Hypertension Self-Care Activity Level Effects

Background Pancreatic and periampullary cancers are rare but have high mortality rates. The only hope for cure is surgical removal of the tumor. Following pancreatic surgery, the patients have a great deal of responsibility for managing their symptoms. Patients report a lack of sufficient knowledge of self-care and unmet supportive care needs. This necessitates a health care system responsive to these needs and health care professionals who pay close attention to symptoms. Person-centered care is widely encouraged and means a shift from a model in which the patient is the passive object of care to a model involving the patient as an active participant in their own care. To address the challenges in care following pancreatic cancer surgery, an interactive app (Interaktor) was developed in which patients regularly report symptoms and receive support for self-care. The app has been shown to reduce patients’ symptom burden and to increase their self-care activity levels following pancreaticoduodenectomy due to cancer. Objective The aim of the study was to describe how patients used the Interaktor app following pancreaticoduodenectomy due to cancer and their experience with doing so. Methods A total of 115 patients were invited to use Interaktor for 6 months following pancreaticoduodenectomy. Of those, 35 declined, 8 dropped out, and 46 did not meet the inclusion criteria after surgery, leaving 26 patients for inclusion in the analysis. The patients were instructed to report symptoms daily through the app for up to 6 months following surgery. In case of alerting symptoms, they were contacted by their nurse. Data on reported symptoms, alerts, and viewed self-care advice were logged and analyzed with descriptive statistics. Also, the patients were interviewed about their experiences, and the data were analyzed using thematic analysis. Results The patients’ median adherence to symptom reporting was 82%. Fatigue and pain were the most reported symptoms. Alerting symptoms were reported by 24 patients, and the most common alert was fever. There were variations in how many times the patients viewed the self-care advice (range 3-181 times). The most commonly viewed advice concerned pancreatic enzyme supplements. Through the interviews, the overarching theme was “Being seen as a person,” with the following 3 sub-themes: “Getting your voice heard,” “Having access to an extended arm of health care,” and “Learning about own health.” Conclusions Interaktor proved to be well accepted. It made patients feel reassured at home and offered support for self-care. The app facilitated person-centered care by its multiple features targeting individual supportive care needs and enabled participation in their own care. This supports our recent studies showing that patients using the app had less symptom burden and higher self-care activity levels than patients receiving only standard care.

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Predictors of post prandial glucose level in diabetic elderly

International Journal of Public Health Science (IJPHS) ◽

10.11591/ijphs.v8i2.19022 ◽

2019 ◽

Vol 8 (2) ◽

pp. 254

Author(s):

Ni Putu Wulan Purnama Sari ◽

Maria Manungkalit

Keyword(s):

Sleep Quality ◽

Functional Status ◽

Stress Level ◽

Self Care ◽

Rank Correlation ◽

Glucose Absorption ◽

Elderly Age ◽

Cross Sectional ◽

Age Related ◽

Care Activity

Post prandial glucose (PPG) level describes the speed of glucose absorption after 2 hours of macronutrient consumption. By knowing this, we could get the big picture of insulin regulation function and macronutrient metabolism in our body. In elderly, age-related slower glucose metabolism leads to diabetes mellitus (DM) in older age. This study aimed to analyze the predictors of PPG level in diabetics elderly which consist of functional status, self-care activity, sleep quality, and stress level. Cross-sectional study design was applied in this study. There were 45 diabetic elderly participated by filling in study instruments. Pearson and Spearman Rank correlation test were used in data analysis (α<.05). Results showed that most respondents were female elderly, 60-74 years old, had DM for 1-5 years with no family history, and only 33.33% respondents reported regular consumption of oral anti diabetes (OAD). Hypertension was found to be frequent comorbidity. Statistical analysis results showed that functional status, self-care activity, sleep quality, and stress level were not significantly correlated with PPG level in diabetic elderly (all p>α), therefore these variables could not be PPG level predictors. Other factors may play a more important role in predicting PPG level in diabetic elderly.

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Relative and Cumulative Effects of Hypertension Self-Care Behaviors on Blood Pressure

Western Journal of Nursing Research ◽

10.1177/0193945919851111 ◽

2019 ◽

Vol 42 (3) ◽

pp. 157-164

Author(s):

Jan Warren-Findlow ◽

Lisa M. Krinner ◽

Erin Vinoski Thomas ◽

Maren J. Coffman ◽

Benjamin Gordon ◽

...

Keyword(s):

Blood Pressure ◽

Assessment Tool ◽

Self Care ◽

Cross Sectional Study ◽

Activity Level ◽

Cumulative Effects ◽

Cross Sectional ◽

Partial Correlations ◽

Valid Assessment ◽

Individual Self

New recommendations for hypertension (HTN) diagnosis and treatment highlight the role of self-care activities in managing blood pressure (BP). This cross-sectional study investigated the predictive validity of the Hypertension Self-Care Activity Level Effects (H-SCALE) measure and examined the relative and cumulative effects of HTN self-care adherence on BP. We pooled baseline data from three studies ( N = 79), resulting in a gender and racially balanced sample. Partial correlations determined the relative effects of individual self-care behaviors on BP. We modeled the relationship between adherence to self-care behaviors and BP control using logistic regression. Physical activity had the greatest correlation with systolic BP. Adherence to each additional self-care behavior increased the odds of systolic BP control by 88% (95% confidence interval (CI) = [1.20, 2.96]) and diastolic BP control by 74% (95% CI = [1.10, 2.75]). Results provide further evidence that the H-SCALE is a valid assessment tool and should be adopted by clinicians to aid in improving BP management.

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A-039 Adherence and Executive Functioning in an Elderly Population with Type 2 Diabetes in México

Archives of Clinical Neuropsychology ◽

10.1093/arclin/acaa068.039 ◽

2020 ◽

Vol 35 (6) ◽

pp. 829-829

Author(s):

Ibarra C ◽

Giudicessi A

Keyword(s):

Type 2 Diabetes ◽

Executive Functioning ◽

Social Services ◽

Diabetes Management ◽

Self Care ◽

Activity Level ◽

Control Group ◽

Neuropsychological Battery ◽

The Relationship

Abstract Objective Diabetes is a prevalent chronic illness that can impact Executive Functioning (EF). Adherence to treatment is an important aspect in diabetes management however little published research addresses the relationship between adherence and EF in individuals with Type 2 Diabetes Mellitus (T2DM). The objectives of this study are: compare the levels of adherence and EF between T2DM and a control group. Analyze the relationship between adherence and EF in individuals with T2DM. Method The present study included 10 participants with T2DM and 10 control participants with Hypertension (HTN) all between the ages of 61–76. Participants were recruited through “Casa del Abue” a public center offering medical/social services to geriatric populations in Puebla, México. Neuropsychological Battery of Executive Functions and Frontal Lobes was administered to all participants, along with adherence measures specific to diagnosis: Summary of Diabetes Self-Care Activities or Hypertension Self-Care Activity Level Effects. Informed consent was obtained prior to participation. Results Results show significant differences in adherence between T2DM and HTN U = 1.0 p = < 0.001 and also between groups in EF measures related to medial Orbitofrontal cortex (OFC) U = 21.0 p = < 0.05. The relationship between adherence and EF in T2DM participants was moderately correlated r(10) = 0.32, p = 0.36. Descriptive statistics found in Table 1. Conclusion T2DM participants demonstrate significantly lower adherence levels and deficits in EF compared to the control group as expected. Given only a moderate correlation between adherence and EF was found, further research including a larger sample and more precise adherence measures such as HbA1c is suggested to further understand this relationship.

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Empowerment of Posbindu Cadres in Improving Self-Care Activity in Diabetes Mellitus Based on Levine Conversation

Proceedings of the 9th International Nursing Conference ◽

10.5220/0008330706720675 ◽

2018 ◽

Author(s):

Alik Septian Mubarrok ◽

Fahruddin Kurdi ◽

Ratna Puji Priyanti ◽

Supriliyah Praningsih

Keyword(s):

Diabetes Mellitus ◽

Self Care ◽

Care Activity

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HSR19-107: Nivolumab for Newly Diagnosed Classical Hodgkin Lymphoma: Patient-Reported Outcomes From CheckMate 205 Cohort D

Journal of the National Comprehensive Cancer Network ◽

10.6004/jnccn.2018.7210 ◽

2019 ◽

Vol 17 (3.5) ◽

pp. HSR19-107

Author(s):

Radhakrishnan Ramchandren ◽

Stephen M. Ansell ◽

Philippe Armand ◽

Andreas Engert ◽

Fiona Taylor ◽

...

Keyword(s):

Hodgkin Lymphoma ◽

Self Care ◽

Newly Diagnosed ◽

Classical Hodgkin Lymphoma ◽

Meaningful Improvement ◽

Patient Reported ◽

Vas Scores ◽

Care Activity ◽

Eq Vas

Background: Patients (pts) with classical Hodgkin lymphoma (cHL) frequently experience reduced health-related quality of life (HRQoL) (Oerlemans et al, Ann Hematol 2011). Nivolumab, a fully human IgG4 anti-programmed death-1 (PD-1) immune checkpoint inhibitor monoclonal antibody, demonstrated efficacy and clinically meaningful improvement in pt-reported outcomes (PROs) in pts with relapsed/refractory cHL in cohorts A, B, and C of CheckMate 205 (NCT02181738) (Armand et al, J Clin Oncol 2018; Engert et al, ASH 2017). Nivolumab monotherapy followed by nivolumab + doxorubicin, vinblastine and dacarbazine (N-AVD) demonstrated an objective response rate of 84% in newly diagnosed cHL (cohort D of CheckMate 205; Ramchandren et al, EHA 2018). We present PROs in CheckMate 205 cohort D. Methods: Pts ≥18 years of age with untreated, advanced-stage cHL, with ECOG performance status (PS) of 0–1 received 4 doses of nivolumab monotherapy (240 mg IV Q2W) followed by N-AVD for 6 cycles (12 doses). Pts then entered the follow-up (FU) period. PROs were an exploratory endpoint, assessed using the EuroQol 5 Dimensions-3 level (EQ-5D-3L) and associated visual analog scale (EQ-VAS) in all treated pts who had both a baseline (monotherapy cycle 1) and post-baseline assessment. EQ-VAS ranges from 0–100, with higher scores indicating better HRQoL. In EQ-5D-3L, pts can report no, some, or extreme problems in each of 5 dimensions (mobility, self-care, activity, pain, and anxiety). Results: 51 pts were treated. At baseline, median age was 37 years, 63% were male, 59% had ECOG PS of 0. 49 pts (96%) completed baseline EQ-VAS. Mean EQ-VAS scores exceeded the mean baseline score at the end of monotherapy, after 2 combination cycles, at the end of therapy, and during follow-up (Table 1). The proportion of pts reporting some or extreme problems in EQ-5D-3L was numerically lower than or similar to baseline after monotherapy for all dimensions, but was numerically higher than baseline (dimensions of mobility and activity) after 2 combination cycles, and remained close to or numerically below baseline during follow-up (dimensions of self-care, activity, pain, and anxiety). Conclusions: Pt-reported HRQoL, as assessed by observed mean EQ-VAS scores, did not deteriorate from baseline during treatment with nivolumab followed by N-AVD. Proportions of pts reporting problems in individual EQ-5D-3L dimensions were generally similar to baseline during treatment and follow-up.

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Hubungan Antara Self Care Dengan Insidensi Neuropaty Perifer Pada Pasien Diabetes Mellitus Tipe II RSUD Cibabat Cimahi 2018

Jurnal Ilmu Kesehatan Bhakti Husada: Health Sciences Journal ◽

10.34305/jikbh.v10i1.85 ◽

2019 ◽

Vol 10 (1) ◽

pp. 54-67

Author(s):

Sri Indriani ◽

Irma Nur Amalia ◽

Hamidah Hamidah

Keyword(s):

Diabetes Mellitus ◽

Self Care ◽

P Value ◽

Chi Square ◽

Care Activity ◽

Diabetes Melitus

Diabetes melitus (DM) merupakan penyakit kronis yang ditandai dengan kenaikan kadar glukosa dalam darah dan dapat menyebabkan komplikasi akut ataupun kronik jika tidak ditangani. Neuropati Perifer merupakan komplikasi kronik yang banyak terjadi pada pasien DM. Perawatan diri (Self Care) yang baik dapat membantu mencegah terjadinya komplikasi tersebut. Penelitian ini bertujuan untuk mengetahui Hubungan Self Care dengan kejadian komplikasi Neuropati Perifer pada pasien DM tipe II. Jenis penelitian ini menggunakan deskriptif korelasi dengan sampel 69 responden, yang diperoleh melalui teknik Accidental sampling. Pengumpulan data menggunakan modifikasi kuesioner Summary Diabetes Self Care Activity (SDSCA) dan kuesioner kejadian komplikasi Neuropati Perifer. Hasil penelitian menggunakanujikorelasi Chi square ini menunjukkan terdapat hubungan antara self care dengan kejadian komplikasi neuropati perifer pada pasien DM tipe II dengan p value 0,010 (p<0,05). Dari 69 responden, 33 responden memiliki self care baik, 24 diantaranya menunjukkan tidak terjadi komplikasi neuropati perifer dan 9 diantaranya menunjukkan terjadi komplikasi neuropati perifer. Sebanyak 36 responden memiliki self care kurang, 14 diantaranya menunjukkan tidak terjadi komplikasi neuropati perifer dan 22 diantaranya menunjukkan terjadi komplikasi neuropati perifer. Peran perawat sebagai edukator sangat penting untuk membekali pasien DM agar memiliki perawatan diri yang baik.

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