Level Of Self-care Behavior Research Articles

Influence of Diabetes Knowledge, Self-Stigma, and Self-Care Behavior on Quality of Life in Patients with Diabetes.

Globally, almost 9.3% of the population aged 20–80 years have been diagnosed with diabetes making diabetes management a global health problem beyond specific regions or races. This study aimed to determine the effect of diabetes knowledge, self-stigma, and self-care behavior on the quality of life of patients with diabetes. This descriptive research study evaluated 180 patients receiving diabetes treatment at the outpatient Department of Endocrinology at C University Hospital. Data were collected between 30 July 2019, and 30 August 2019. The study variables were general patient characteristics, disease-related characteristics, quality of life, diabetes knowledge, self-stigma, and self-care behavior. Factors affecting the quality of life were analyzed by hierarchical regression. Self-stigma (β = −0.298), monthly income (β = 0.270), and self-care behavior (β = 0.140) significantly affected the quality of life, in that order. The higher the self-stigma, the lower the quality of life, and the higher the monthly income and the level of self-care behavior, the higher the quality of life. A psychosocial support program to positively change the attitude toward diabetes is needed to improve the quality of life among patients with diabetes.

The Relationship Between Self-Care Behavior and Concerns About Body Image in Patients Undergoing Hemodialysis in Iran.

Background and AimHemodialysis treatment saves the life of people with end-stage renal disease (ERDS), but does not prevent the suffering of the disease, anxiety, hopelessness, and so on. Many studies have been performed on self-care behaviors as well as body image in different patients, but so far, no research has been done to investigate the relationship between self-care behavior and body image concerns in hemodialysis patients. Therefore, the aims of this study are to determine the relationship between self-care behavior and body image concern in patients undergoing hemodialysis.Materials and MethodsA cross-sectional design was used to evaluate Self-care Behavior and Concerns about Body Image in a convenience sample of 280 patients with ERDS. Measures included demographic factors, health characteristics, and validated instruments of the study constructs Body Image Concern Questionnaire (BICI) and Assessment of self-care behaviors with arteriovenous fistula (ASBHD-AVF).ResultsThis study showed that self-care behaviors have the ability to predict body image concerns. There was a negative and significant relationship between self-care behavior and body image concern (B = −0.162, β = −0.140, p = 0.020). These variables explain 7.5% of predictors.ConclusionAlthough the findings of the present study showed that increasing age and improving the level of self-care behaviors in patients undergoing hemodialysis reduces body image anxiety, but women were the strongest predictor of body image anxiety.

Self-Care Behavior Assessment of Fragile School-Age Children: An Application of Orem's Self-Care Framework

INTRODUCTION: Fragile children who were once called; “terminal cases” nowadays are able to live, due to technical advances; although they are requiring permanent assistance. This study aimed to identify the levels of self-care behavior of school-age medically fragile Jordanian children.
 
 METHODS & MATERIAL: A cross-sectional design using Orem self-care behavior questionnaire to measure the level of self-care behavior of 96 medically fragile children in capital city (Amman), who hospitalized at least once at the affiliated hospitals.  
 
 RESULT: 63. 3%, n=61 children had high level of self-care behavior with overall mean = 62.3 SD=20. ANOVA and Tukey’s post hoc comparisons of the three groups indicate that the level of self care behavior at the late school age 12-14 years old (mean = 71.56, SD = 4.71) and the early school age 6-9 years (mean = 67.05, SD = 4.73) reported significantly higher than the middle school age 10-12 years old (mean 66.95, SD = 4.37), p = .001. A round half of the children complaining of respiratory disease 42.7%, n=41.
 
 CONCLUSION: Performing nursing interventions and providing proper discharge plans for school age children and home care for medically fragile children will be based according to the self-care behavior level.

Glycaemic Control and Practice of Self-Care Behaviors among People with Type 2 Diabetes in Nigeria

Objective: The practice of self-care behaviors by patients with diabetes mellitus plays a vital role in achieving optimal glycaemic control. Previous Nigerian studies discussed how the knowledge of self-care behaviors among people with diabetes influences glycaemic control rather than the impact of these behaviors on glycaemic control. This study assesses the relationship between the practice of diabetes self-care behaviors and glycaemic control. Research Design and Methods : A cross-sectional study was conducted among people with type 2 diabetes at the medical outpatient clinic of the hospital. Three hundred and sixteen participants were recruited over four months, however, due to incomplete data only 313 of these participants were analyzed. Data on respondents’ characteristics and level of self-care behaviors were obtained using a pretested questionnaire and Summary of Diabetic Self-Care Activities (SDSCA). A1C was used as an indicator of glycaemic control. Results : The proportion of the participants with “good” glycaemic control and “good” practice of self-care behaviors were 40.6% and 26.8% respectively. Female gender (P=0.002, OR=4.23), using only oral hypoglycaemic agents (P=0.029, OR=4.83), the absence of truncal obesity (P<0.001, OR=15.33), and “good” practice of self-care behavior (P<0.001, OR=5.86) were predictors of “good” glycaemic control. Conclusions : The proportion of patients with “good” glycaemic control and “good” practice of self-care behaviors were low. The predictors of glycaemic control in this study, which included medical and non-medical components of diabetes care, underscores the importance of a multi-pronged approach involving prescriptive practices by physicians and improved self-care behavioral practices by patients.

Self‐Care Behavior of Hemodialysis Patients With Arteriovenous Fistula in China: A Multicenter, Cross‐Sectional Study

Improving the level of arteriovenous fistula (AVF) self-care behavior by people receiving hemodialysis is an effective way to reduce the occurrence of complications and mortality. The aim of this study was to assess the self-care behavior of Chinese patients undergoing hemodialysis with arteriovenous fistula. The assessment of self-care behaviors with arteriovenous fistula in hemodialysis (ASBHD-AVF, Portuguese version) was translated into Chinese using Brislin's translation model. The content validity was evaluated by six experts. Then we involved 301 hemodialysis patients with AVF to explore the construct validity of the Chinese version of ASBHD-AVF. Ultimately 216 patients from eight dialysis centers of general hospitals in China were recruited to evaluate the patients' self-care behavior about AVF. Measures included demographic questionnaire, and the Chinese ASBHD-AVF. The Chinese ASBHD-AVF that included 12 items has a good internal consistency (α = 0.865) and content validity (CVI = 0.979). Principal component analysis generated two factors which explained 53.525% of the total variance. About 69.9% of hemodialysis patients' AVF self-care behavior were at a low or moderate level. The level of self-care behavior and knowledge need to be improved. Nurses should give specific guidance according to the patients' own characteristics and different influence factors, in order to improve the recipients' self-care behavior.

Assessment of Self-Care Behaviors, Self-Efficacy and Level of Physical Activity of Patients Undergoing Hemodialysis

Background: Hemodialysis (HD) patients’ level of self-care behavior, self-efficacy and physical ability are important to manage their disease process and symptoms. Individuals who have adequate self-care and self-efficacy can adequately and appropriately meet their self-care needs, assume responsibility for their own health and can carry out their daily activities independently. Aim of the study: to assess self-care behaviors, self-efficacy and level of physical activity of patients undergoing Hemodialysis. Design: A descriptive exploratory research design was used in this study. Setting: This study was conducted at hemodialysis center at hospital affiliated to Ministry of Health (Port Said General Hospital) that sited in Port Said city. Sample: A purposive sample of (100) patients was recruited from rental units in Port-Said general hospital in a period of 6 months.. Results: More than half of the studied patients had inadequate physical activity level with percentage 53%, inadequate self-care behavior with percentage (65%) and moderate self-efficacy in 40% of them. Conclusion: Moreover, There is highly statistically significant positive correlation between all variables under the study. Recommendations: Teaching programstoimprove patients’ knowledge and self-care practices to improve their health status and prevention of complications.

Self-care behaviors and related factors in chronic heart failure patients

Introduction: Heart failure is a chronic disease that requires special lifelong self-care behaviors.These patients require to have self-care behaviors to confront their disease problems. Therefore, this study was designed and conducted to determine the status of self-care behaviors and its related factors. Methods: This cross-sectional study was conducted on 150 patients with chronic heart failure who were chosen purposively and were hospitalized in the cardiac wards of Tohid hospital in Sanandaj. Data collection tools included two questionnaires. The first one was a demographic questionnaire and information about the disease. The second one was the European scale of self-care behaviors of heart failure patients which were completed through patient interviews. The collected data was analyzed by using SPSS16. Results: The average rate of self-care behaviors by most patients was (39.54±7.22) and it has correlation with factors such as: Level of education, place of residence and education about the disease (P 0.05). Conclusion: The results of this study indicated that the level of self-care behaviors in patients with heart failure was moderate. Therefore, it is required to train and educate patients with chronic heart failure.

당뇨교육경험이 제2형 당뇨환자의 지식, 자가간호행위, 당화혈색소에 미치는 영향

Purpose: This study was to identify the effect of the experience of diabetes education on knowledge, self-care behavior and glycosylated hemoglobin (HbA1C). Further, this study was held to examine about patient`s preferred methods of education and re-education frequency. Methods: 166 type 2 diabetes patients from two hospitals in Incheon participated in this study. Data were analyzed by using descriptive analysis, t-test, ANOVA, Scheffe`s test and multiple regression analysis. Results: 72.3% patients needed re-education and the average interval of re-education was 8.53 months. Patients preferred education methods were lectures, practical training, and studying from pamphlet. Depending on the frequency of diabetes education, there were significant differences in the level of diabetes knowledge (F=10.88, p<.001) and self-care behaviors (F=4.59, p=.012), but there was not significant difference with HbA1C (F=1.53, p=.220). As to how much the diabetes education helped managing diabetes, there was a significant difference in the level of self-care behaviors (t=2.01, p=.049), but there were not significant differences in level of knowledge (t=1.10, p=.275) and HbA1C (t=-.33, p=.746). The experience of diabetes education was a significant factor which influenced patient`s knowledge (t=3.93, p<.001) and self-care behaviors (t=2.21, p<.001). But HbA1C was not influenced by the experience of diabetes education (t=-1.68, p=.096). Conclusion: It is necessary to provide diabetes education with appropriate interval and methods and subjects that reflect the needs of patient through the study results.

Self-as-Doer for Diabetes: Development and Validation of a Diabetes-Specific Measure of Doer Identification

The purpose of this study was to develop and validate a scale to measure the level of self-care behavior "doer identity" in persons with diabetes. Persons with diabetes (N = 355) completed questionnaires assessing self-as-doer identity and other related constructs. Principle components and parallel analyses and tests of reliability and validity were performed. A 7 factor solution explained 55.24% of the total variance on behaviors. Cronbach's alpha was .93 for the overall scale. Extracted components moderately correlated with one another and theoretically similar constructs. Self-as-doer identity significantly predicted all self-care behaviors (except for blood glucose monitoring) and glycemic control over and above related variables for persons with type 1 diabetes. Self-as-doer identity also predicted diet behaviors for persons with type 2 diabetes. Evidence for a reliable and valid factor structure of the Self-as-doer-Diabetes measure was demonstrated.

Pediatric Adherence: Conceptual and Methodological Considerations

This article highlights conceptual and methodological challenges inherent in the study of pediatric adherence. Key conceptual issues include the participation of parents in treatment, the complexity of treatment plans, and the active role parents and children play in determining how treatment is managed. Key methodological issues involve weighing the advantages and disadvantages of available measurement options and obtaining a standard of comparison. Difficulties inherent in defining a standard of comparison have led investigators to propose examining levels of self-care behaviors. The drawbacks to assessing self-care behaviors are highlighted and the practice of comparing reported treatment-related behaviors to actual prescriptions is encouraged. Recommendations for both research and clinical practice are offered.