Self-care Theory Research Articles

Internet Use for Health-Related Information: Self-Care Agency of Lower Income Persons Living With HIV/AIDS.

Chronically ill persons with a condition requiring self-care activities can benefit from learning from reliable internet sources. Orem's theory of self-care was used to answer the question: Does increasing technical knowledge about reliable internet sites for health information increase self-care agency of low-income persons living with HIV/AIDS (N = 100)? Self-care agency, as measured by the Self-As-Carer Inventory, increased but not significantly, after two educational interventions. We hoped to gain insight into the measurement of self-care agency in our African American and Hispanic population. The only significantly different basic conditioning factor was ethnicity in that non-Hispanic/Latinos scored higher on self-care agency than Hispanic/Latinos; the only significantly different subscale was the Judgment and Decisions Affecting Production of Self-care subscale. Self-care agency remained stable over the 1-week period, pointing to two possible conclusions: Scores accurately reflect self-care agency, and a more intensive, longer intervention may be needed to change self-care agency.

Application of Orem’s theory on wounds: an integrative review

Objetivos: Caracterizar a produção científica sobre a aplicação da teoria do autocuidado no âmbito das feridas. Método: Revisão integrativa da literatura com os artigos disponíveis na íntegra que evidenciem a temática. Foram utilizados os seguintes recursos informacionais: BVS, CINAHL, Scopus, Cochrane, PubMed e SciELO. Foram elencados os seguintes descritores: Autocuidado, Teoria de enfermagem, Ferida e Úlcera, em suas versões em inglês e português. A amostra final constou de 10 publicações. Os dados foram coletados utilizando um instrumento validado. A avaliação e a síntese dos dados foram produzidas através de descrição e avaliações estatísticas simples. Resultados: Os estudos analisados foram desenvolvidos em quatro países, o idioma inglês predominou e as publicações tiveram início em 2004. A teoria foi aplicada na sistematização da assistência de enfermagem como estratégia de ensino para o autocuidado e como referencial teórico. Os artigos relacionaram a teoria com pé diabético, úlcera venosa, úlceras de perna/ membros inferiores (sem especificar o tipo), queimaduras e lesão por pressão. Conclusão: A teoria de Orem foi aplicada a uma diversidade de sujeitos e contextos, sua aplicabilidade no âmbito das feridas é algo concreto, independentemente do tipo de lesão.

Application of Orem’s theory on wounds: an integrative review

Objective: To characterize the scientific production on the application of Orem’s self-care theory in the scope of wounds. Method: Integrative literature review with the available articles that highlight the theme. The following informational resources were used: VHL, CINAHL, Scopus, Cochrane, PubMed and SciELO. The following descriptors were listed: Self Care, Nursing Theory, Wound and Ulcer, in their English and Portuguese versions. The final sample consisted of 10 publications. Data were collected using a validated tool. Evaluation and data synthesis were produced through description and simple statistical evaluations. Results: The analyzed researches were developed in four countries; English language was predominant; publications began in 2004. The theory was applied in nursing care systematization, as a teaching strategy for self-care and as a theoretical framework. The articles linked the theory to diabetic foot, venous ulcer, leg/lower limb ulcers (no specification of type), burns and pressure injury. Conclusion: Orem’s theory was applied to a variety of individuals and contexts, its applicability within the scope of wounds is something concrete, regardless of the type of injury.

Self-care promotion of the intact (non-circumcised) patient: A review of available recommendations.

With routine infant circumcision ratesdeclining in the United States, nurses are likely to encounter more intact (non-circumcised) male patients requiring genital hygiene, nursing interventions, and education accessing the health system. To date, a little emphasis has been placed on the care of the intact male patient in the nursing literature, resulting in ambiguity in care recommendations. The vagueness is problematic, as improper intact care, particularly in the pediatric patient, can result in forced retraction injuries, bleeding, scarring, and unnecessary intervention. In addition, with nurses conducting many of the tasks of hygiene and education for self-care, there is potential for impaired patient self-care and harm if nurses are not knowledgeable in intact care. Utilizing Orem's self-care theory as a framework, the aim of this effort is to perform a review of current recommendations on intact care to inform nursing practice with this population. As no evidence was found in the scientific literature, readily available consumer website resources were reviewed. Themes of hygiene and age of retraction emerged. While recommendations for hygiene practices were variable, all review sources (n = 12) were clear in advising against the premature retraction of the intact foreskin and identified this as a route for injury. With no current literature available to summarize current nursing clinical or educational practices, dissemination of these recommendations is necessary to prevent patient injury and promote appropriate patient self-care.

Development of a subset of ICNP Nursing Diagnoses for the promotion of self-care in people with diabetes mellitus: a multi-center observational study.

Self-care is a key for people with diabetes mellitus (DM) to avoid severe complications and to maintain quality of life. Person-centered and accurate nursing care plans can help nurses to deliver effective self-care promotion interventions. Few studies focused on nursing diagnoses that are specific for diabetes self-care education, and none of them used the International Classification for Nursing Practice (ICNP). International Catalogues of ICNP nursing diagnoses are missing in this field. To identify the ICNP nursing diagnoses that are useful to promote self-care in people with DM; to describe the prevalence of ICNP nursing diagnoses in self-care of people with DM. A subset of 55 ICNP nursing diagnoses was developed based on the Middle Range Theory of Self-care of Chronic Illness, and most recent diabetes clinical guidelines. Then, the subset was tested through a multicenter cross-sectional design involving a consecutive sample of 170 adults with confirmed diagnosis of Type 1 or Type 2 DM. Data were collected by medical records, physical examinations and semi-structured interviews. 1343 nursing diagnoses were identified, with an average of 8 nursing diagnoses per patient. The 100% of the nursing diagnoses were described using the pre-developed subset. Overall, the five prevalent nursing diagnoses were: Body weight problem (56.4%), Non adherence to immunization regime (53.5%), Conflicting attitude toward dietary regime (41.7%), Impaired weight monitoring (39.4%), and Lack of knowledge about blood glucose diagnostic test result (32.3%). Nursing diagnoses by self-care maintenance, monitoring and management were also described. A huge amount of nursing diagnoses was identified suggesting the need of intensive education. Clinicians and administrators can use this subset to improve the accuracy of the documentation of diabetes care. In Public Health, the subset can be used to assess the cost-effectiveness of diabetes healthcare services. Future research is needed to assess the effectiveness of this subset in settings that are different from the one where it was developed. Finally, this subset could be a starting point to develop and International ICNP Catalogue for diabetes care.

Self-care in individuals with chronic kidney disease on hemodialysis.

To understand how self-care is carried out by people with chronic kidney disease on hemodialysis. A qualitative approach was used. Data was collected through semi-structured interviews in 12 individuals on hemodialysis in Chile between September and December 2018. Dorothea Orem's self-care theory was used for directed content analysis. Three categories emerged: self-care requirements, self-care deficit, and education and information management for self-care. People were aware of the importance of carrying out their self-care. They also stated not to carry out the care actions rigorously enough showing some limitations. Finally, people's knowledge about their condition was usually acquired from the Internet and from their own experience rather than through consultations with a health team. People are conscious about their role in their health in a flexible way. The health team should know how to recognize conditions interfering in people's self-care and help to overcome them.

The elaboration process of an educational guide for individuals with an ostomy: development of educational guidelines for the self-care of patients with an intestinal and/or urinary ostomy

This study aimed to develop a guideline concerning the care directed toward an individual with an intestinal and/or urinary ostomy attending the Assistance Service for Ostomized Patients implemented at the Clinical Hospital of Uberlândia UFU, in order that such individuals be provided the means of self-care and thus improve their life quality. A bibliographical survey was performed on the theme, which focused on Guidelines Based on Evidence. The development of these guidelines was based on a bibliographical survey and took as its foundation the principles of Orem’s self-care theory and the educational practices applied to pedagogy in health according to Paulo Freire's philosophy concerning liberating education, qualification and dialogue between the subject and the professional, which grants the possibility of aiding the family and patient to modify their lifestyles and be the agents of transformation, thus favoring the development of their autonomy. The printed educational material brings new information and knowledge to the ostomized patient.

Life After Amputation: A Case Study

In the Philippines, the National Council on Disability made a survey revealing a prevalence of43.367 disabled who lost one or both legs and/or feet. This study explored the challengesencountered and coping mechanisms an amputee manifests, and the assistance that they getfrom their expected support system. This case study was anchored on Dorothea Orem’s SelfCare Theory of Nursing. Four purposively sampled amputee informants were interviewed andobserved. Primary and secondary data were gathered and triangulation with the relatives wasdone to ensure the validity and depth of the results. Data were encoded and analyzed usingthematic analysis. Results revealed that the informants experienced physical, psychological,emotional, socio-economic, and spiritual challenges. Physical challenges involved mobilityproblem and lack of gait balance, physical deformity, adjustment to the new body, alteredphysical appearance, a sedentary behavior, and phantom pain. Psychological challengesinvolved suicidal tendency, loss of libido, self-pity, and depression. Emotional challengesincluded fear and hopelessness. Socio-economic challenges involved the development of antisocial behavior, dissociative behavior, fear of losing a job, problem with money, and fear ofrejection. Spiritual challenges involved loss of faith. Coping mechanism included support fromfamily and friends, mastery of gait and balance, proper practice in using assistive devices,hastened adjustment to the new body, wearing of prosthesis, medication and mobility, and trustin God. Although they get strong support from the family and friends, there is very limitedassistance from the government and the community. There is a need to increase familyawareness in anticipating the needs of the amputees. Likewise, full support must be given tothem. Health education campaign may be formulated by the local health leaders and provisionof assistive devices and equipment to achieve the equalization and opportunities for personswith disabilities may also be done.

Functional Mastery in Patients With Inflammatory Bowel Disease.

Inflammatory bowel disease (IBD) is an incurable autoimmune disease causing overwhelming physical distress and psychological adaptation. To explore the associations between foundational influences and personal characteristics predictors to the achievement of mastery of health in patients with IBD. Orem's Theory of Self-Care, Resnick's Theory of Self-Efficacy, and Pearlin and Schooler's study of the structure of coping guided this study. The conceptual framework used was the Functional Mastery of Health Ownership (FMHO) model. A predictive correlational study design using self-administered questionnaires was used. A convenience sample of 151 adults with a diagnosis of IBD for at least 1 year was recruited from the patient population of a gastroenterology medical practice. Data were analyzed using multiple regression with standard entry factor loading. Portions of the model were found to be significant and account for 44% of the variance (p < .001; R2 = .44, Adjusted R2 = .41). Significant relationships were found among mastery and IBD self-efficacy, perception of mastery, and current health status. Females had higher mastery scores than males. These findings support the use of a modified FMHO model to predict needs that enable individualized stewardship of health for patients with IBD.

Dampak Latihan Self Efficacy Terhadap Kemampuan Self Care Pasien Di Ruang Interna Rsud Syarifah Ambami Rato Ebuh Bangkalan

Nursing ability to prevent and minimizethemselves due to the risk of a disease is not thesame on every person. One theory that is beingdeveloped in the world of nursing theory DorotheaElisabeth Orem is that the theory of self-care. Basedon preliminary studies obtained largely self-careabilities of patients in interne room is low. Thepurpose of this study to analyze differences in theability of self-care in patients before and after selfefficacy&#x0D; exercise. This type of research is the preexperimental&#x0D; with one-group pre-post test design.The samples used were 15 people with a purposivesampling technique. Data collection was conductedusing a checklist sheet classification of self careability and Wilcoxon test to see the difference. Thestatistical result is obtained p-value (0,001) &lt; α(0,05) which means that H1 is accepted and H0 isrejected or there are difference in the ability of selfcare&#x0D; before and after self-efficacy exercise in theinterne room Syarifah Ambami Rato EbuhBangkalan. This was caused by the self-efficacyexercise can affect cognitive, motivational, affective,and selection. In connection with the development of theoryin nursing, it is expected that health workers to betterunderstand the importance of improving the ability ofself-care to maintain the normal function of the bodyby making self-efficacy exercise as a measure ofnursing care at the Hospital&#x0D;

Development and Validation of the Self-care in Motor Neuron Disease Index.

The aim of this study was to develop and psychometrically test the properties of the Self-care in Motor Neuron Disease (SCMND) Index. This instrument development and validation study was conducted in 3 phases. The first is to identify self-care behaviors in people with motor neuron disease (MND), and the second is to evaluate the content validity of the SCMND Index. Then, between March 2017 and March 2018, the tool was administered to 107 people with MND for psychometric tests. The SCMND Index was developed based on the middle-range theory of self-care of chronic illness, including 15 self-care behaviors related to respiration, nutrition, mobility, medication, medical visits, and complication management. Content validity was excellent. Data analysis suggests that the instrument has a good internal consistency in all 3 domains and excellent reproducibility. Increased self-care behaviors' median values were associated with mechanical ventilation, cough assistance, and dysphagia. Domains differed significantly based on access (maintenance), hospital admissions (monitoring and management), and respiratory infection (management). Self-care is a patient-centered outcome, and it is a key point of healthcare. Results suggest that the SCMND Index is useful for both clinicians and researchers to evaluate self-care in MND.

Development of an Instrument for Measuring Self-Care Behaviors After Left Ventricular Assist Device Implantation.

Successful long-term left ventricular assist device (LVAD) therapy necessitates a high degree of self-care. We aimed to develop an instrument that measures self-care behaviors in adult patients living with an LVAD. We used the method to develop patient-reported outcomes recommended by the US Food and Drug Administration. Prior to developing the instrument, a literature review was conducted to generate items using the middle-range theory of self-care of chronic illness as a guiding framework. A 2-round Delphi method, involving 17 clinicians with expertise in heart failure and assist devices from the Netherlands, Israel, United States, Canada, and Japan, was used to generate and select items. In the first Delphi survey, the levels of importance, relevance, and clarity of items in the instrument were evaluated. The second Delphi survey was performed to gain consensus on the final selection of items. We also examined face validity. A preliminary 37-item version of the Self-Care Behavior Scale was produced. The first panel judged 33 items as important and relevant, taking out 4 items due to vague wording and duplication and adding in 4 items. In the final 33-item version, 19 items address self-care maintenance behaviors, 10 items address self-care monitoring behaviors, and 4 items address self-care management behaviors. Patients (N = 25) did not have any difficulties understanding items and report any missing items. The 33-item Self-Care Behavior Scale for patients with heart failure having an LVAD has been developed and is ready for further psychometric testing.

Cross-cultural assessment of the Self-Care of Chronic Illness Inventory: A psychometric evaluation

BackgroundSelf-care refers to behaviors that individuals adopt to prevent or maintain the stability of an illness (self-care maintenance), to monitor signs and symptoms (self-care monitoring), and to respond to signs and symptoms of an illness exacerbation (self-care management). A generic measure of self-care, the Self-Care of Chronic Illness Inventory, based on the Theory of Self-Care of Chronic Illness, was developed for use in individuals with any number and type of chronic conditions. ObjectiveThe current study investigated the measurement equivalence of the Self-Care of Chronic Illness Inventory in individuals from three different cultural groups. We were interested in determining if Italians, Swedes, and Americans interpret the measure in a conceptually similar way. MethodsThis cross-sectional study enrolled 1629 patients, 784 recruited in Italy, 438 in Sweden and 407 in the United States. Self-care (self-care maintenance, self-care monitoring and self-care management) was measured with the Self-Care of Chronic Illness Inventory. A multi-group confirmatory factor analytic approach was used to assess the equivalence of the measures across the three countries. Configural, metric, scalar and strict invariance were tested through a series of nested models where increasingly stringent equality constraints were posited. ResultsParticipants were mostly males (56.3%), older adults (69.8%) and had at least two chronic conditions. Results indicated that three out of four measurement equivalence levels were partially or totally supported in all three of the Self-Care of Chronic Illness Inventory scales. The partial scalar invariance level was reached for self-care maintenance [χ2(50) = 63.495, p = 0.095; RMSEA = 0.022, p = 0.999, 90% CI = 0.000 0.038; CFI = 0.981; TLI = 0.977; SRMR = 0.036], self-care monitoring [χ2(22) = 28.770, p = 0.095; RMSEA = 0.024, p = 0.978, 90% CI = 0.000 0.046; CFI = 0.996; TLI = 0.995; SRMR = 0.054], and self-care management [χ2(51) = 91.334, p = 0.001; RMSEA = 0.048, p = 0.576, 90% CI = 0.031 0.063; CFI = 0.949; TLI = 0.937; SRMR = 0.047] scales. ConclusionsThese findings suggest that patients in the three countries used an identical cognitive framework or mental model when responding and used the 1–5 Likert response scale in an almost identical way, almost without bias. In spite of sociocultural differences, patients in these countries seem to share the same fundamental view of self-care. The results of the Self-Care of Chronic Illness Inventory will be comparable in these countries.

Contexto social do adolescente na condição de ser transplantado renal

O presente estudo objetivou conhecer os significados sobre o contexto social do adolescente na condição de ser transplantado renal. Trata-se de um estudo descritivo com abordagem qualitativa utilizando a Teoria do Autocuidado de Orem. A pesquisa foi desenvolvida na unidade ambulatorial de transplante renal de um hospital público terciário. Participaram do estudo 25 adolescentes transplantados renais em atendimento ambulatorial. Os dados foram coletados durante os meses de abril e maio de 2018, utilizando-se um roteiro de entrevista semiestruturado, englobando perguntas abertas, para entender o contexto e as necessidades dos adolescentes em forma de gravação. A análise dos dados foi feita seguindo a análise de conteúdo. Criou-se com a análise dos dados a apreensão de três categorias temáticas: “Os significados de ser transplantado renal”; “Adesão ao tratamento pós transplante”; e “Experiências sexuais e proteção contra doenças sexualmente transmissíveis”. Conclui-se frente a condição de ser um adolescente transplantado renal, sua sexualidade e adesão ao tratamento, o principal motivo encontrado foram as dificuldades de adesão ao tratamento e as mudanças de estilo de vida frente as recomendações com hábitos alimentares e a terapia farmacológica.

Diagnósticos de enfermagem com foco no problema para indivíduos acometidos pela hanseníase

RESUMO: Objetivo: analisar o perfil diagnóstico de usuários acometidos pela hanseníase, levantando diagnósticos de enfermagem, com foco no problema conforme a taxonomia II da NANDA-I 2015-2017, à luz do construto do autocuidado de Orem. Método: Estudo descritivo, quantitativo de delineamento transversal, realizado entre os meses de janeiro a março de 2016, e contemplou uma amostra por conveniência de 40 indivíduos acometidos pela hanseníase atendidos em um ambulatório especializado em hanseníase. Resultados: evidenciados os diagnósticos de Enfermagem com foco no problema, a saber: Dor crônica, Proteção ineficaz, Estilo de vida sedentário, Atividade de recreação deficiente e Fadiga. Conclusão: Em suma evidenciou-se a relevância dos diagnósticos de enfermagem para o planejamento, implementação e avaliação do processo de cuidar em enfermagem à luz da Teoria do Autocuidado de Orem em indivíduos acometidos pela hanseníase.

Theory Testing of Patient Perspectives Using a Mobile Health Technology System in Heart Failure Self-care

There is an increasing interest in mobile health (mHealth), the use of mobile devices for supporting self-care in persons with heart failure. However, an established theoretical framework to explain, predict, and understand the phenomena of mHealth to support self-care is lacking. The aim of this study was to deductively test if the situation-specific theory of heart failure self-care could be applied in the context of persons with heart failure using an mHealth system with a tablet computer connected to a weighing scale to support their self-care. We wanted to test whether the 3 phases of the self-care process (ie, self-care maintenance, symptom perception, and self-care management) could be validated in the experiences of persons with heart failure using an mHealth tool. A qualitative study design was used with semistructured interviews. Data were analyzed deductively using content analysis and coded according to a structured matrix into 1 of the 3 predefined categories: self-care maintenance, symptom perception, or self-care management RESULTS:: Seventeen persons with heart failure, with mean age of 75 years, participated. The mHealth system was found to be feasible, influencing adherence and providing support for maintaining self-care as well as influencing both physical and psychological symptom perception.In persons with heart failure, the mHealth tool experience influenced the development and use of skills and fostered independence in self-care management. An interaction with healthcare professionals was sometimes needed in combination with the mHealth tool. The findings confirmed that "the situation-specific theory of heart failure self-care" could be applied in this context.

Integrating Symptoms Into the Middle-Range Theory of Self-Care of Chronic Illness.

The Middle-Range Theory of Self-Care of Chronic Illness has been used widely since it was first published in 2012. With the goal of theoretical refinement in mind, we evaluated the theory to identify areas where the theory lacked clarity and could be improved. The concept of self-care monitoring was determined to be underdeveloped. We do not yet know how the process of symptom monitoring influences the symptom appraisal process. Also, the manner in which self-care monitoring and self-care management are associated was thought to need refinement. As both of these issues relate to symptoms, we decided to enrich the Middle-Range Theory with knowledge from theories about symptoms. Here, we propose a revision to the Middle-Range Theory of Self-Care of Chronic Illness where symptoms are clearly integrated with the self-care behaviors of self-care maintenance, monitoring, and management.

The Self-Care in Chronic Obstructive Pulmonary Disease Inventory: Development and Psychometric Evaluation.

This study developed two instruments, the Self-Care in Chronic Obstructive Pulmonary Disease (COPD) Inventory (SC-COPDI) and the COPD-Self-Care Self-Efficacy Scale (SCES), and tested their psychometric properties on a convenience sample of 498 patients from Northern, Central, and Southern Italy. First, the domains and the items of the SC-SCOPDI were generated based on the middle-range theory of self-care of chronic illness, comprising the dimensions of self-care maintenance, self-care monitoring, and self-care management, and the SCES-COPD was developed accordingly. Second, we assessed the content validity of each scale. Third, we conducted a multicenter cross-sectional study to test their structural validity, convergent and discriminative validity, internal consistency, and test-retest reliability. The theoretical dimensions of the two instruments were confirmed through confirmatory factor analysis. Convergent validity was demonstrated by the correlation among the three self-care scales and the Self-Efficacy Scale, and discriminative validity by higher self-care scale scores in individuals with greater COPD severity and poorer health status. The global reliability index ranged from .78 to .92 for all scales. The intraclass correlation coefficients were higher than .70. Further studies are needed to confirm the psychometric properties of the two instruments in different COPD populations and countries to extend their use in clinical practice.

The patient with chronic obstructive pulmonary disease: how rehabilitation nurses promote self-care

espanolIntroduccion: El aumento de la prevalencia de las enfermedades cronicas como la enfermedad pulmonar obstructiva cronica (EPOC) tiene un alto impacto social y economico, compromete la salud de las personas y, consecuentemente, la forma en que gestionan la enfermedad y promueven el autocuidado. Objetivos: sistematizar intervenciones de enfermeria de rehabilitation promotoras del autocuidado en la persona con EPOC. Metodos: Este estudio consiste en una revision sistematica de la literatura. Para comprender y analizar este fenomeno se utilizo la Teoria del Autocuidado de Orem. Resultados: Los resultados senalaron que los programas de intervencion de enfermeria compuestos por ejercicios respiratorios, entrenamiento de ejercicio y un fuerte componente educativo, sobre el control de los sintomas y la gestion de la terapia, promueven el autocuidado, la autogestion y la autoeficacia. Conclusiones: El enfermero de rehabilitation, en el ambito de sus competencias, donde se destacan las estrategias educativas, contribuye a la gestion de la condicion de salud de estas personas. EnglishIntroduction: The increased prevalence of chronic diseases such as Chronic Obstructive Pulmonary Disease (COPD) has a high social and economic impact, compromises patient's health and consequently the way they manage the disease and promote self-care. Objectives: Systematize rehabilitation nursing interventions that promote self- care in the person with COPD. Methods: This study consists of a systematic review of the literature. To understand and analyze this phenomenon, Orem's Theory of Self-Care was used. Results: The results showed that nursing intervention programs, consisting of respiratory exercises, exercise training and a strong educational component, especially on symptom control and therapeutic management, promote self-care, self-management and self-efficacy. Conclusions: Rehabilitation’s nurses, with their competences, where the educational strategies are highlighted, contributes to the management of the health condition of these patients. portuguesIntroducao: O aumento da prevalencia das doencas cronicas como a Doenca Pulmonar Obstrutiva Cronica (DPOC) tem um elevado impacto social e economico, compromete a saude das pessoas e consequentemente a forma como gerem a doenca e promovem o autocuidado. Objetivos: Sistematizar intervencoes de enfermagem de reabilitacao promotoras do autocuidado na pessoa com DPOC. Metodos: Este estudo consiste numa revisao sistematica da literatura. Para compreender e analisar este fenomeno foi utilizada a Teoria do Autocuidado de Orem. Resultados: Os resultados salientaram que os programas de intervencao de enfermagem de reabilitacao compostos por exercicios respiratorios, treino de exercicio e uma forte componente educacional nomeadamente sobre o controlo dos sintomas e a gestao da terapeutica promovem o autocuidado, a autogestao e a autoeficacia. Conclusoes: O enfermeiro de reabilitacao, no âmbito das suas competencias, onde se destacam as estrategias educacionais, contribui para a gestao da condicao de saude destas pessoas.

Robyn Begley, DNP, RN, NEA-BC

Robyn Begley, DNP, RN, NEA-BC