Self-Management Support Needs of Patients with Chronic Diseases in a South African Township: A Qualitative Study |
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| Authors: | Loveness Dube Kirstie Rendall-Mkosi Stephan Van den Broucke Anne-Marie Bergh Nokuthula G. Mafutha |
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| Affiliation: | 1. Psychological Sciences Research Institute, Catholic University of Louvain, Louvain-la-Neuve, Belgium;2. Institute of Health and Society, Catholic University of Louvain, Brussels, Belgium;3. School of Health Systems and Public Health, University of Pretoria, South Africa;4. South African Medical Research Council Unit for Maternal and Infant Health Care Strategies, University of Pretoria, South Africa;5. Department of Nursing Education, University of the Witwatersrand, Johannesburg, South Africa. |
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| Abstract: | Despite the need for chronic disease self-management strategies in developing countries, few studies have aimed to contextually adapt programs; yet culture has a direct impact on the way people view themselves and their environment. This study aimed to explore the knowledge, attitudes, and self-management needs and practices of patients with chronic diseases. Four patient focus groups (n = 32), 2 patient interviews, group observations, and key informant interviews (n = 12) were conducted. Five themes emerged: health-system and service-provision challenges, healthcare provider attitudes and behavior, adherence challenges related to medication and lifestyle changes, patients’ personal and clinic experiences and self-management tool preferences. The findings provide a window of opportunity for the development of contextually adapted self-management programs for community health nursing in developing countries. |
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| Keywords: | Chronic diseases self-management support patient needs and challenges community health nursing South Africa |
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