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

2017 ◽  
Vol 35 (2) ◽  
pp. 78-85 ◽  
Author(s):  
Papatya Karakurt ◽  
Necla Kasimoğlu ◽  
Aybike Bahçeli ◽  
Sebahat Atalikoğlu Başkan ◽  
Burcu Ağdemir
Author(s):  
Clara Inés Flórez Almonacid ◽  
Alfredo Jurado Ramos ◽  
María-Aurora Rodríguez-Borrego

Abstract Objective: estimate the prevalence of anxiety in laryngectomy patients in the pre and postoperative periods and its relation with the self-care level. Method: observational research of 40 patients with stage IV laryngeal cancer. Three observations took place: in the preoperative phase, at seven and at 14 days after the surgery; between June 2010 and December 2012. Two self-care levels were defined: self-sufficient and needing help for activities of daily living and treatment-related activities. To assess the anxiety levels, Zigmond's hospital anxiety scale (1983) was used. Results: in the preoperative and postoperative phases, the patients presented high levels of anxiety. Concerning self-care, on average, self-sufficient patients presented lower levels of anxiety than patients who needed help to accomplish activities of daily living and activities deriving from the surgery, without significant differences. Conclusion: anxiety is present at all times in laryngectomy patients and the reduction of the self-care deficit seems to decrease it, without putting a permanent end to it.


2021 ◽  
Vol 67 (2) ◽  
pp. 40-47
Author(s):  
Yasemin Altınbaş ◽  
Sinan Aslan ◽  
Türkan Karaca

BACKGROUND: Patients who have undergone tracheostomy may feel weak, perceive a change in their health status, and have difficulty performing activities of daily living (ADL) following hospital discharge. PURPOSE: To investigate the relationships among self-care agency, health perception, and ADL in patients after tracheostomy. METHODS: A cross-sectional multisite descriptive study was conducted between December 31, 2019, and March 31, 2020. The sample consisted of 123 patients discharged from 3 hospitals in different regions of Turkey who agreed to participate in the study, were discharged with a tracheostomy, and received home care for at least 1 month (maximum 3 months) after discharge. The Sociodemographic Characteristics Form, the Self-Care Agency Scale (SCAS), Perception of Health Scale (PHS), and Activities of Daily Living (ADL) Scale were used and completed during face-to-face interviews. Descriptive statistics, independent sample t-test, analysis of variance, and Pearson correlation analysis were used to analyze data; P < .05 was accepted as the level of significance. RESULTS: Sixty-three (63) of 123 patients (51.2%) were 65 years and older, 86 (69.9%) were male, and 62 (50%) did not receive regular outpatient care. Most underwent surgery < 45 days ago (69; 56%), had cancer (92; 75%), and spent between zero and 185 US dollars per month on tracheostomy care (94; 76%). Compared with patients who received regular outpatient care, SCAS, PHS, and ADL scores were significantly lower (P < 0.05) in patients who did not receive this care. Overall scores showed moderate self-care agency and health perception, and the average ADL scores (14.92 ± 3.05) were in the independent range. Statistically significant positive correlations were found between health perception and self-care agency (r = 0.628; P = .001), health perception and ADL (r = 0.238; P = .008), and self-care agency and ADL (r = 0.461; P = .001). CONCLUSION: Patients who underwent tracheostomy had moderate SCAS and PHS scores, were able to perform ADL independently, and the scores were correlated. Patients with access to outpatient care had significantly higher SCAS, PHS, and ADL scores than patients who did not. Follow-up care may affect all dimensions of health and well-being.


2019 ◽  
Vol 48 (5) ◽  
pp. 299-304
Author(s):  
Shinji Mizuta ◽  
Shinya Takahashi ◽  
Mayo Oshita ◽  
Miwa Arakawa ◽  
Akira Katayama

2018 ◽  
Vol 6 (4) ◽  
pp. 121 ◽  
Author(s):  
Seham A. Abd El-Hay ◽  
Amany K. Abed Allah ◽  
El Sayed A. Tag El Din

Background: Stroke is a major cause of functional disability, it increased the need for continuous nursing care. Nurses need to pay attention not only to the physical recovery after stroke, but also to the psychological and social recovery. Therefore, it is important to provide training courses to nurses about care of stroke patients.Aim: This study was conducted to evaluate the effect of implementing designed educational training program for neurological nurses on clinical outcomes of stroke patients.Methods: Design: A quasi experimental research design was utilized. Setting: Data were collected from Neurological Intensive Care Units, Wards and Neurological outpatient clinics of Tanta Main University Hospital. Sample: All nurses (n = 35) who are providing direct care for stroke patients and a purposive sample of 30 stroke patients. Tools: Three tools were used to collect data. Tool (I): Assessment of nurses’ knowledge questionnaire sheet about stroke; Tool (II): Observational checklist to evaluate nurses’ practice regarding care of stroke patients; and Tool (III): Patient’s clinical outcomes assessment sheet.Results: The results revealed that there were significant improvements in nurses’ knowledge and practice regarding care of stroke patients post training program at p < .01. Also, significant improvements in self-care and activities of daily living among stroke patients were observed from immediately to 2 months later post application of training program.Conclusions: The study findings revealed that the implementation of designed educational training program within 2 months were successful for improving nurses’ knowledge and practice regarding care of stroke patients. Furthermore, there was improvement in activities of daily living and self-care among stroke patients.Recommendations: It is recommended to generalize implementation of designed educational training program for neurological nurses as a routine hospital care for stroke patients.


1998 ◽  
Vol 8 (1) ◽  
pp. 65-71 ◽  
Author(s):  
Gillian Ward ◽  
Carol Jagger ◽  
William Harper

The concept of formal or standardized tests for assessing function came to the fore in the 1960s. Katz et al. acknowledged the hierarchical nature of activities of daily living (ADL) such as eating, continence, transferring, going to the toilet, dressing and bathing in his ’Index of ADL’ and by 1968 ‘ADL’ was an accepted Index Medicus category. The definition of instrumental activities of daily living (IADL) began in 1969 with the work of Lawton and Brody who presented two scales to assess function which recognized the different degrees of complexity required for performing functional tasks. The first scale, taking life maintenance and activities essential for self-care as the primary level, was called the Physical Self-Maintenance Scale.


2014 ◽  
Vol 584-586 ◽  
pp. 239-242
Author(s):  
Wen Jie Lin ◽  
Yu Jun Yang ◽  
Xu Bo Yang

Targeted at the isolated old (including the isolated old living with nanny), this paper analyzes the characteristic of the living style of the isolated old through the place in which the elderly sleep, have meals and do daily living, and the relationship between the living styles and the health stages. On the basis of it, this paper comes up with suggestions for the sustainable residential unit design for the isolated old from the self-care stage to the nursing-cared stage.


Author(s):  
Natura Colomer-Pérez ◽  
Elena Chover-Sierra ◽  
Rut Navarro-Martínez ◽  
Virginia Andriusevičienė ◽  
Eugenia Vlachou ◽  
...  

Background: Drug abuse in university students is an emerging social and health issue. The present study assesses alcohol and abuse of other illicit drugs and the adverse consequences related to such use and its relationship with self-care agency among European university students. Methods: A multicenter cross-sectional study was performed among 592 European students from different health science degrees. The screening of alcohol abuse was evaluated with the Alcohol Use Disorder Test (AUDIT), and the screening for substance-related risks and problems was conducted with the Car, Relax, Alone, Forget, Friends, Trouble (CRAFFT) screening test. We analyzed the relationship of substance abuse with self-care agency, assessed by the Appraisal of Self-Care Agency Scale (ASA). Results: 51.4% of the surveyed students reported alcohol intake, 16.6% of the students consumed both alcohol and cannabis, 1.6 % reported alcohol and other illicit drugs, and 3.7% consumed alcohol, marijuana, and other illicit drugs (73.3% of students reported alcohol intake alone or together with cannabis/hashish and/or other illicit drugs). The self-care agency scores were significantly different among groups in relation to certain sociodemographic factors such as gender (p = 0.008) and country of residence (p = 0.031). The self-care agency scores significantly correlated (p = 0.001) with the personal motivations and consequences related to the consumption of drugs of abuse evaluated by the CRAFFT screening tool. Within the ASA domains, the most significant effects were observed regarding the subdomains of resources, awareness, and health behaviors. Conclusions: Self-care agency should be promoted to counteract the health and social consequences of the consumption of drugs of abuse among university students who will be future health care professionals.


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