A qualitative study on self-management experience among patients with chronic multimorbidity based on the COM-B model
ZHANG Huijuan
XIONG Lijuan
LI Ling
WANG Yumei
LI Xiaowan
XIAO Tian
LIU Shuoyi
Abstract：Objective To explore the real experience of self-management of patients with chronic multimorbidity,so as to provide a basis for medical staff to formulate scientific and effective intervention strategies.Methods Based on the theoretical guidance of the Capability,Opportunity,Motivation-behavior Model(COM-B model),phenomenological re-search method was used to select 14 patients with chronic multimorbidity in Union Hospital,Tongji Medical College,Hua-zhong University of Science and Technology by purposive sampling method,and Semi-structured in-depth interviews were conducted.NVivo12 Plus software and Colaizzi's seven-step analysis method were used to code and refine the interview da-ta.Results The self-management experience of patients with chronic multimorbidity could be summarized into 3 core themes(self-ability,diversity of support channels and internal and external motivation)and 9 sub-themes.Conclusion Med-ical staff should improve health literacy,integrate multi-level support resources and enhance patients'initiative,so as to promote the continuous improvement of their self-management ability.
Keywords：chronic disease multimorbidityself-managementCOM-B modelqualitative study
Publication Date：2025-12-25
Online Publishing Date：2026-01-09(First online date of this platform, not the publication date of the document)
Pages：6( 57-61,65 )