THE ROLE OF NURSES IN IMPROVING SELF-MANAGEMENT AMONG PATIENTS WITH CHRONIC CONDITIONS: A LITERATURE REVIEW
DOI:
https://doi.org/10.5281/zenodo.22715420Keywords:
nurses, self-management, chronic diseases, patient education, care coordination, literature reviewAbstract
Chronic conditions require ongoing self-management by patients. Nurses are in a strategic position to enhance self-management capacity through structured, evidence-based interventions. The aim of this study was to examine the role of nurses in enhancing self-management among patients with chronic conditions through a literature review. The method used was a literature review. The results of the study indicate that two main dimensions of the nurse’s role were identified: (1) as an educator and facilitator of behavioural change through personalised education, motivational interviewing, goal-setting and action planning; (2) as a coordinator and monitor of continuous care through transitional care, clinical monitoring, referral coordination, medication reconciliation and individualised care plans. Nursing interventions significantly improved self-efficacy, medication adherence, clinical control and quality of life, whilst reducing readmissions and A&E visits. In conclusion, nurses play a critical dual role in enhancing the self-management of patients with chronic conditions. Comprehensive, evidence-based nursing interventions yield better clinical outcomes. Investment is required in nursing education, standard protocols and policy reform to optimise this contribution.
Downloads
References
Adzitey, S. P., Akimanimpaye, F., & Crowley, T. (2026). Effectiveness of nurse-led hypertension self-management interventions: A mixed-methods systematic review and meta-analysis. International Journal of Nursing Sciences, 13(2), 217–225. https://doi.org/10.1016/j.ijnss.2026.02.016
Beaglehole, R., Epping-Jordan, J., Patel, V., Chopra, M., Ebrahim, S., Kidd, M., & Haines, A. (2008). Improving the prevention and management of chronic disease in low-income and middle-income countries: A priority for primary health care. The Lancet, 372(9642), 940–949. https://doi.org/10.1016/S0140-6736(08)61404-X
Eliyah, E., & Aslan, A. (2025). STAKE’S EVALUATION MODEL: METODE PENELITIAN. Prosiding Seminar Nasional Indonesia, 3(2), Article 2.
Keşer, E., Atik, D., & Özcan Yüce, U. (2026). Effect of Modular Training on Self-Management, Disease, and Treatment Adaptation in Individuals With Hypertension: A Randomized Controlled Trial. The Journal of Clinical Hypertension, 28(3), e70238. https://doi.org/10.1111/jch.70238
Khalid Abdullah Almutairi, A. M. A., & Almaha Humaidi Alhubayshi, A. K. A. A. (2024). The Role Of Nurse-Led Interventions In Managing Chronic Diseases: A Systematic Review. The Review of Diabetic Studies, 116–128. https://doi.org/10.70082/8nnysv60
Lorig, K. R., & Holman, H. R. (2003). Self-management education: History, definition, outcomes, and mechanisms. Annals of Behavioral Medicine, 26(1), 1–7. https://doi.org/10.1207/S15324796ABM2601_01
Nugraha, B. A. (2018). KELELAHAN PADA PASIEN DENGAN PENYAKIT KRONIS. Prosiding Seminar Nasional dan Penelitian Kesehatan 2018, 1(1). https://ejurnal.universitas-bth.ac.id/index.php/P3M_PSNDPK/article/view/336
Reynolds, R., Dennis, S., Hasan, I., Slewa, J., Chen, W., Tian, D., Bobba, S., & Zwar, N. (2018). A systematic review of chronic disease management interventions in primary care. BMC Family Practice, 19(1), 11. https://doi.org/10.1186/s12875-017-0692-3
Sun, J., Fan, Z., Kou, M., Wang, X., Yue, Z., & Zhang, M. (2025). Impact of nurse-led self-management education on type 2 diabetes: A meta-analysis. Frontiers in Public Health, 13. https://doi.org/10.3389/fpubh.2025.1622988
Zed, M. (2008). Metode Penelitian Kepustakaan. Yayasan Pustaka Obor Indonesia.
Zhang, N., Li, Q., Chen, S., Wu, Y., Xin, B., Wan, Q., Shi, P., He, Y., Yang, S., & Jiang, W. (2024). Effectiveness of nurse-led electronic health interventions on illness management in patients with chronic heart failure: A systematic review and meta-analysis. International Journal of Nursing Studies, 150, 104630. https://doi.org/10.1016/j.ijnurstu.2023.104630
