; Faculty of Medicine and Health, Sydney Nursing School, University of Sydney, Sydney, New South Wales, Australia.
Lauritsen MB; Psychiatry, Aalborg University Hospital, Aalborg, Denmark.; Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Aagaard J; Risskov, Denmark.
Nordgaard J; Mental Health Center Amager, Copenhagen, Denmark.; University of Copenhagen, Copenhagen, Denmark.
McCloughen A; Faculty of Medicine and Health, University of Sydney, Sydney, New South Wales, Australia.
Źródło:: International journal of mental health nursing [Int J Ment Health Nurs] 2021 Dec; Vol. 30 (6), pp. 1575-1587. Date of Electronic Publication: 2021 Jul 14.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Publication: Carlton, Vic. : Wiley-Blackwell : Blackwell Pub.
Original Publication: Carlton, Vic. : Blackwell Pub., c2002-
MeSH Terms:: Schizophrenia*/therapy
Self-Management*
Anthropology, Cultural ; Denmark ; Humans ; Qualitative Research ; Social Environment
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Grant Information:: North Denmark Region, Psychiatry, Research grant for nurses doing mental health care research; North Denmark Region, Health Science Research Fund; Clinic Psychiatry South, Aalborg University Hospital; Department of Clinical Medicine, Aalborg University
Contributed Indexing:: Keywords: illness behaviour; qualitative research; schizophrenia; self-management; social interaction
Entry Date(s):: Date Created: 20210715 Date Completed: 20211104 Latest Revision: 20211104
Update Code:: 20240105
DOI:: 10.1111/inm.12907
PMID:: 34263516
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The aim of this ethnographic study was to explore how a group of nine Danish people with schizophrenia managed physical health issues as they naturally occurred in everyday life. Qualitative methods were used to generate of data. Thematic analysis led to the description of two typical strategies used by participants to manage debilitating physical health issues in everyday life. Modifying everyday life to manage discomfort was a strategy employed to manage potential or actual discomfort associated with ongoing poor physical health, while retreating from everyday life to recover was a strategy used by participants who experienced recurring discrete episodes of poor physical health characterized by fast deterioration. Both management strategies were inexpedient as they failed to produce any positive progress in terms of the participants regaining health. The social context of participants' everyday life was characterized by a lack of interactions with others about their prevailing and ongoing physical health issues. Repeated use of these inexpedient strategies to manage physical health caused potential worsening rather than improvements to physical health. There is a need for future research that explores aspects of beneficial management of physical health issues among people with severe mental illness. Relevant foci of such research include enhancing self-management of physical health, active help-seeking behaviours, and opportunities to engage in interactions with others about physical health issues.
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