Self-management of patients with chronic diseases during COVID 1: a narrative review


chronic diseases


Introduction: The present study COVID-19 is a review to investigate the chronic patient self-management challenges during the corona epidemic, and providing solutions to solve this problem.

Methods:  in this review in 2020, the relevant literature on chronic patient self-management is investigated during the corona epidemic (from March 2019 to Jan 2021). Databases including Google Scholar, PubMed, Science Direct, Springer were used to search articles from the Latin articles. Also, keywords in this study included self-management, chronic disease, COVID19. Finally, 26 relevant articles were used in this study.

Results:  the articles used in this study have been classified into three groups including self-management importance in chronic diseases (8 articles), self-management challenges during the corona epidemics (10 articles), and the role of the health team in patients' self-management during the corona epidemics (8 articles).

Conclusion: the main challenges for chronic patients during the corona epidemic include decreased healthcare service and regular follow-ups because of physical restrictions; economic problems, change in lifestyle, and lack of rapid compliance with the changes. In this regard, the health team should provide the best healthcare services using the available resources to reduce suffer and pain of the patients.


1. Wu, Yi-Chi, Ching-Sung Chen, and Yu-Jiun Chan. "The outbreak of COVID-19: An overview." Journal of the Chinese Medical Association 83.3 (2020): 217.‏
2. De Hert, M., Mazereel, V., Detraux, J., & Van Assche, K. (2021). Prioritizing COVID‐19 vaccination for people with severe mental illness. World Psychiatry, 20(1), 54.
3. Tan, Siok Swan, et al. "Evaluation design of EFFICHRONIC: the chronic disease self-management programme (CDSMP) intervention for citizens with a low socioeconomic position." International journal of environmental research and public health 16.11 (2019): 1883.‏
4. Brigo, Francesco, et al. "Telemedicine and the challenge of epilepsy management at the time of COVID-19 pandemic." Epilepsy & Behavior 110 (2020): 107164.‏
5. Hartmann-Boyce, Jamie, et al. "Diabetes and COVID-19: risks, management, and learnings from other national disasters." Diabetes care 43.8 (2020): 1695-1703.‏
6. Grabowski, D., Overgaard, M., Meldgaard, J., Johansen, L. B., & Willaing, I. (2021). Disrupted Self-Management and Adaption to New Diabetes Routines: A Qualitative Study of How People with Diabetes Managed Their Illness during the COVID-19 Lockdown. Diabetology, 2(1), 1-15.‏
7. Huang, Sufang, et al. "Implications for online management: Two cases with COVID-19." Telemedicine and e-Health 26.4 (2020): 487-494.‏
8. Karasavvidis, Theofilos, et al. "Home-based management of knee osteoarthritis during COVID-19 pandemic: literature review and evidence-based recommendations." Journal of Experimental Orthopaedics 7.1 (2020): 1-7.‏
9. Liu, Qian, et al. "The experiences of health-care providers during the COVID-19 crisis in China: a qualitative study." The Lancet Global Health (2020).‏
10. Meza, O., Pérez-Chiqués, E., Campos, S. A., & Varela Castro, S. (2021). Against the COVID-19 Pandemic: Analyzing Role Changes of Healthcare Street-Level Bureaucrats in Mexico. Journal of Comparative Policy Analysis: Research and Practice, 1-11.‏
11. Sherifali, D., Berard, L. D., Gucciardi, E., MacDonald, B., & MacNeill, G. (2018). Self-management education and support. Canadian journal of diabetes, 42, S36-S41.‏
12. Allegrante, J. P., Wells, M. T., & Peterson, J. C. (2019). Interventions to support behavioral self-management of chronic diseases. Annual review of public health, 40, 127-146
13. Banerjee, M., Chakraborty, S., & Pal, R. (2020). Diabetes self-management amid COVID-19 pandemic. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(4), 351-354.‏
14. Paschos, K. (2020). The management of chronic diseases is a major challenge for modern health systems: an integration of concepts and strategies concerning patients, doctors and health care. Scientific Chronicles, 25(1), 38-53.‏
15. Elbeddini, Ali, and Yasamin Tayefehchamani. "Amid COVID-19 pandemic: Challenges with access to care for COPD patients." Research in Social and Administrative Pharmacy (2020).‏
16. Kelly, Carol, et al. "Self‐management for bronchiectasis." Cochrane Database of Systematic Reviews 2 (2018).‏
17. Lozano, Paula, and Amy Houtrow. "Supporting self-management in children and adolescents with complex chronic conditions." Pediatrics 141.Supplement 3 (2018): S233-S241.‏
18. Panagioti, Maria, et al. "Self-management support interventions to reduce health care utilisation without compromising outcomes: a systematic review and meta-analysis." BMC health services research 14.1 (2014): 356.‏
19. Van de Velde, Dominique, et al. "Delineating the concept of self-management in chronic conditions: a concept analysis." BMJ open 9.7 (2019): e027775.‏
20. Wainwright, Tom, and Matthew Low. "Beyond Acute Care: Why collaborative self-management should be an essential part of rehabilitation pathways for COVID-19 patients." Journal of Rehabilitation Medicine 52 (2020).‏
21. Ghosh, Amerta, Ritesh Gupta, and Anoop Misra. "Telemedicine for diabetes care in India during COVID19 pandemic and national lockdown period: guidelines for physicians." Diabetes & Metabolic Syndrome: Clinical Research & Reviews (2020).‏
22. Izzedine, Hassan, Kenar D. Jhaveri, and Mark A. Perazella. "COVID-19 therapeutic options for patients with kidney disease." Kidney International 97.6 (2020): 1297-1298.‏
23. Plevinsky, Jill M., et al. "The Impact of COVID-19 on Pediatric Adherence and Self-Management." Journal of pediatric psychology 45.9 (2020): 977-982.‏
24. Leonardi, Mathew, et al. "Self-management strategies to consider to combat endometriosis symptoms during the COVID-19 pandemic." Human Reproduction Open 2020.2 (2020): hoaa028.‏
25. Kaye, Leanne, et al. "Changes in medication adherence among patients with asthma and COPD during the COVID-19 pandemic." The Journal of Allergy and Clinical Immunology: In Practice 8.7 (2020): 2384-2385.‏
26. Chang, Andrew Y., et al. "The impact of novel coronavirus COVID‐19 on noncommunicable disease patients and health systems: a review." Journal of internal medicine (2020).‏
27. Goodsall, Thomas M., Sangwoo Han, and Robert V. Bryant. "Understanding attitudes, concerns and health behaviours of patients with inflammatory bowel disease during the COVID-19 pandemic." Journal of Gastroenterology and Hepatology (2020).‏
28. Shimada, Noriaki, et al. "Novel coronavirus disease in patients with end‐stage kidney disease." Therapeutic Apheresis and Dialysis (2020).‏
29. Korytkowski, Mary, et al. "A Pragmatic Approach to Inpatient Diabetes Management during the COVID-19 Pandemic." The Journal of Clinical Endocrinology & Metabolism (2020).‏
30. Arlt, Wiebke, et al. "Endocrinology in the time of COVID-19: Management of adrenal insufficiency." European Journal of Endocrinology 183.1 (2020): G25-G32.‏
31. Xu, Hui, et al. "Monitoring and Management of Home-Quarantined Patients with COVID-19 using a WeChat-based telemedicine system: retrospective cohort study." Journal of medical Internet research 22.7 (2020): e19514.‏
32. Bajwah, Sabrina, et al. "Managing the supportive care needs of those affected by COVID-19." (2020).‏
33. Garg, Satish K., et al. "Managing new-onset type 1 diabetes during the COVID-19 pandemic: challenges and opportunities." Diabetes Technology & Therapeutics (2020).‏
34. Bhutani, Mohit, et al. "Addressing therapeutic questions to help Canadian health care professionals optimize COPD management for their patients during the COVID-19 pandemic." Canadian Journal of Respiratory, Critical Care, and Sleep Medicine (2020): 1-4.
35. Ballard, M., Bancroft, E., Nesbit, J., Johnson, A., Holeman, I., Foth, J. & Palazuelos, D. (2020). Prioritising the role of community health workers in the COVID-19 response. BMJ Global Health, 5(6), e002550.
36. Bhaumik, S., Moola, S., Tyagi, J., Nambiar, D., & Kakoti, M. (2020). Community health workers for pandemic response: a rapid evidence synthesis. BMJ global health, 5(6), e002769
37. Goldfarb, N., Grinstein‐Cohen, O., Shamian, J., Schwartz, D., Zilber, R., Hazan‐Hazoref, R., & Cohen, O.(2021). Nurses’ perceptions of the role of health organizations in building professional commitment: Insights from an Israeli cross‐sectional study during the COVID‐19 pandemic. Journal of nursing management.