Descriptions of Barriers to Self-Care by Persons with Comorbid Chronic Diseases

Abstract

Persons with comorbid chronic diseases experience a wide range of barriers to self-care, including several that are specifically related to having multiple medical conditions. Self-management interventions may need to address interactions between chronic conditions as well as skills necessary to care for individual diseases.

Patient Priorities in Osteoarthritis and Comorbid Conditions: A Secondary Analysis of Qualitative Data

“…Our findings show some support for this, particularly where illness burden and time constraints combine and may result in reduced self-management activity for backgrounded conditions. Accordingly, we support the findings from research illustrating that multimorbidity patients desire a single care coordinator to help navigate their complex care arrangements and make sense of shifting priorities (41) and self-management activity, as well as suggest support directed towards resolving and troubleshooting perceived barriers to self-management (14). Overall, it is important for clinicians to be aware of the dynamic nature of OA itself and its interplay with comorbidities.…”

“…As a result, the majority of strategies and guidelines for chronic conditions, such as OA, are disease specific (11). Thus, a disparity exists between care delivery and patient need (12), which can lead to challenges in managing polypharmacy (13,14), barriers to self-care (15), and difficulties coordinating health care (16). Clinicians also report difficulties in delivering care for patients with comorbidities in the context of current arrangements, with pressures on time and other resources forcing them to adopt decisionmaking heuristics that may not be optimal (17,18).…”

rôle du soutien social dans la capacité d'autonomisation des femmes âgées de 55 ans et plus atteintes de multimorbidité /

“…Les personnes atteintes de plusieurs problèmes de santé rencontrent également de nombreuses barrières aux autosoins, dont certaines sont propres à leur condition spécifique, par exemple, l'aggravation des symptômes d'une maladie causée par le traitement d'une autre (Bayliss et al, 2003). En matière de traitement médical, une mauvaise coordination des services cliniques expose davantage les personnes souffrant de plusieurs maladies chroniques à des omissions ou à des commissions d'erreurs (Wolff et al, 2002).…”

“…En matière de traitement médical, une mauvaise coordination des services cliniques expose davantage les personnes souffrant de plusieurs maladies chroniques à des omissions ou à des commissions d'erreurs (Wolff et al, 2002). C'est pourquoi les experts estiment que les interventions adaptées pour les patients atteints d'une seule maladie chronique ne sont pas appropriées pour ceux qui souffrent de plusieurs maladies chroniques concomitantes (Bayliss et al, 2003).…”

Weight Management and Hypertension Services in a Rural Public Health Clinic

“…In addition, a study of a rural sample of 48 adults with at least one chronic disease found that following a 6-week program, patients were able to improve their ability to self manage their symptoms and disease [10]. In contrast, Bayliss et al [13] investigated barriers to self-care and reported that over 90% of respondents indicated their physical limitations due to the chronic condition, and multiple chronic conditions, were barriers to exercise to improve their chronic condition.…”