Effects Of Self-care Training Research Articles

Effectiveness of Self-Care Training on the Hope of Hemo-dialysis Patients

Background and Objective: Inadequate knowledge of self-care in hemodialysis patients deteriorates the condition of their disease and reduces their life expectancy. Therefore, this study was conducted to determine the effect of self-care program training on hope among hemodialysis patients referring to Tohid Hospital in Sanandaj, in 2021. Materials and Methods: In the present quasi-experimental study, all patients who met the inclusion criteria were selected by the census method and then placed in two intervention and control groups. A demographic form and the Herth Hope Index were recorded in both groups before and one month after the intervention. The intervention included three face-to-face educational sessions about hemodialysis, drug treatment, fluid intake, and diet, which were provided during hemodialysis. Patients in the control group received the necessary care according to routine. The data were analyzed in SPSS16 software using paired t-test, independent t-test, and Chi-square tests. Results: The findings of the study showed that the mean hope score was 17.86±2.31 in the intervention group and 17.87±1.89 in the control group before the intervention (t=-1.817, P=0.710), demonstrating that both groups had poor hope levels. However, after the intervention, the mean score of hope was obtained at 20.16±4.43 in the intervention group and 17.96±2.41 in the control group, which had a statistically significant difference (t=1.493, P<0.001). Conclusion: Self-care training leads to increased awareness and improvement of the quality of care in patients and increases their hope. Therefore, improving the level of self-care in patients should always be a part of nursing care.

The Effect of Self-care Training by Peer Group on the Resilience of Patients With Cancer: A Randomized Clinical Trial

Background: Resilience is the individual’s ability to maintain or restore mental health and physical function in the face of stressful events and adversity. However, educational interventions can enhance resilience. The present study was conducted to determine the effect of self-care education by peer groups on the resilience of patients with cancer. Methods: A Randomized Clinical Trial (RCT) was conducted on 80 patients with cancer referring to the chemotherapy center of Ayatollah Yathribi Hospital in Kashan City, Iran. The subjects were randomly assigned into the control and intervention groups (40 per group). Peer group members trained the intervention group in 4 sessions (one session per week), but the control group received routine care. The Connor-Davidson Resilience Scale (CD-RISC) was used to collect data at the beginning of the trial and then one week and three months after the intervention. Data analysis was performed using the independent t-test and repeated measures ANOVA in SPSS software, v. 16. Results: There was a significant difference between the mean score of the groups’ resilience one week after the intervention (P=0.01), but no significant difference was seen between the groups’ resilience scores three months after the study (P=0.11). However, based on the repeated measures ANOVA and the model’s results using the Huynh-Feldt correction, there was an increase in the resilience score of the intervention group over time (P=0.008). Furthermore, there was a significant difference between the two groups in terms of time*group interaction, indicating a significant difference between the two groups in terms of resilience score over time (P=0.004). Conclusion: It is suggested that this intervention be provided by the healthcare team along with routine treatments to improve the resilience and mental health of patients with cancer.

The Effect of Self-Care Training on Blood Sugar Control, HbA1C Level, and Life Quality of Diabetic Patients in Birjand, East of Iran: A Randomized Clinical Trial Study

Background As one of the most important public health problems worldwide, diabetes is closely linked with patients' lifestyles. The optimal approach to treating diabetes is to prevent it. Our aim in this study was to assess the impact of self-care behaviors on quality of life, blood sugar control, and HbA1C level in patients with type 2 diabetes. Methods This randomized clinical trial examined 100 diabetic women referred to Ghadir Comprehensive Health Center in Birjand in 2019. A 5 cc fasting blood sample was taken from each participant. The participants were randomly assigned to experimental and control groups. For the experimental group, a 10-session self-care training workshop was held. Baseline and postintervention fasting blood glucose, HbA1C level, and life quality of the two groups were assessed and compared six months after the intervention. Data were analyzed in SPSS (16). Results In the experimental group, the mean serum HbA1C level decreased from the baseline 7.5 ± 1.5 to 6.3 ± 1.0 (P < 0.001). Fasting blood sugar in the intervention group decreased from 136.3 ± 43.5 to 127.3 ± 22.9, but the reduction was not significant (P=0.322). The mean scores of the quality of life (P=0.002) and the visual analogue scale (P < 0.001P < 0.001) in the experimental group increased significantly compared to the control group. Conclusion Self-care training for diabetic women had positive effects on both life quality and disease control. Therefore, it is recommended that self-care training be delivered and taken more seriously by physicians and health care providers in addition to drug therapy.

The Effect of Self-Care Training on Cognitive Distortions in Volunteer Instructors of Sexual Education to Children

Background: Unfamiliarity with the process of self-care training and sexual education can make sexual education volunteer instructors stressful and create incorrect attitudes for them. Therefore, the objective of this study was to investigate the effectiveness of self-care training on cognitive distortions in volunteer instructors of sexual education to children. Methods: This quasi-experimental study was conducted using a pretest-posttest and control group design. The statistical population included all individuals who volunteered to take part in the courses of instructor training on sexual self-care skills and sexual education. These courses were held by the Civil Society Forum for Child Rights in 2018. Among the volunteers, 30 people were selected by purposive sampling and were randomly replaced into the interventional (15 individuals) and control (15 individuals) groups. The questionnaire of cognitive distortions was used to collect the required information and the collected data were analyzed via ANCONA by SPSS23. Results: The results showed that self-care training was effective on cognitive distortions of volunteer instructors of sexual education to children (P &lt; 0.001). In other words, this training decreased cognitive distortions of the volunteers. The effect of this training on cognitive distortion was 78%. Conclusion: According to the Results, self-care training can decrease cognitive distortions of the volunteers by employing concepts such as training technique of stopping anxieties, principles of positive and optimistic thoughts, nurturing healthy personality, and raising self-awareness. As a result, they can show higher efficiency in training sexual safety to children.

The Effect of Self-Care Training on Spirometric Indices in Patients with Chronic Obstructive Pulmonary Disease: A Clinical Trial Study

Background: Pulmonary changes and their respiratory consequences in patients with chronic obstructive pulmonary disease (COPD) could lead to many physical complications and are one of the major causes of hospitalization. Objectives: In this regard, the present study explores the efficacy of self-care training on spirometric indices of COPD patients. Methods: This clinical trial was performed on 70 patients with COPD who had been admitted in 2017 to Ali Ibn Abi Talib Hospital in Zahedan, Southeast Iran. The subjects were recruited through convenience sampling based on the inclusion criteria and were subsequently randomized to the intervention and control groups. The self-care program was administered to the intervention group during eight 30-minute sessions organized within 4 weeks. Data collection tools included a demographic questionnaire and Vitalograph Alpha Spirometer. Data were analyzed in SPSS V. 21 using chi-square, Independent t-test, and Paired t-test at the significance level of 0.05. Results: The results of 8 sessions of self-care training revealed that the mean FVC index of patients before self-care education was 43.40 ± 8.54 in the intervention group and 46.54 ± 10.73 in the control group. After the educational program, the mean score of this index changed significantly in the intervention group (48.62 ± 9.30) (P = 0.01), but no such alteration occurred in the control group (47.11 ± 10.27) (P = 0.16). Furthermore, the mean FEV1 index of the two groups differed significantly after the self-care program (P = 0.01). Conclusions: Given the impact of self-care training on improving spirometric indices in patients with COPD, it is recommended that nurses help ameliorate breathing status of these patients and relieve their symptoms by providing them with self-care instructions.

Effectiveness of self-care training on physical and mental health of patients with diabetic type 2

Effectiveness of self-care training on physical and mental health of patients with diabetic type 2

The Effectiveness of Self-Care Training on Quality of Life Among Elderlies With Diabetes

The Effectiveness of Self-Care Training on Quality of Life Among Elderlies With Diabetes

The Effects of Self-care Training on Self-perception in Diabetic Adolescents

The Effects of Self-care Training on Self-perception in Diabetic Adolescents Fatemeh Bahramnezhad1, Arezoo Fathi2, Mahmoud Shiri3 and Parvaneh Asgari4* 1Department of Critical Care Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. 2Department of Pediatric, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran. 3Department of Electronic Engineering, Islamic Azad University, Iranshahar Branch, Iranshahr, Iran. 4Department of Critical Care Nursing, Nursing and Midwifery Faculty, Arak University of Medical Sciences, Arak, Iran. Abstracts Introduction: Some of the problems that diabetic adolescents face are disturbances in mental image, difficulty in communicating with peers, and fear of dependence and lack of self-sufficiency, which cause changes in self-perception. Methods: This study was a clinical trial with a sample size of 80 patients in two groups, including a control group (n=40) and an experimental group (n=40) of adolescents between 11–19 years of age referred to the Iran Diabetes Association (Aboozar). The training content was similar in both groups. In the control group, the educational contents were presented in three sessions of four hours; in the experimental group, they were trained by a CD. Their self-perception scores were then measured by using an 80-item Piers-Harris questionnaire, before and after intervention. SPSS software version16 was used for the data analysis. Results: There were no significant differences in the self-perception of the two groups before the intervention, but there was a significant difference between the self-perception scores obtained from the Piers-Harris test in the control and experimental groups after the intervention (P=0. 000). Conclusion: The self-perception of diabetic adolescents can be increased by the use of e-learning, and subsequently their blood glucose levels can be reduced, thus reducing various complications from diabetes. Keywords : Adolescence; diabetes; e-learning; self-perception; self-care.

1853 The Effect of Self Care Training on Knowledge and Coping Strategies in 12–18 Years Diabetic Patients

IntroductionIDDM is one of the chronic illnesses in children and adolescences. The aim of this study is to evaluate the effects of self care training on knowledge and coping strategies...

국제 기능 장애 건강분류의 구성요소에 기반을 둔 자기관리 훈련이 경직성 뇌성마비 아동의 기능적 독립성에 미치는 영향

The purpose of this study was to investigate the effect of self-care training based on ICF(International Classification of functioning, Disability and Health) on functional independence in the young children with spastic cerebral palsy. Total of 43 young children(male