Self-management experiences in patients with Severe Mental Illness:a Meta-synthesis
Objective:To systematically evaluate qualitative research on self-management experiences of patients with Severe Mental Illness(SMI),and to understand the obstacles and promoting factors in the process of self-management,as well as unmet needs.To provide a basis for health care workers to develop interventions to improve physical outcomes in SMI patients.Methods:Computer search of domestic and foreign databases established the database until October 30,2023.Results:A total of 16 literature were included,57 research results were extracted and summarized into 13 new categories,forming 4 integrated results:patients with SMI face heavy symptom burden,and self-management is difficult;explore individualized strategies and actively seek change;self-management is inseparable from external support;patients'needs are not fully met.Conclusion:Patients usually lack effective strategies in face of the symptoms.In this process,medical staff need to provide various supports,including education and training of coping skills,setting up a peer support platform,and promoting doctor-patient joint decision-making,so as to enhance their self-management ability and improve their health outcomes.
Severe Mental Illnessself-managementqualitative researchmental careMeta-synthesis