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Search Results: 1 - 10 of 31578 matches for " Self-Management "
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Construction and Validation of Self-Management Scale for Undergraduate Students  [PDF]
Gang Xue, Xiaomin Sun
Creative Education (CE) , 2011, DOI: 10.4236/ce.2011.22020
Abstract: This study developed a scale to assess undergraduate students’ self-management ability in daily life. Forty items about self-management on time, goal, emotions and personal relationships were generated for the draft scale. Content review panel deleted seven items. In Study 1, 522 Chinese undergraduate students took the test. Exploratory factor analysis and item analysis on the first half 261 cases deleted 6 items. Confirmatory factor analysis further revised the model and resulted in a two-factor Self-Management Scale, consisting of 21 items. Cross-validation on the second half 261 cases also verified the scale’s structural validity. In Study 2, responses from 374 undergraduate students were used to examine the reliability and criterion-related validity of the scale. The internal consistency reliability of the scale was 0.86. Relationship management showed good criterion-related validity, while the validity of performance management needs further examination.
Investigation of Specifics of Self-Management towards Dealing with Cancer Pain among Adult Outpatients  [PDF]
Masako Yamanaka
Health (Health) , 2018, DOI: 10.4236/health.2018.1011116
Abstract: Purpose: This study aimed to identify specifics of self-management towards dealing with cancer pains among adult outpatients. Methods: Semi-structured interviews were conducted with 16 adult outpatients (9 males and 7 females) who suffered from cancer pain and the data obtained were analyzed using the qualitative synthesis method of KJ Ho. Results: An analysis of the results revealed these key findings for the following symbolic wording of the semi-structured interviews: Cooperative relationship with medical professionals; Problems originating from cancer pain; Self-regulation of analgesic medications based on the interactions with medical professionals; Self-regulation of the analgesic medications based on the physical perceptions of the effects; Self-regulation to maintain a balanced and calm mind, Fulfilling life by the pain alleviation and liberation from the restrictions imposed by the cancer; and Efforts to maintain their lives by themselves. Conclusion: Based on the cooperative relationship established with medical professionals, the patient carried out the self-regulation of cancer pain using analgesics, and self-regulation to maintain a balanced and calm mind. Nurses must therefore sufficiently educate patients regarding how to communicate successfully with medical professionals in order to improve cancer patients’ pain management regarding both physical and mental aspects.
A Consensus-Based Policy Framework on Pharmacist-Led Self-Management Using the Delphi Process  [PDF]
Fiona Y. Y. Wong, Frank W. K. Chan, Joyce H. S. You, Eliza L. Y. Wong, Eng-Kiong Yeoh
Journal of Service Science and Management (JSSM) , 2012, DOI: 10.4236/jssm.2012.53027
Abstract: Fragmentation of the healthcare system and lack of connectivity between in-hospital and community services, have posed an impact on management of patients with chronic conditions. As self-management is an essential component in chronic disease management model and pharmacists are underutilized in Hong Kong, this study developed a consensus-based policy framework on pharmacist-led self-management using a Delphi panel consisted of medical doctors, pharmacists, Chinese medicine practitioners and dispensers. We had studied a local population survey to understand the use of over-the-counter medication, conducted focus groups and telephone survey to explore the views of the four health professions and the general population, respectively, on pharmacist-led approach in self-management. The find- ings served as the base for developing the self-administered questionnaire in Delphi. A total of 19 experts completed the questionnaires and rated the validity and clarity of each statement in a 9-point scale. The Delphi process was completed in two rounds. Community pharmacists could only play an assisting role in patient self-management. They should focus primarily on drug-related issues and were suggested to work on lifestyle modifications collaboratively with physicians and nurses. The government has to develop supportive measures to enhance pharmacist-led patient self-management in the future.
Four-Week Self-Administered Acupressure Improves Depressive Mood  [PDF]
Yasuhiro Honda, Akira Tsuda, Satoshi Horiuchi
Psychology (PSYCH) , 2012, DOI: 10.4236/psych.2012.329121
Abstract: Acupressure is a Chinese medical technique that involves application of pressure to acupuncture points on the body. This study aimed to examine whether a four-week self-administered acupressure course could reduce depressive mood. Sixteen male and nine female college students (33.2 ± 10.0 years) who majored in acupuncture and moxibustion medicine were randomly assigned to either a self-administered acupressure group or a control group. The participants in the self-administered acupressure group were instructed to conduct five acupressure sessions three times a day (morning, midday, and night). Each session included applying pressure on three points on the left and right side of the neck for five seconds. The controls were asked to continue their daily routine. Depressive mood levels were measured at baseline, two weeks later, and following intervention. Depressive mood levels were similar between both groups at baseline. It decreased two weeks later and remained constant until the end of the intervention. Depressive mood levels were significantly lower in the self-administered acupressure group than in the control group at two weeks from baseline and after intervention. These results provide initial evidence that self-admin- istered acupressure may improve depressive mood.
An intervention to reduce psychosocial and biological indicators of stress in African American lupus patients: The balancing lupus experiences with stress strategies study  [PDF]
Edith M. Williams, Megan Penfield, Diane Kamen, James C. Oates
Open Journal of Preventive Medicine (OJPM) , 2014, DOI: 10.4236/ojpm.2014.41005
Abstract:

Objective: Very little is known about the impact of psychosocial stress on African American lupus patients. Due to the exposure of African Americans to a unique trajectory of stressors throughout life, it may be critical to understand the relationship between psychosocial stress and underlying biological mechanisms that influence disease activity and pathology in this high risk group. Methods: The Balancing Lupus Experiences with Stress Strategies (BLESS) study piloted the validated “Better Choices, Better Health” Chronic Disease Self-Management Program (CDSMP) in 30 African-American lupus patients participating in the SLE Clinic Database Project at the Medical University of South Carolina (MUSC). Measures of psychosocial and biological indicators of stress were collected in all of the patients in each of the study conditions before and after intervention activities, as well as four months’ post-intervention, to assess the effectiveness of the program in reducing perceived and biological indicators of stress. Results: Participation in the workshops had large effects upon depression (d = 1.63 and d = 1.68), social/role activities limitations (d =1.15), health distress (d = 1.13 and d = 0.78), fatigue (d = 1.03), pain (d = 0.96), and lupus self-efficacy (d = 0.85). Neither the differences in cortisol or DHEA levels pre- and post-intervention were found to be significantly different between intervention participants and controls. Conclusion: The intervention workshops acted to reduce perceived stress and improve quality of life. Our findings imply that comparable, if not more significant gains in relevant health indicators are

“I Am Getting Healthier”. Perceptions of Urban Aboriginal and Torres Strait Islander People in a Chronic Disease Self-Management and Rehabilitation Program  [PDF]
Alison Nelson, Kyly Mills, Samara Dargan, Chantel Roder
Health (Health) , 2016, DOI: 10.4236/health.2016.86057
Abstract: Chronic disease is a main contributor to the disproportionately high burden of illness experienced by Aboriginal and Torres Strait Islander Australians. However, there are very few programs addressing chronic disease self-management and rehabilitation which are designed specifically for urban Aboriginal and Torres Strait Islander people. This paper aims to explore client and staff perceptions of the Work It out Program, a chronic disease rehabilitation and self-management program designed for urban Aboriginal and Torres Strait Islander people. The study used a mixed methods approach to explore the success, barriers and self-reported outcomes of the program. Quantitative data were collected through a structured survey, comprising social and demographic data. Qualitative data were collected through interviews using Most Significant Change theory. Twenty-eight participants were recruited, 6 staff and 22 clients (M = 7, F = 21) with an age range between 21 and 79 years of age (Mean = 59.00, SD = 17.63). Interviews were completed in 2013 across four Work It out locations in Southeast Queensland. Semi-structured interviews were conducted either individually or in groups of two or three, depending on the participants’ preference. Thematic analysis of the data revealed six main themes; physical changes, lifestyle improvements, social and emotional well-being, perceptions about the successful features of the program, perceived barriers to the program and changes for the future. This exploratory study found that clients and staff involved in the Work It out Program perceived it as an effective self-management and rehabilitation program for urban Aboriginal and Torres Strait Islander Australians. Further evaluation with a larger sample size is warranted in order to establish further outcomes of the program.
The Process of How Elderly Patients with Lung Cancer Who Are Receiving Molecularly Targeted Therapy with Oral Agents Establish Self-Management  [PDF]
Akiko Fukawa
Health (Health) , 2017, DOI: 10.4236/health.2017.913131
Abstract: Purpose: In Japan, many elderly cancer patients are receiving chemotherapy using oral molecularly targeted drugs. They receive treatment in outpatient setting and have a need to self-manage at home. The purpose of this study was to clarify how elderly patients with lung cancer who are undergoing treatment with molecularly targeted drugs in outpatient setting establish self-management. Methods: The study used Kinoshita’s Modified Grounded Theory. Semi-structured interviews were conducted with 17 patients (eight males and nine females). Results: This study identified six categories: Accepting life with cancer, Maintaining activities of daily living without feeling shackled by cancer, Reconsidering how to continue being themselves in daily life until life comes to an end, Using trial and error to integrate treatment and daily living, Formulating their criteria for continuing treatment, and Obtaining help from caregivers. Conclusion: The self-management process in elderly patients consisted of maintaining treatment and integrating treatment with daily living. And they are exploring the effects of treatment and side effects in order to live their own life. Implications for Nursing: In many elderly patients with lung cancer the purpose of treatment is curative extension of survival and improved quality of life. Our findings suggest that is important we help patients to identify how patients want to live, identify ways to improve their quality of life, and share the goals of treatment between the patient and the caregiver.
Development of a Dietary Habit Self-Management Skills Scale for Post-Gastrectomy Cancer Patients in Japan  [PDF]
Miharu Ogasa
Health (Health) , 2017, DOI: 10.4236/health.2017.913128
Abstract: Purpose: The purpose of the present study was to develop a Dietary Habit Self-Management Skill (DHSMS) scale, and to test the reliability and validity of this scale. Methods: A questionnaire survey was then conducted using a 69-item DHSMS scale (second draft) for which content validity had been confirmed. The participants were post-gastrectomy cancer patients aged from 40 to under 80 years who had undergone initial gastrectomy with an interval of from 1 month since discharge to <3 years post-operative. Results: The scale is a second-order factor model with “Dietary habit self-management skills” as a higher-order factor, four factors—”Skill to form partnerships with other important people”, “Skill to prevent or cope with post-gastrectomy disorder”, “Skill to grasp issues accompanying post-gastrectomy disorder”, and “Self-efficacy”—and 27 items. The construct validity of the scale was confirmed. Cronbach’s alpha coefficient of the DHSMS scale was 0.915. The criterion- related validity of the DHSMS scale was confirmed based on the correlations between overall DHSMS scale scores and “Number of post-gastrectomy disorder symptoms experienced”, the score for the subscale “Skill to grasp issues accompanying post-gastrectomy disorder” and “Number of post-gastrectomy disorder symptoms experienced”, and the subscale “Self-efficacy” and the SF-8. Discussion: By using patients’ self-administered DHSMS scale scores, medical professionals are able to assess the level of a patient’s self-management skills and the status of their dietary habits as a result of post-gastrectomy disorder.
Primary Healthcare System of Pakistan: Challenges to Self-Management of Type 2 Diabetes  [PDF]
Rashid M. Ansari, Hassan Hosseinzadeh, Nicholas Zwar
Open Journal of Endocrine and Metabolic Diseases (OJEMD) , 2016, DOI: 10.4236/ojemd.2016.67023
Abstract: This review article is aimed at describing the primary healthcare system of Pakistan and its challenges in the face of epidemic of type 2 diabetes, focusing particularly on the middle-aged population of rural area of Pakistan. The main concern in Pakistan is that its middle-aged population is facing the onslaught of obesity and overweight due to lack of physical activity. In addition unhealthy eating habits making it more difficult for this population to control their weight. All these factors are contributing to a high risk of type 2 diabetes for the population of Pakistan. This article provides insight into the primary health care system of Pakistan and highlights its deficiencies by identifying that its primary healthcare system has a poor utilization of health care services, the poor accessibility to health system and poor management of diabetes by the healthcare system, gender disparity and inequity in the health care system. The primary objective of this study is to provide an overview of self-management of diabetes among the middle-aged population of Pakistan and to identify the overall deficiencies in the primary healthcare system, its delivery and access to the system, barriers to self-management of diabetes and quality of life in that region.
A educa??o do Movimento dos Sem-Terra: Instituto de Educa??o Josué de Castro
Dal Ri, Neusa Maria;Vieitez, Candido Giraldez;
Educa??o & Sociedade , 2004, DOI: 10.1590/S0101-73302004000400014
Abstract: the instituto de educa??o josué de castro (institute of education josué de castro), sponsored by the instituto técnico de capacita??o e pesquisa da reforma agrária (technical institute for training and research in agrarian reform) which is associated to the movimento dos sem-terra (mst - landless farm-worker movement), provides both secondary education and technical training. this paper aims at describing the features of this school and at elucidating whether its educational conception, which seems to be similar to that of the schools controlled by the mst, presents educational characteristics that may be of interest for the working classes as a whole, from a democratic and popular point of view. the investigation showed that the instituto, whose framework and organization differ from those usually found in official schools, emphasizes such educational categories as the union between teaching and work, and a management democratically shared among students, teachers and school staff.
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