Self-care Agency Of Patients Research Articles

CN107 The effect of Orem-based oral self-care protocol on high-dose chemotherapy-related oral mucositis and self-care agency in patients for hematologic malignancies: A randomized controlled study

CN107 The effect of Orem-based oral self-care protocol on high-dose chemotherapy-related oral mucositis and self-care agency in patients for hematologic malignancies: A randomized controlled study

Factors of Self-Care Agency in Patients with Inflammatory Bowel Disease in Japan

Introduction: Currently, no self-care measurement tool specific to inflammatory bowel disease (IBD) exists in Japan. The Instrument for Diabetes Self-care Agency (IDSCA) is a reliable and valid self-care measurement tool for patients with diabetes. Factors affecting self-care ability assessed by IDSCA appear to meet the requirements for patients with IBD. Therefore, we created a self-care ability measurement tool adapted from IDSCA as an original draft for the Instrument for IBD Self-care Agency and extracted factors and items required to measure the self-care ability of patients with IBD. Methods: An anonymous questionnaire survey was distributed among 226 patients. Exploratory factor analysis examined the relationship of factors from multiple perspectives, identified factors based on their content, and confirmed their internal consistency. Statistical analyses were performed using JMP® 14.0.0. Results: Five factors with 23 items were extracted from the IDSCA, including ability to build a human support system, ability to acquire knowledge, ability to maintain self-care, ability to self-manage, and ability to self-assess. Cronbach’s alpha was 0.765–0.861 for each factor and 0.904 for the entire scale. Conclusion: We could identify the self-care agencies of patients with IBD, including 5 factors and 23 items. Focusing on these self-care factors may provide critical information to guide nurses’ self-care interventions.

The Effect of Pain on Self-Esteem and Self-Care Agency in Hysterectomy Patients

Objective: The study aimed to determine the effect of pain on self-esteem and self-care agency in patients with hysterectomy. Materials and Methods: A total of 486 female patients who underwent hysterectomy were included in this cross-sectional study. Patient Identification Form, Rosenberg’s Self-Esteem Scale, Self-Care Agency Scale and VAS were used to collect data. Since the patients experienced severe pain on the 1st postoperative day and their communication could not be maintained in a healthy manner, the data were collected face-to-face in the patient's room on the 2nd postoperative day. The data were analyzed in SPSS 23.0 using descriptive statistics and correlation analysis. Results: The mean scores of the patients the pain, self-care agency, and self-esteem levels were 3.58 ± 1.42, 117.40 ± 26.67, and 11.74 ± 2.99, respectively. A negative correlation was found between postoperative pain and self-care agency, self-esteem scores, while a positive correlation between self-care agency and self-esteem scores. Conclusion: High postoperative pain is negatively correlated with self-care agency and self-esteem in patients with hysterectomy. Self-esteem increase when self-care agency increase in patients with hysterectomy.

Analysis of the relationship between pain, anxiety, depression, and self-care agency in patients who underwent major orthopedic surgeries

Major orthopedic surgery is an invasive procedure applied in a wide area to correct degeneration caused by different factors. There are many symptoms that negatively affect the individual, especially in the acute period after surgery. In order to increase the comfort level of the individual and to make the person independent as early as possible, the detection of post-surgical symptoms is gaining more and more importance day by day. This study was carried out to examine the relationship between pain, anxiety, depression and self-care power in individuals who have underwent major orthopedic surgery. The population of the study consisted of all adult patients who had orthopedic surgery. In data collection, “Patient Description Form”, “Visual Analog Scale”, “Hospital Anxiety and Depression Scale” and “Self Care Power Scale” were used. As a result of the research, it was determined that the risk of anxiety and depression is high in patients who have underwent major orthopedic surgery and there is a significant relationship between them. It is possible to talk about a positive relationship between pain and anxiety, but a negative relationship between self-care power.

Relationship Among Treatment Adherence, Family Functioning, and Self-Care Agency in Colombian Patients With Cardiovascular Disease.

Multiple factors affect treatment adherence in individuals with cardiovascular disease. However, information on the relationships among treatment adherence, family functioning, and self-care agency in these patients and their families is limited. This study was developed to determine the relationships among treatment adherence, family functioning, self-care agency, and sociodemographic variables in patients with cardiovascular disease. Self-care agency, as defined by Orem, is the dynamic process patients use to engage in their own healthcare that involves discerning and addressing factors that allow their making decisions that improve self-care abilities. This cross-sectional, observational-analytical study enrolled 151 adult patients with cardiovascular diseases who had undergone pharmacological and nonpharmacological treatments and 108 family members of these patients who had consented to participate. Measurements were performed using the "Questionnaire for measuring treatment adherence in patients with cardiovascular disease," the "Family Functioning Assessment Scale," and the "Self-care Agency Scale." Of the 151 patients, 119 (78.8%) were assessed as having a low risk of nonadherence, 60 (39.7%) as having low family functioning, and 131 (86.8%) as having high self-care agency. Treatment adherence and self-care agency showed a moderate and significant correlation ( r = .66, p < .001). Similarly, treatment adherence and family functioning showed a low but significant correlation ( r = .35, p < .001). Moreover, significant multivariate associations were found among the variables of interest. Patients with a low risk of nonadherence were found to be more likely to have a secondary or postsecondary education, not to have vision or hearing problems, and to have a contributory affiliation mode with the health system or private health insurance. In addition, participants with moderate or high levels of family functioning were less likely to be workers or to not have hearing or vision problems. Finally, significant differences were noted between patients with low self-care agency and those with high self-care agency in terms of kinship relationship with family members and affiliation mode with the health system. The results of this research help clarify the issue of treatment adherence in patients with cardiovascular disease. Although family functioning and self-care agency were found to be low to moderately correlated with treatment adherence, relevant information regarding these variables and sociodemographic variables is presented in this study. Nurses may use these results as a reference to design nursing care plans and interventions to address the conditions of their patients more appropriately.

Effect of Counseling on Quality of Life and Self-Care Agency for Patients Who are Scheduled for Total Knee Replacement.

This study aims to determine the effect of counseling on quality of life and self-care agency for patients who are scheduled for total knee replacement (TKR). The study has a quantitative and quasi-experimental design with a control group. The patients in the control group (n = 40) received routine care. Face-to-face and telephone counseling was offered to individuals in the intervention group (n = 39). The data was collected at face-to-face interviews by using a patient characteristics form, Quality of Life Scale, and Self-Care Agency Scale. The scores for quality of life and self-care agency in the 6th to 8th and 14th to 16th weeks after surgery were very significantly higher in the intervention group than in the control group (p < .001). This study shows that counseling given by the nurse increases the quality of life and self-care agency of patients undergoing TKR.

Relationship between acute exacerbation and self-care agency in patients with chronic respiratory failure receiving noninvasive positive pressure ventilation in home care

【目的】在宅で非侵襲的陽圧換気療法（noninvasive positive pressure ventilation；NPPV）を受けている慢性呼吸不全患者の急性増悪とセルフケア能力の関連を明らかにする．

Determination of Quality of Life and Self-Care Agency in Patients Who Underwent Colorectal Cancer Surgery: A Prospective Descriptive Study

Knowledge about the relationship between quality of life and self-care among patients with colorectal cancer in Turkey is limited. This prospective, descriptive study evaluated the quality of life and self-care agency of patients who underwent surgery for colorectal cancer. Patients were recruited to participate preoperatively from the general surgery clinics in 2 hospitals in Turkey. Sociodemographic variables were collected preoperatively, and the Quality of Life Scale for Cancer Patients (EORTC QLQ-C30) Turkish Version 3.0, the Quality of Life Scale for Colorectal Cancer Patients (EORTC QLQ-CR29), and the Self-Care Agency Scale were completed preoperatively and at 1, 3, and 6 months postoperatively. Thirty-seven (37) patients (average age 59.49 years [±10.84]) who met the inclusion criteria participated in the study. The majority were male (22 patients; 60%), and 25 (67%) did not have a stoma postoperatively. Compared with preoperative scores, QLQ-C30 general well-being, functional status, physical functions, and role performance scores decreased in the first month after surgery and increased in the third and sixth months (58.3 [preoperative] vs 75.0 [month 3] vs 83.3 [month 6]; P = .000). The preoperative QLQ-CR29 excretory system pleasure scores were higher than the postoperative third- and sixth-month scores (1.7 [preoperative] vs 1.0 [month 3] vs 1.0 [month 6]; P = .001). The Self-Care Agency scores at 6 months were higher than the postoperative first month (109.62 ± 11.62 vs 115.19 ± 14.22; P = .006). A positive correlation was found between Self-Care Agency scores and functional status scores of the QLQ-C30 scale at 3 and 6 months postoperatively (P = .000). Quality of life and Self-Care Agency scores decreased immediately after surgery but increased in the following 6 months. A positive correlation was found between quality of life and self-care agency.

Psychosocial and social factors related to self-care agency in patients with adult-onset type 1 diabetes

Psychosocial and social factors related to self-care agency in patients with adult-onset type 1 diabetes

Evaluation of the Determinant Factors and Clinical Implications of Self-Care Agency Among Patients with Acute Myocardial Infarction.

In patients with acute myocardial infarction treated with percutaneous coronary intervention (PCI), effective post-hospital care, partially determined by self-care agency, is critical for long-term prognosis. However, the relationship between agency and sociodemographic characteristics requires elucidation. One hundred and six outpatients participated in our study. Self-care agency was assessed with the Self-care Agency Questionnaire (SCAQ). We evaluated its correlation with patients' sociodemographic characteristics and morale on the Ikigai-9 Questionnaire. Mean SCAQ scores were higher in those who were younger, male, living with someone, and more educated compared to their counterparts. Furthermore, SCAQ scores were correlated with Ikigai-9 scores. Multivariate logistic regression analyses indicated that social participation, employment status, and morale were independent predictors of high SCAQ scores. A comprehensive approach utilizing medical professionals, families, and the local community is needed to promote self-care agency in patients receiving primary PCI.

Determination of Healthy Lifestyle Behaviors and Self-Care Agency of Patients with Lumbar Disc Hernia

Amaç: Tanımlayıcı ve kesitsel tipte olan çalışma, lomber disk hernisi olan hastaların sağlıklı yaşam biçimi davranışlarını ve öz-bakım gücünü incelemek amacıyla yapıldı. Yöntem: Bir üniversite hastanesinin Beyin ve Sinir Cerrahisi Anabilim Dalı’nda lomber disk hernisi tanısı ile yatan 240 hasta çalışmaya dahil edildi. Araştırmanın verileri Kişisel Bilgi Formu, Sağlıklı Yaşam Biçimi Davranışları Ölçeği II (SYBDÖ) ve Öz- Bakım Gücü Ölçeği (ÖBGÖ) kullanılarak toplandı. Verilerin analizinde PASW 18 paket programı kullanıldı. Bulgular: Araştırmaya katılan hastaların yaş ortalaması 50.88±14.05 yıl, %73.8’i kadındı. Katılımcıların lomber disk hernisi tanısı konulma zamanı ortalama 5.8 yıldı ve %39.02’si bel ağrısı şikayeti ile hastaneye başvurdu. Lomber disk hernili bireylerin Sağlıklı Yaşam Biçimi Davranışları Ölçeği puan ortalaması 125.09±21.05 ve Öz-Bakım Gücü Ölçeği puan ortalaması 73.32±24.36 olarak belirlendi. Yaş, beden kitle indeksi, sosyoekonomik durum ve kronik hastalık varlığının sağlıklı yaşam biçimi davranışlarını etkilediği görüldü. Kırk yaşın altında, çalışan ve lomber disk hernisi ile ilgili önceden tedavi gören hastaların öz- bakım gücünün daha yüksek olduğu saptandı. Sonuç: Hastaların öz-bakım gücünün ve sağlıklı yaşam biçimi davranışlarının orta düzeyde olduğu belirlendi. Lomber disk hernisinin fiziksel aktivite seviyelerini olumsuz yönde etkilediği görüldü.

The Factors that are Related to Self-Care Agency in Patients with Hypertension

Uncontrolled hypertension leads to complex problems experienced by patient as the complication of the hypertension. The patient’s ability to do self-care (self-care agency) is essential and recommended to control hypertension. Age, sex, education, occupation, marital status, decision making, duration of hypertension, lifestyle, and insurance availability are contributed to the self-care agency. Nurses and patients should be able to know and understand these self-care agency related factors. The aim of this study was to identify self-care agency relating factors of hypertension patients in Pekanbaru. This study conducted using a quantitative approach with cross sectional design and involving 100 hypertension patients who recruited using purposive sampling techniques. Self-care agency was measure using exercise of self-care agency (ESCA) questionnare. Data were analyzed using Spearman test and Chi Square test to determine the relation of each factors on self-care agency and multivariate logistic regression test to determine the most related factors on self-care agency. The result showed that there were a significant different of age (p=0.048), education (p=0.002), gender (p= 0.025), health insurance (p=0.027), and life style (p=0.003) with self-care agency. Meanwhile, there were no signifcant different of occupation (p=1.000), decision making (p=0.800), marital status (p=1.000), and duration of hypertension (p=0.567) with self-care agency. Multivariate analysis revealed that the most influence factor for self-care agency is life style. This study suggest the nurses in improving self-care agency of hypertension patients must concern about patient lifestyle and help patient to modify their lifestyle.

Self-care agency in systemic lupus erythematosus and its associated factors: a cross-sectional study.

PurposeThe aim of this study was to estimate the level of self-care agency and explore its associated factors in patients with systemic lupus erythematosus (SLE).Patients and methodsIn this cross-sectional study, all patients were from a tertiary general hospital between July and October 2016 in Southwest China. The self-care agency was assessed using the Exercise of Self-care Agency Scale. Other variables were measured by the Visual Analog Scale, Systemic Lupus Erythematosus Disease Activity Index 2000, the physical component summary, and mental component summary of the 36-item Short Form Health Survey. Multivariate regression analysis was performed to explore the associated factors of self-care agency.ResultsA total of 123 patients were recruited. The mean score of Exercise of Self-care Agency Scale was 86.29. In univariate analysis, self-care agency of patients differed in regard to gender, work status, educational level, household income monthly per capita, and disease activity (P<0.05). Additionally, higher body mass index, higher level of fatigue, and worse mental health were found in patients with lower self-care agency (P<0.05). The stepwise multivariate regression analysis showed that male gender (P=0.001), lower educational level (P=0.003), lower household income monthly per capita (P<0.001), and worse mental health (P<0.001) could predict lower self-care agency.ConclusionPatients with SLE had a middle level of self-care agency, suggesting that there is still much scope for improvement. The lower level of self-care agency was associated with male gender, lower educational level, lower household income monthly per capita, and worse mental health. Therefore, health care providers should develop targeted and comprehensive interventions to enhance self-care agency in patients with SLE.

The effect of activities of daily living on the self-care agency of patients in a cardiovascular surgery clinic

Cardiovascular diseases are the leading cause of death globally, and nurses have a crucial role in informing cardiovascular disease patients about their diseases. The aim of the present study was to identify the effect of activities of daily living on the self-care agency of patients in a cardiovascular surgery clinic. This descriptive study was conducted between June 2014 and January 2015 with 180 patients hospitalized in the cardiovascular surgery clinic of a university hospital in the province of Erzincan in the Eastern region of Turkey. The data of the study were gathered using a descriptive form designed by the authors, Katz index of activities of daily living scale (ADLS), Lawton-Brody instrumental activities of daily living scale (IADLS), and self-care agency scale (SCAS). The data were processed using computer software and assessed using percentages, means, t test for independent groups, one-way analysis of variance, and correlation analysis tests. It was found that 50.6% of the patients were ≥65years, 66.1% were male, 46.1% perceived their health status as moderate, and 35.6% had previously had heart attacks. The patients' mean ADLS score was 16.39±2.30, their mean IADLS score was 19.23±4.16, and their mean SCAS score was 92.11±18.81. The patients' education level and perceived health were found to affect their mean SCAS scores. In addition, there was a positive correlation between the patients' ADLS and IADLS scores and their SCAS score. It was also noted that patients were more independent on the ADL and IADL, and that their self-care agency was higher.

Structural model of self-care agency in patients with diabetes: A path analysis of the Instrument of Diabetes Self-Care Agency and body self-awareness.

AimThe aim of this study was to examine a causal model of self‐care agency by exploring the relationship between the structure of “body self‐awareness” and the structure of the Instrument of Diabetes Self‐Care Agency (IDSCA).MethodsThe participants were 353 patients with diabetes. The internal consistency of the six items for body self‐awareness was examined by calculating the factor structure using principal factor analysis and Cronbach's alpha. In order to examine the relationship between the seven factors in the IDSCA, a path analysis was conducted.ResultsWith regard to the factor structure, the factor loading of these five items was 0.511–0.743 (α = 0.739). In the path analysis, “body self‐awareness” was influenced by the “ability to acquire knowledge” and had a direct effect (0.33) on the “motivation to self‐manage”, while “motivation to self‐manage” had an effect (−0.32) on the “ability to self‐manage”. The Goodness‐of‐Fit Index was 0.974.Conclusion“Body self‐awareness” plays a part in the self‐care operation process and serves as an intermediary factor to enable the performance of self‐care operations by making the most use of self‐care agency. Moreover, striking a proper balance between self‐management that is focused on the treatment of diabetes and a person's ability for self‐management of diabetes was found to be important.

The survey of factors related to self-efficacy based on Orem’s theory in patients with coronary artery bypass surgery in Tehran in 2014

The survey of factors related to self-efficacy based on Orem’s theory in patients with coronary artery bypass surgery in Tehran in 2014

What Level of Self-Care Agency in Mental Illness? The Factors Affecting Self-Care Agency and Self-Care Agency in Patients with Mental Illness

The purpose of this study is to evaluate self-care agency and the factors affecting self-care agency in patients with psychiatric disorders. The population of the study comprised patients diagnosed with mental disorders at the clinics of psychiatry in Erzurum Regional Training and Research Hospital and Atatürk University Research Hospital. Patient information forms and the Self-Care Agency Scale were used to collect the study data. Psychiatric nurse collected the data from the patients face to face. This study determined that the average age of the patients was determined to be 32.19±1.11. The findings indicated that the mean self-care agency level of the patients was 79.3±23.2. It was also found that the differences between sex, educational status, socio-economic status, and self-care agency levels were statistically significant (p<0.05). In conclusion, the patients’ self-care agency levels were determined to be mid-level. The findings suggest that people with mental disorders have difficulty identifying their need for self-care. Thus, periodic training programs are necessary to increase self-care levels and further research studies of this type should be done on larger groups.

Activities of Daily Living and Self-Care Agency in Patients with Multiple Sclerosis for the First 10 Years

The aim of the study was to present the effects of the disease and analyze the relationship between activities of daily living (ADL) and self-care in multiple sclerosis (MS) patients who have had the disease for the first 10 years. This study was a descriptive cross-sectional study. A total of 67 patients who fit the inclusion criteria of the study and volunteered to participate were included in the sample. Data were collected using the Exercise of Self-Care Agency Scale and the Barthel Index. The mean age was 38.43±9.92. There was a statistically significant correlation between participants'educational backgrounds and self-care scores and between disease duration and Barthel index score (p<.05). The self-care levels of patients who have had MS for the first 10 years are medium, and they tend to be mildly dependent in performing their ADL. The duration of MS is positively correlated with level of ADL. In this study, it was shown that the duration of the disease in MS patients should be taken into account by rehabilitation nurses to implement effective nursing care.

Self-Care Agency in Patients with Primary Osteoarthritis of the Knee: Scale Development

Self-Care Agency in Patients with Primary Osteoarthritis of the Knee: Scale Development

Application of individual health education in the patients with colostomy

Objective To explore the effect of individual health education on the patients with colostomy.Methods Seventy-eight patients received individual health education.They were investigated with the questionnaire about the exercise of selfvcare-agency(ESCA) and the assessment of self-care agency in third to fifth day after operation,left hospital and three months after discharged.Results The average score of ESCA of patients in third to fifth day after operation,left hospital,three months after discharged was ( 96.63 ± 10.13 ),(106.18 ± 8.94),(134.74 ± 9.54),and different time slot with different score,and the different was statistically different (P ＜ 0.01 ),and the sub-scale score of self-care skill,self-nursing sense,self conception,health knowledge level,colostomy care was significantly different between different time slots ( P ＜ 0.01 ).Conclusions Individual health education can obviously improve the self-care agency of patients with colostomy and effectively reduce the complication of colostomy. Key words: Colostomy; Self-nursing agency; Individual