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Search Results: 1 - 10 of 25803 matches for " self-care "
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Self-Care Practice of Patients with Mechanical Heart Valve Prosthesis Accompanied in Nursing Consultation  [PDF]
Lidia Stella Teixeira de Meneses, Francisca Elisangela Teixeira Lima, Sherida Karanini Paz de Oliveira, Francisca Jane Gomes Oliveira, Maira di Ciero Miranda Vieira, Paulo Cesar Almeida, Viviane Martins da Silva
Health (Health) , 2015, DOI: 10.4236/health.2015.710153
Abstract: The objective was to evaluate the practice of self-care of patients with mechanical heart valve prosthesis. A descriptive, cross-sectional study developed in two outpatient valvopathies of teaching hospitals of Fortaleza/CE, from October 2013 to January 2014. The sample consisted of 127 patients with mechanical heart valve prosthesis. It was held an interview using instrument based on the Theory of Orem’s Self-Care and Brazilian Guidelines for Valvular Heart Diseases. The data were presented in tables and charts. Results: Universal self-care practices of larger adhesion: body hygiene (97.6% washed-haired, daily-bath 92.1%); oral hygiene (brushing teeth before sleeping, 87.4%); fluid intake (drinking-water 95.2%); food intake (salt intake ≤ 2 g/day, 92.1%, fruit and vegetable consumption 79.5%); intestinal eliminations (without blood or mucus—96%, non-parasitic 94.4%); urinary elimination (no blood nor pus-96.8%, urination 4 to 6 times a day, 96%). As self-care developmental requirements predominated: never used illegal drugs, tobacco, alcohol, or stopped at the discovery of the disease (70%). As self-care health deviation requirements we have: making use of certain medication at the right dose (95.2%); attending medical appointments (cardiologist—92.1%; nursing—84.2%); INR control (identifies signs of bleeding— 85.8%). We conclude that patients did not perform all recommended self-care practices, being necessary to establish strategies to reduce the self-care deficit.
The Effect of Self-Care Education through Social Networks on the Patients’ Quality of Life with Type 1 Diabetes in Sanandaj City, Iran  [PDF]
Hamzeh Mohammadi, Sina Valiee, Bijan Nouri, Arezoo Fallahi, Kambiz Zehni
Creative Education (CE) , 2018, DOI: 10.4236/ce.2018.92022
Abstract: Introduction and Objective: The increasing advances in technology and development of the Internet and telecommunications have provided great opportunities for the healthcare and distance education. The present study aimed to examine the impact of distance education (through virtual social networks) on the quality of life in type-1 diabetic patients referring to the diabetes clinic of Tohid Hospital in Sanandaj. Materials and Methods: The present study was a clinical trial with a registration number of IRCT2017 092336362N1. In the spring of 2017, 80 patients were selected from type-1 diabetic patients, who referred to diabetes clinic of Tohid Hospital in Sanandaj, and they were randomly put into 35-patient experimental group, and the 45-patient control group. The quality of life questionnaire and the subjects’ demographic characteristics were collected before the research. In the studied group, training was completed for two months by creating a telegram channel. After two months, the questionnaires were re-completed in both groups. Results: Both intervention and control groups were similar in terms of numerical demographic variables such as age and educational status, and also in terms of variables such as the gender, marital status, family history, insurance, weight and height. Before the research, the mean score of quality of life in the intervention group was equal to 40.82, but it was 43.34 after the research. Despite the fact that this value was not statistically significant (p = 0.0638), the mean score of their quality of life increased. In the control group, there was not any significant difference between the quality of life scores before and after the intervention (p = 0.6147).
The effect of self - care educational program on decreasing the problems and improving the quality of life of dialysis patients
Baraz Sh,Mohammadi E,Broumand B
Hayat Journal of Faculty of Nursing & Midwifery , 2005,
Abstract: Introduction: In patients who have a chronic disease such as end stage renal disease for which cure is not a realistic goal, maximizing functioning and well-being should be a primary objective of care. However, functioning status in the dialysis patients is often lower than normal. Materials and Methods: This study is aiming to determine the effect of self–care educational programs on decreasing problems and improving quality of life of dialysis patients. This study was a quasi-experimental research in one group (pretest-posttest) accomplished in the educational hospitals of Iran and Tehran medical sciences universities from 2003 to 2004. A total of 32 patients were chosen on the basis of a non-randomized sampling. Each patient was assessed in two sessions before starting the dialysis treatment by questionnaires about educational requirements and quality of life and a checklist of common problems in dialysis patients. In order to validate the results, the laboratory variables were analyzed as a two months average prior to the education. The authors designed an educational program on the basis of existing problems and then determined the characteristics of each person under study and the required education was presented in two sessions. After the educational period was ended, the laboratory variables (average two months) and quality of life two months after education were analyzed and also the checklist were studied in two stages with a time interval of two weeks (third and fifth weeks). Results: There was a significant decrease in serum urea, uric acid, serum creatinine, K, weight gain, systolic blood pressure, edema, skin itching and local vascular problems. Also, there was a significant improvement in the patients’ quality of life. Conclusion: Self-care educational programs have a positive influence on decreasing the problems and improving the quality of life of dialysis patients.
The Effect of Anemia on Quality of Life and Self-Care Agency in Turkey Hemodialysis Patients  [PDF]
Besey ?ren, Neriman Zengin
Open Journal of Nursing (OJN) , 2016, DOI: 10.4236/ojn.2016.66046
Abstract: Objective: Anemia is an important complication which affects quality of life and self-care agency in hemodialysis patients. The aim of this study was to determine the effects of anemia on quality of life and self-care agency in adult patients who receive chronic hemodialysis treatment. Methods: In this cross-sectional study, the Quality of Life Scale, the Self Care Agency Scale, and a data form were administered to 136 hemodialysis patients who were receiving treatment three hospital-based dialysis units in Istanbul. Results: The health perception of cases whose hemoglobin level was 12 mg/dl and above was significantly better than those whose hemoglobin level was lower than 12 mg/dl. Hemoglobin levels were significantly and positively correlated to physical role function, general health, and health from the previous year (p < 0.05). As the hemoglobin levels of the cases increased, quality of life pertaining to the mentioned domains increased. Conclusion: It was concluded that the quality of life in chronic dialysis patients was affected by anemia.
Clinical critics in the management of diabetes mellitus  [PDF]
Syed Wasif Gillani, Syed Azhar Syed Sulaiman, Shameni Sundram, Suzana Christopher Victor, Abdul Hakim Abdullah
Health (Health) , 2012, DOI: 10.4236/health.2012.48085
Abstract: There is a global epidemic of diabetes with its prevalence expected to increase from 5.1% in 2003 to 6.3% in 2025. This increase in diabetes is occurring in all nations, however, developing nations are particularly at risk. It spares no group and affects men, women, the elderly, young and people from very racial and socio-economic background. Nevertheless, certain ethnic groups including Asians are affected more than Caucasians. Large randomized clinical trials have shown that improvement in glycaemic control, together with management of diabetes-related risk factors like blood pressure and lipid control significantly reduce the micro and macro complications in individuals with type 1 and type 2 diabetes. Patient education plays a crucial role in the prevention of diabetic fool problems. In Geneva, the rate of lower limb amputations was reduced by almost 75% after an educational intervention. People with diabetes must acquire the knowledge and skills through education to provide daily self-care in diabetes management which involves maintenance of healthy living, recognition and management of diabetes problems when they arise and taking preventive measures. Some factors include patients’ biomedical variables, the psychosocial environment, the knowledge, attitudes and beliefs of patients themselves, home careers and health care providers, healthcare systems’ accessibility and availability and even the national political context may influence these self-care behaviors.
Impact of Asthma Educational Intervention on Self-Care Management of Bronchial Asthma among Adult Asthmatics  [PDF]
Varalakshmi Manchana, Rajinder Kaur Mahal
Open Journal of Nursing (OJN) , 2014, DOI: 10.4236/ojn.2014.411080
Abstract: Asthma is one of the most common chronic diseases worldwide [1]. Despite advancement in science and technology and pharmacological revolutions, worldwide asthma prevalence is uncontrolled, morbidity and mortality from asthma. The most common reasons are non adherence to treatment, poor knowledge and skills in disease management [2]. Aim: The study aims to assess the impact of Asthma Education on self care management among Bronchial asthma patients. Objectives: 1) to assess the knowledge on self care management of Bronchial asthma; 2) to develop and administer the Asthma educational intervention on self care management of asthma; 3) to evaluate the impact of Asthma educational intervention on patient knowledge levels in comparison of pre and post test scores. Design: Quasi experimental Pre test-post test design was chosen. Methods: Study was done to assess the effectiveness of structured asthma education program on self care management of Bronchial asthma. Thirty patients, meeting the inclusive criteria, were selected by simple random sampling, and were tested for their knowledge levels on identification of asthma triggers, and warning signs, adherence to specified drugs, diet and breathing exercises. Based on the patient needs, structured education program was developed, validated and administered. Two weeks after administering structured asthma education, post-test was conducted. The Pre-test and Post-test scores were compared to evaluate the effectiveness of the Asthma education. Results: There was significant enhancement on knowledge levels on four areas of assessment and education. After asthma education the knowledge levels on disease process raised from minimum of 10% in the pre test to 77.50% in the post test. The knowledge scores on asthma triggers and warning signs enhanced 12% to 72%. The area of self monitoring and management records a rise in knowledge levels from 20% minimum scoring in pre test to 82.5% in the post test. The scores in diet, breathing exercises and adherence to drugs rose from 12.5% to 72.5% after asthma education. Conclusion: The findings reveal that educating patients remarkably increased their knowledge levels, which facilitate their behavioral modification thus enhances their self-care. Effective self care management at home level decreases asthma related morbidity and frequent visit to hospitals.
Effect of Activities of Daily Living on Self-Care Agency in Individuals with Type 2 Diabetes  [PDF]
Neslihan Istek, Papatya Karakurt
Journal of Diabetes Mellitus (JDM) , 2016, DOI: 10.4236/jdm.2016.64026
Abstract: Diabetes mellitus continues to be a global health problem with increasing importance across the world by affecting the activities of daily living and self-care ability of patients due to its incidence and troubles caused by it. The present study aims at determining the effect of activities of daily living of patients with type 2 diabetes mellitus on their self-care agency. Methods: The population of this descriptive study consisted of patients with type 2 diabetes mellitus who were being treated at the internal medicine clinic of a provincial state hospital between July 2014 and November 2015 and its sample consisted of 150 diabetic patients who volunteered to take part in the study and who were open to communication. A personal information form, the Activities of Daily Living (ADL) Scale, the Instrumental Activities of Daily Living (IADL) Scale and the Self-Care Ability Scale (CAS) were used as data collecting tools. The data were analyzed using descriptive statistics (numbers, percentages, mean, standard deviation, mean rank and frequencies), the Shapiro-Wilk, Kruskal-Wallis Variance Analysis, Mann-Whitney U test and Cronbach’s alpha formula and correlation analysis. Results: Approximately 97.3% of the patients with type 2 diabetes stated that they were independent in ADL and 75.3% of them in IADL. The patients’ mean self-care ability score was found to be 83.85 ± 17.87 ADL and IADL were found to be affected by age, marital status, education, duration of disease, willingness to receive further education, and presence of another disease besides diabetes. There was a significant correlation between the self-care agency score and marital status, education, duration of disease, willingness to receive further education, presence of another disease besides diabetes, regular checking of blood sugar and compliance with diet. A significant positive correlation was found between the patients’ activities of daily living and their self-care agency. Conclusion: The patients’ activities of daily living were found to affect their self-care agency. The personal and disease-related characteristics of patients should be identified so that their self-care behaviors can be increased.
Divergências e convergências entre um modelo de assistência de enfermagem a pacientes diabéticos e a teoria do déficit de autocuidado de OREM
Peixoto, Marisa Ribeiro Bastos;
Revista da Escola de Enfermagem da USP , 1996, DOI: 10.1590/S0080-62341996000100001
Abstract: the divergences and convergences between the nursing assistance model for diabetic patients and the orem's self-care deficit theory are presented. the model studied may be considered an educational program for diabetic patients, differing on the conceptual aspects of orem's theory.
Reflexiones del estilo de vida y vigencia del autocuidado en la atención primaria de salud
Rojas Teja,Jorge; Zubizarreta Estéve,Magdalena;
Revista Cubana de Enfermer?-a , 2007,
Abstract: the caring process is the result of the construction characteristic of each situation originated by the identification of the health problems and the real or potential needs of the person, family, or community demanding care. this construction is the product of the relation between those offering care and those demanding it. it may generate autonomy or dependence as a consequence of the activities assumed by the patient. our goal is to analyze the reflections derived from the nurse's thinking, its validity, relation of life style and the self-care of the person, the family, and the community, described as a transcultural essential component at the primary health care level in cuba . it is here, where we find the proper setting to assess the areas that should be examined by nurses to plan care, considering elements such as nutrition regime, toxic habits, religious beliefs, customs, cultural practices and values, stress, sexual behavior, human relations, and sense of life. a descriptive and informative work was done on the transcultural lifestyle, by making a bibliographical review and taking sides, according to the professional experience and the characteristics of our unique health system. based on orem and leininger 's theories, it was possible to achieve a behaviour pattern in the nursing acting mode to give an updated holistic, established, responsible, coherent self-care, culturally adjusted to the personal needs, values, beliefs, and life styles.
A teoria do déficit de autocuidado de Orem aplicada em hipertensas
Cade, Nágela Valad?o;
Revista Latino-Americana de Enfermagem , 2001, DOI: 10.1590/S0104-11692001000300007
Abstract: a study carried out with the objective of evaluating orem's nursing self-care theory (tdac) in women with hypertension. four hypertensive women in an outpatient clinic were interviewed using a form with open and mulitple-choice questions on conditioning factors and self-care requirements. the data were analyzed according to the tdac theoretical framework. based on the self-care requirements for hypertensive people, the existence or non-existence of adjustment between self-care capacity and self-care need as well as the inhibitors and enhancers of such adjustment were identified. it was concluded that tdac allowed to identify important aspects related to hypertensive people which must be dealth with by nurses.
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