Self-care Ability Research Articles

Assessment of stigma among patients living with Parkinson's disease: an exploratory study.

This cross-sectional study aims to assess the levels of stigma among patients with Parkinson's disease (PD) and identify the demographic and clinical factors influencing both internal and external stigma. A total of 200 patients diagnosed with PD were recruited from Beijing Tiantan Hospital between June 2023 and June 2024 using convenience sampling. Data were collected through face-to-face interviews, including demographic information, disease severity assessed via the Movement Disorder Society-Unified Parkinson's Disease Rating Scale (MDS-UPDRS), and stigma levels measured using the 24-item Stigma Scale for Chronic Illness (SSCI). Statistical analyses included t-tests, ANOVA, correlation analysis, and multivariate linear regression. The average SSCI score among PD patients was 58.74 ± 13.73, with significant variation based on age, gender, educational level, marital status, disease duration, and motor subtype. Patients aged under 60, male, with lower educational attainment, divorced or widowed, and with longer disease duration had higher SSCI scores. MDS-UPDRS Part I-III scores were positively correlated with both internal and external stigma (r = 0.4, 0.5, and 0.5, respectively, p < 0.001). Multivariate linear regression analysis identified MDS-UPDRS scores, age, self-care ability, marital status, disease duration, and motor subtype as independent predictors of stigma. Stigma in PD is influenced by a combination of demographic and disease-related factors, particularly disease severity. Targeted interventions focusing on reducing motor and non-motor symptoms, as well as addressing social determinants, may help alleviate the stigma experienced by PD patients. These findings underscore the need for comprehensive management strategies that incorporate both clinical treatment and psychosocial support.

The feasibility and effectiveness of telecare consultations in a nurse-led post-acute stroke clinic

BackgroundTelecare may provide an alternative to maintaining post-acute stroke care services in making benefit to both the providers and the stroke survivors, although study is needed to investigate its feasibility...

Efficacy of neuromuscular electrical stimulation with modern rehabilitation techniques in the treatment of acute ischemic stroke patients with post-motor dysfunction.

Acute ischemic stroke (AIS) refers to a sudden loss of blood flow in a region of the brain, which leads to a loss of neurological function. To unveil the efficacy of neuromuscular electrical stimulation (NMES) with modern rehabilitation techniques in AIS patients with post-motor dysfunction. A total of 200 AIS patients with post-motor dysfunction were divided into groups A, B, C, and D (n = 50). Patients in the four groups were routinely treated with medicine, on this basis: group B received NMES treatment; group C received modern rehabilitation technology treatment; and group D was treated with NMES and modern rehabilitation technology. Rehabilitation effect, cerebral hemodynamic indices, neurological function recovery, Fugl-Meyer Assessment (FMA) and Motor Assessment Scale (MAS) scores, self-care, and quality of life were compared. After treatment, the total effective rate of group D was 96% higher than that of group A (64%), group B (82%), and group C (84%). Bilateral middle cerebral artery Vm and Vs and scores of FMA, MAS, functional independence measure, and modified Barthel index increased; RI and NHISS scores decreased; and all group D improved significantly versus groups A, B, and C, and both groups B and C improved significantly versus group A. NMES with modern rehabilitation technologies synergistically treat motor dysfunction after AIS with ideal rehabilitation effect, improving cerebral hemodynamics, neurological and limb motor function recovery, and self-care ability and quality of life.

Study on the Effect of LEARNS Model in Self-Management of Patients with Maintenance Hemodialysis and Volume Overload

Objective: To investigate the effect of the LEARNS model in the self-management of patients with maintenance hemodialysis and volume overload. Methods: Eighty patients with maintenance hemodialysis and volume overload admitted from September 2022 to May 2024 were selected as the main subjects of this experiment. They were divided into two groups based on the odd or even days of their admission, with 40 patients in each group. Patients admitted on odd days were included in the new group and received LEARNS model education, while patients admitted on even days were included in the traditional group and received traditional education. The self-care ability, treatment adherence, and quality of life were compared between the new group and the traditional group. Results: The self-care ability, treatment adherence, and quality of life of patients with maintenance hemodialysis and volume overload in the new group were significantly higher than those in the traditional group, with statistically significant differences between the groups (P &lt; 0.05). Conclusion: The LEARNS model is more effective in the self-management of patients with maintenance hemodialysis and volume overload, and it is worthy of widespread clinical application.

Effect of Web-Based Education on Self-efficacy and Self-care Ability in Heart Failure Patients

Background: Self-care prevents rehospitalization and reduces mortality from heart failure. The self-care of heart failure patients is influenced by their sense of self-efficacy. Traditional educational methods are time-consuming, require patients to meet with health experts, and frequently cannot be accessed remotely. A web-based educational platform might be one of the innovations included in the development of health education for people with heart failure. The aim of this study is to determine the effect of web-based education on self-efficacy and self-care ability in heart failure patients. Materials and Methods: This study design is quasi-experimental. The study sample consisted of 80 individuals with heart failure with New York Heart Association (NYHA) II-IV classes and separated into two groups: the intervention group (n = 40) and the control group (n = 40). The sampling technique used in this study is consecutive sampling. Self-care is measured using the Self-Care Heart Failure Instrument version. A pre-test was administered before the intervention, and post-test and follow-up were administered two weeks after the intervention. The control group received information leaflets and the intervention group received web-based education. Results: The results showed that the main group effect was significant, indicating a significant increase self-care (F1,80 = 2769, p &lt; 0.001) and self-efficacy (F1,67 = 1600, p &lt; 0.001) in the intervention group after web-based education and two weeks follow-up. Conclusions: Web-based education is more effective in increasing self-efficacy and self-care abilities among heart failure patients. Providing education via a web-based platform in phases and continuously can promote healthy behaviors.

Demand, utilization, and supply of community smart senior care services for older people in China.

Although smart senior care services offer numerous benefits, they have not yet gained widespread acceptance among the general populace, particularly seniors. Numerous related issues have surfaced, with the structural imbalance between supply and demand being most prominent. Currently, there is a lack of research distinguishing between the various categories of demand for smart ageing services and the associated behaviors of older individuals. In this study, we aimed to identify the types of demand and utilization of smart senior care services among Chinese older adults to understand their diverse characteristics and the factors that facilitate certain behaviors. We also analyzed the imbalance between supply and demand for smart senior care services and explored the factors influencing it, thereby providing a reference for optimizing smart senior services. We conducted a cross-sectional study from January to March 2023 and analyzed 1037 valid questionnaires. Three types of smart senior care services were investigated: intelligent information, intelligent consultation, and intelligent monitoring. We identified the demand, utilization, and supply of these services among older individuals. Latent class analysis (LCA) was used to differentiate the heterogeneity of older adults in terms of service demand and utilization. Factors influencing service preferences were analyzed using binary logistic regression based on Andersen's behavioral model. Based on the LCA findings, service demand, and utilization were divided into two categories: positive demand (desire to use the services) or negative demand, and taking action or negative action to use the services. The persons with high demand but low utilization comprised the largest number of older people in this study (69.35%). The results indicated that the number of children (odds ratio (OR) = 1.491), community-provided smart devices (OR = 1.700), number of chronic diseases (OR = 1.218), and self-care capacity (OR = 0.214) are associated with positive demand. Meanwhile, pre-retirement employment, income sources, community device provided, community promotion, region, and self-care ability were significant predictors (p < 0.05) of taking action to use the services. In terms of community supply outcome, income situation had a significant effect on intelligent information services. Income sources were associated with intelligent information and intelligent monitoring services. Pre-retirement employment and housing type variables showed effect on IC services. Community promotion and self-care ability were associated with all three types of service supply (p < 0.05). Older adults expressed a strong demand for smart ageing services; however, difficulties using smart technology remain a serious problem. Further investigation of how family support contributes to the perception and use of care services for older people is needed. Specific policies, such as financial assistance, should be established to support service use. Communities should expand their support and promotion of smart ageing services, focusing on enhancing digital health literacy among seniors to facilitate product utilization. Furthermore, personalized recommendations and applications tailored to the physical conditions of older adults are essential.

Efficacy of Auricular Therapy for Motor Impairment After Stroke: A Systematic Review and Meta-Analysis.

A high number of stroke patients cannot recover fully from motor impairment despite early rehabilitation. Auricular therapies, usually given by acupuncture doctors or nurses, have been widely used among these post-stroke patients. Potential benefits of auricular therapies were shown in recent clinical trials. The purpose of this review was to systematically evaluate the clinical effects of auricular therapy in the treatment of post-stroke motor impairment. PubMed, Embase, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, Chinese Biological Medicine (CBM), Chinese National Knowledge Infrastructure (CNKI) and Wanfang databases were searched from their inception to May 2023. Randomised controlled trials of auricular therapy for the treatment of post-stroke motor impairment met the screening criteria. The primary outcome was the Fugl-Meyer Assessment Scale (FMA). The secondary outcomes included the Fugl-Meyer Assessment Upper Extremity Scale (FMA-UE), Chinese Stroke Scale (CSS), clinical efficacy and the Barthel Index Scale (BI). Meta-analysis was carried out using RevMan software 5.3. Twenty-eight RCTs with 1993 patients were included. The meta-analysis results suggested that compared with conventional treatment, auricular therapy combined with conventional treatment significantly improved the FMA score (MD: 15.07, 95% CI, 12.56 to 17.59), the FMA-UE score (MD: 6.49, 95% CI, 5.54 to 7.45), the clinical efficacy (RR: 1.20, 95% CI, 1.12 to 1.29) and the BI score (MD: 10.26, 95% CI, 9.11 to 11.40), while the combination treatment significantly decreased the CSS score (MD: -2.98, 95% CI, -4.38 to -1.59). Auricular therapy, as an adjunctive treatment to the conventional treatment, improved post-stroke motor impairment and self-care ability. Early auricular therapy of the patients in the early disease stage may lead to better improvement. Further well-designed, large-size clinical studies are needed. This study suggested that auricular therapy could be used as a complementary therapy with conventional treatment for improving motor impairment and self-care ability among post-stroke patients with motor impairment in hospitals, long-term care facilities and homes.

Status and influencing factors of frailty in hospitalized patients with chronic heart failure: A cross-sectional study.

To investigate the frailty status of inpatients with chronic heart failure (CHF) and analyse its influencing factors, so as to provide evidence for the early identification of high-risk groups and frailty management. Early identification of frailty can guide the development and implementation of holistic and individualized treatment plans. However, at present, the frailty of patients with CHF has not attracted enough attention. A cross-sectional study. From June 2022 to June 2023, a convenience sample of 256 participants were recruited at a hospital in China. Multivariate logistic regression analysis was used to explore the influencing factors of frailty in patients with CHF, and an ROC curve was drawn to determine the cut-off values for each influencing factor. STROBE checklist guides the reporting of the manuscript. A total of 270 questionnaires were sent out during the survey, and 256 valid questionnaires were ultimately recovered, resulting in an effective recovery rate of 94.8%. The incidence of frailty in hospitalized patients with CHF was 68.75%. Multivariable logistic regression analysis showed that age, self-care ability, nutritional risk, Kinesiophobia and NT-proBNP were risk factors for frailty, while albumin and LVEF were protective factors. Multidimensional frailty was prevalent in hospitalized patients with CHF. Medical staff should take measures as early as possible from the aspects of exercise, nutrition, psychology and disease to delay the occurrence and development of frailty and reduce the occurrence of clinical adverse events caused by frailty. This study emphasizes the importance of the early identification of multidimensional frailty and measures can be taken to delay the occurrence and development of frailty through exercise, nutrition, psychology and disease treatment. Patients contributed through sharing their information required for the case report form and filling out questionnaires.

Examining the associations between emotionally charged reactions toward climate change and self-care, quality of life among older adults, coping mechanisms, and pro-environmental practices

AimTo examine the associations between emotionally charged reactions to climate change, self-care, quality of life among older adults, coping mechanisms, and pro-environmental practices. BackgroundOlder adults often face unique challenges in coping with climate change and its detrimental effect on self-care and quality of life. They may be particularly vulnerable to this pressing global issue. MethodA multi-center, descriptive, correlational approach from three governorates in Egypt. A convenience sample of 609 older adults answered the Inventory of Climate Emotions, the Older People's Quality of Life-Brief, the Self-care Ability Scale for the Elderly, the Pro-Environmental Practices Assessment, and the Coping Scale with Climate Change. ResultsThe overall emotionally charged reactions to the idea of climate change showed a negative correlation with both the older adults’ QoL total score (r = -.762) and the Self-care Ability Scale (r = -.775), yet a positive correlation with Pro-environmental Practices (r = .692) and Coping Strategies (r = .992). The regression analyses revealed that emotions explain a substantial variance in the older adult's quality of life (85.6%) and self-care (79.7%), as well as their pro-environmental actions (72%) and coping strategies (38.8%). Recommendations and implicationsThe research underscores climate change's significant emotional and psychological ramifications on older adults, yielding valuable insights for geriatric nursing practice. The findings can facilitate the development of precise interventions to promote self-care, bolster coping strategies, and advocate for pro-environmental conduct among older adults. Understanding these associations can contribute to the enhancement of quality of life and the fortification of resilience. The research implications may offer pivotal guidance for geriatric nursing education, clinical protocols, and community initiatives dedicated to fortifying older adults' mental well-being, contending with the repercussions of climate change.

THE EXPERIENCES OF COLORECTAL CANCER SURGERY AMONG OLDER PATIENTS WHO LIVED ALONE IN TAIWAN

Abstract In Taiwan, it is a common practice that family takes care of their older adults when hospitalized. However, people who were never married or living alone would face challenges in coming up with a caregiver in the hospital. The shortage of caregiver among Taiwanese older population was due to its low fertility and high aging rate as Taiwan will enter a super-aged society in 2025. The purpose of this paper was to understand how inpatient surgical experiences on older adults who lived alone. The research methodology used qualitative interviews with structural questions followed by content analysis. Eight older adults participated to share their experiences who live alone and hospitalized for colorectal cancer surgery. The result showed that prognosis, postoperative care and Activities of daily living(ADL) were concerned. Older adults living alone were not only worried about the results of the surgery but also concerned about their reduced self-care ability and postoperative care without help. In addition to determining the recovery of digestive system function, doctors consulted rehabilitation to strengthen their mobility, taking into account the factor of living alone. Based on the results, the author suggested that it is essential to discuss postoperative care arrangements and whether the patient will be able to regain their self-care abilities after surgery. With the increasing number of people living alone, greater emphasis should be placed on the patient’s own decisions not relatives. For older patients living alone and undergoing inpatient surgery, developing in-hospital rehabilitation plans is crucial to strengthen their self-care abilities.

Analysis of the application effect of the Clark comfortable nursing approach in hemodialysis patients with end stage renal failure

Objective This study observed the effects of the Clark comfortable nursing approach on self-care ability, self-burden, treatment adherence, quality of life, and complications in hemodialysis patients with end stage renal failure (ESRF). Methods Eighty-two patients with ESRF receiving hemodialysis treatment were included and allocated into control and intervention groups. The control group received conventional nursing care, while the intervention group received the Clark comfortable nursing approach. The self-care ability, self-burden, treatment adherence, quality of life scores before and after the nursing intervention, and the occurrence of complications in both groups were compared. Results After the intervention, the intervention group showed higher scores in each dimension and the total score of the Exercise of Self-Care Agency Scale compared to the control group. Both groups exhibited improvements in various scores and total scores; however, the intervention group had lower scores overall than the control group. Additionally, the intervention group had higher scores in diet, water intake, medication, and dialysis regimen. Additionally, both groups had significantly higher scores in all dimensions of the quality-of-life scale post-intervention, with the intervention group demonstrating markedly higher scores in all dimensions. The total incidence of complications in the intervention group was 9.76%, which was lower than the 29.27% observed in the control group. Conclusion The Clark comfortable nursing approach applied to hemodialysis patients with ESRF can enhance self-care ability, improve quality of life, increase treatment adherence, and reduce the incidence of hemodialysis-related complications. This model is worthy of clinical promotion.

The Impact of Continuity of Care on Negative Emotions and Self-Efficacy in Patients Undergoing Digestive Endoscopic Tumor Resection

Objective: To explore the impact of a continuity of care model on negative emotions and self-efficacy in patients undergoing digestive endoscopic tumor resection. Methods: A retrospective analysis was conducted on 80 patients who underwent digestive endoscopic tumor resection in the Gastroenterology Department of Baoying County People’s Hospital between October 2022 and October 2024. Patients were randomly divided into a control group (n = 40) and an observation group (n = 40) using a random number table. The control group received routine nursing care, while the observation group was additionally provided with continuity of care interventions. After two months of intervention, the negative emotions and self-efficacy of the two groups were compared and statistically analyzed. Results: There was no statistically significant difference in baseline data between the two groups (P &gt; 0.05). After two months of intervention, the observation group demonstrated significantly lower HAMD and HAMA scores compared to the control group (both P = 0.000), and significantly higher GSES scores (P = 0.000). Conclusion: Applying a continuity of care model to patients undergoing digestive endoscopic tumor resection can alleviate negative emotions, enhance self-efficacy, and improve self-care abilities.

Application of mobile internet management in the continuing care of patients after radical prostatectomy

Prostate cancer, a common malignancy in older men, often requires laparoscopic radical prostatectomy, considered the gold standard treatment. However, postoperative complications can significantly impact quality of life and psychological well-being. The emergence of mobile internet health management offers a promising approach for accessible and effective post-discharge care. This study evaluates the effectiveness of mobile internet management in postoperative care for prostate cancer patients, focusing on disease knowledge, psychological well-being, self-care capabilities, and quality of life. From September 2020 to September 2021, prostate cancer patients who underwent radical surgery at our Department of Urology were divided into a control group receiving standard care and an intervention group receiving mobile internet-based care. Patients were followed over six months, with assessments conducted at both 3 and 6 months post-intervention. We evaluated changes in disease knowledge, psychological status (using SAS/SDS scales), self-care ability (via the ESCA scale), and quality of life (measured by SF-36). A total of 112 patients were divided into two groups of 56 each. Repeated measures ANOVA indicated significant improvements in disease knowledge over time, between groups, and in their interaction (P < 0.05). Mastery scores of disease knowledge increased at both 3 and 6 months post-intervention compared to baseline (P < 0.05). The intervention group showed significantly reduced scores on the self-rating depression scale (SDS) and self-rating anxiety scale (SAS) compared to the control group (P < 0.05). Self-care capabilities—including self-directed concept, nursing responsibility, skills, and health knowledge level—also improved, with more pronounced gains in the intervention group (P < 0.05). Quality of life scores in domains such as social function, mental health, vitality, role emotional, bodily pain, role physical, physical function, and general health were higher in the intervention group than in the control group post-intervention (P < 0.05). Mobile internet management significantly enhances postoperative care for prostate cancer patients by improving disease knowledge, psychological well-being, self-care capabilities, and quality of life. These findings support further research to validate long-term benefits and broader application potentials.

Research progress of network-based interventions on self-care ability of patients with chronic heart failure

Research progress of network-based interventions on self-care ability of patients with chronic heart failure

Happiness, sleep quality, and self-care ability among community-dwelling older adults in Tehran, 2023

Happiness, sleep quality, and self-care ability among community-dwelling older adults in Tehran, 2023

Effectiveness of a nurse-led coaching in self-care intervention for elderly undergoing total laryngectomy: a randomised controlled trial

ObjectivesTo evaluate the effectiveness of nurse-led coaching in self-care (SC) interventions for elderly patients undergoing total laryngectomy (TL) using multidimensional parameters.DesignThis was a double-arm randomised, single-centre trial that met the...

Patient-Centered Digital Interventions for Self-Care Ability Among People with Pulmonary Tuberculosis: A Systematic Review

Patient-Centered Digital Interventions for Self-Care Ability Among People with Pulmonary Tuberculosis: A Systematic Review

PRO-QOL after gross total resection of spinal ependymoma: a retrospective study based on 3-year follow-up observations in a single center.

Although many studies have reported clinical outcomes of spinal ependymoma (SE) patients after gross total resection (GTR), the data about the patient reported outcomes of the quality of life (PRO-QOL) was limited. This study investigated the recovery process of PRO-QOL and explored the possibility of predicting the recovery of postoperative QOL by preoperative clinical indicators. A retrospective analysis was performed in 71 SE patients who underwent GTR in our center from 2016 to 2022. The PRO-QOL data were collected by questionnaire, which included the EuroQol 5-Dimensions 5-Levels (EQ-5D-5L) scale and visual pain analogue score (VAS). Factors affecting postoperative PRO-QOL deterioration was assessed by the univariate and multivariate analyses. 71 SE patients who undergone GTR were included and followed by mean of 36 months (range 27-58). The overall PRO-QOL recovered to a stable level 6 months after surgery, but the ability of self-care, as one of the dimensions of QOL, continued to improve up to one year after surgery. 21 (29.6%) patients reported that their QOL became worse at one year after surgery. The result of statistical analysis suggested that preoperative Modified McCormick Scale (MMS), the number of segments involved by the tumor and preoperative VAS score were identified as main preoperative variables for predicting QOL deterioration. From the perspective of PRO-QOL, neurological rehabilitation should be continued for at least 6-12 months after GTR to the SE patients. For the preoperative patients with severe neurological damage, long-level intraspinal tumor and low VAS score, more cautious surgical considerations, more perioperative attention and earlier neurological intervention are necessary.

A study on the health service demands and influence factors among elderly people based on a community survey in Western China†

Abstract Objective To investigate the health service demands and to analyze influencing factors among elderly people based on a community survey in Guilin, China. Methods A random sampling was used to investigate 366 elderly people in a community using a Health-Care-Needs questionnaire, which was designed by The Western Nursing Alliance research team in China. This survey was used to understand the basic situation, financial condition, health condition, self-care abilities, pension plan, and care services demands of the elderly residing at home. Additionally, this article analyzed the influencing factors contributing to the obtained results. Results The top 3 nursing needs were security needs (1.61 ± 0.45 points), health education needs (1.54 ± 0.57 points), and respect and self-development needs (1.13 ± 0.64 points). Logistic multifactor regression analysis showed that gender, monthly income, lack of exercise, activities of daily living (ADL) scores, methods of medical payment, and pension plan were independent factors affecting elderly nursing needs. Conclusions The home-based health services supply for elders did not meet their needs. Therefore, a comprehensive approach considering multifactors such as gender, income, exercise, self-care ability, medical expense payments, and supporting preferences should be considered to address the complex needs of health care.

Targeted microbiota dysbiosis repair: An important approach to health management after spinal cord injury.

Current research primarily focuses on the pathological mechanisms of spinal cord injury (SCI), seeking to promote spinal cord repair and restore motorial and sensory functions by elucidating mechanisms of cell death or axonal regeneration. However, SCI is almost irreversible, and patients often struggle to regain mobility or self-care abilities after injuries. Consequently, there has been significant interest in modulating systemic symptoms following SCI to improve patients' quality of life. Neuron axonal disconnection and substantial apoptotic events following SCI result in signal transmission loss, profoundly impacting various organ and systems, including the gastrointestinal tract. Dysbiosis can lead to severe bowel dysfunction in patients, substantially lowering their quality of life and significantly reducing life expectancy of them. Therefore, researches focusing on the restoration of the gut microbiota hold promise for potential therapeutic strategies aimed at rehabilitation after SCI. In this paper, we explore the regulatory roles that dietary fiber, short-chain fatty acids (SCFAs), probiotics, and microbiota transplantation play in patients with SCI, summarize the potential mechanisms of post-SCI dysbiosis, and discuss possible strategies to enhance long-term survival of SCI patients. We aim to provide potential insights for future research aimed at ameliorating dysbiosis in SCI patients.