Care or self-care? Self-administration of medication in hospital

1993 ◽  
Vol 2 (4) ◽  
pp. 251-255 ◽  
Author(s):  
HELEN BAKER ◽  
ALAN PEARSON
2020 ◽  
Vol 33 (3) ◽  
pp. 249-257
Author(s):  
Toke Vanwesemael ◽  
Koen Boussery ◽  
Tinne Dilles

The idea of patients self-administering their medication in hospital is not new; it was first cited in literature in 1959. Up to date, there is a growing body of literature that recognizes the importance of this approach. In this current state of the literature, self-administration of medication in hospital is positioned in the context of the definition of health as proposed by Huber et al. and Orem’s self-care deficit theory: first identify the concept of medication self-administration, as well as the prevalence, existing procedures, tools, and proven effects of interventions; then the findings should point the way forward for research, practice, and policy.


Author(s):  
Mayara Sousa Vianna ◽  
Patrícia Aparecida Barbosa Silva ◽  
Cíntia Vieira do Nascimento ◽  
Sônia Maria Soares

ABSTRACT Objective: to analyze the self-care competence in the administration of insulin performed by older people aged 70 or over. Method: cross-sectional study carried out with 148 older people aged 70 or over, who performed self-administration of insulin. Data collection was carried out using a structured questionnaire and an adapted guide for the application of the Scale to Identify Self-Care Competence of Patients with Diabetes, at the participants’ home. Data analysis included descriptive and inferential statistical tests, with forward logistic regression. Results: the prevalence of self-care competence in the administration of insulin was 35.1%. Handwashing error was the most frequent in self-administration of insulin. Self-care competence was negatively associated with retirees and positively associated with senior patients who performed capillary blood glucose monitoring and skin pinching during insulin application. Conclusion: there was low self-care competence and it was associated with both the sociodemographic and the clinical characteristics with regard to self-application of insulin by the older people.


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