Influence of self-determination processes in the self-care of people with chronic diseases: Integrative review

Abstract

Objective: to identify the influence of self-determination processes on adherence to self-care by people with chronic diseases. Method: integrative literature review in PUBMED, LILACS/BDENF, WEB OF SCIENCE, MEDLINE, CINAHL, SCOPUS databases. They only included articles published from January/2018 to April/2022, in Portuguese, English or Spanish. The extraction of data from each article was tabulated in a Google Sheets spreadsheet, containing title, author, year, country of the research, methodology informed by the author, number of participants and objectives. Results: 542 studies were identified, which after selection criteria left 08 studies for final analysis. After full reading, two categories emerged: Direct interventions that influence self-determination and self-care for CNCD; Biopsychosocial/determining aspects influence self-determination and self-care for NCDs. Conclusion: Self-care can be influenced by approaches and strategies adopted by health professionals, associating self-determination with self-care, obtaining better acceptance of the chronic health condition.