“Modifying” or “Retreating”- Self-management of physical health among a group of people with schizophrenia. An ethnographic study from Denmark
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“Modifying” or “Retreating”- Self-management of physical health among a group of people with schizophrenia. An ethnographic study from Denmark. / Lerbæk, Birgitte; Jørgensen, Rikke; Buus, Niels; Lauritsen, Marlene Briciet; Aagaard, Jørgen; Nordgaard, Julie; McCloughen, Andrea.
I: International Journal of Mental Health Nursing, Bind 30, Nr. 6, 2021, s. 1575-1587.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
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TY - JOUR
T1 - “Modifying” or “Retreating”- Self-management of physical health among a group of people with schizophrenia. An ethnographic study from Denmark
AU - Lerbæk, Birgitte
AU - Jørgensen, Rikke
AU - Buus, Niels
AU - Lauritsen, Marlene Briciet
AU - Aagaard, Jørgen
AU - Nordgaard, Julie
AU - McCloughen, Andrea
N1 - Funding Information: Clinic Psychiatry South, Aalborg University Hospital. North Denmark Region, Psychiatry, Research grant for nurses doing mental healthcare research. North Denmark Region, Health Science Research Fund. Department of Clinical Medicine, Aalborg University. Publisher Copyright: © 2021 John Wiley & Sons Australia, Ltd
PY - 2021
Y1 - 2021
N2 - 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.
AB - 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.
KW - illness behaviour
KW - qualitative research
KW - schizophrenia
KW - self-management
KW - social interaction
U2 - 10.1111/inm.12907
DO - 10.1111/inm.12907
M3 - Journal article
C2 - 34263516
AN - SCOPUS:85118491959
VL - 30
SP - 1575
EP - 1587
JO - International Journal of Mental Health Nursing
JF - International Journal of Mental Health Nursing
SN - 1445-8330
IS - 6
ER -
ID: 301821683