Changes in self-management skills during inpatient treatment in an internal-naturopathic clinic: A pilot study

The treatment of our chronically ill patients aims at the reduction of symptoms and the increase of their quality of life. Another major goal can be described as initiating sustainable lifestyle modifications utilizing the patient's salutogenetic resources. This paper investigates the influence of a 2-week inpatient treatment on the development of health-related resources and self-management skills with particular attention to gender differences.

Methods

As part of a longitudinal prospective cohort study 116 patients were given the FERUS questionnaire (Fragebogen zur Erfassung von Ressourcen und Selbstmanagementfähigkeiten) prior and after their 2-week inpatient treatment. FERUS measures the motivation to change behaviour, coping, self-observation, self-efficacy, self-verbalisation, hope, and social support.

Results

Pre- and post-treatment data of 73 patients, 55 women and 18 men were included. The average age of respondents was 51.5±13.5 years. With the exception of the motivation to change behaviour of the patients, all other parameters measured showed significant improvements in all measured dimensions. Increases in self-efficacy and hope were larger in women than in men.

Discussion

During their inpatient treatment most of patients’ self-management skills improved significantly. It is currently being investigated whether this effect is influenced through participation in an outpatient program. Gender-specific aspects of the program are investigated as well.

Conclusion for practice

A resource-oriented approach to the treatment of chronic disease can improve patients’ self-management skills. Further research in the context of integrative treatments is warranted.