Impact of COVID-19 on patient health and self-care practices: a mixed-methods survey with German patients

ObjectiveThis study aimed to examine German patients’: (1) self-estimation of the impact of the pandemic on their health and healthcare; and (2) use of digital self-care practices during the pandemic.DesignCross-sectional mixed-methods survey.Setting and participantsGeneral practice patients from four physicians’ offices located in urban and rural areas of Bavaria, Germany, between 21 July 2020 and 17 October 2020. A total of 254 patients participated (55% response rate); 57% (262 of 459) identified as female and participants had an average age of 39.3 years. Patients were eligible to participate if they were 18 years or older and spoke German, and had access to the internet.Results(1) Healthcare for patients was affected by the pandemic, and the mental health of a small group of respondents was particularly affected. The risk of depression and anxiety disorder was significantly increased in patients with quarantine experience. (2) Self-care practices have increased; more than one-third (39%) of participants indicated that they started a new or additional self-care practice during the pandemic, and about a quarter (23%) of patients who were not previously engaged in self-care practices started new self-care activities for the first time; however, such practices were not necessarily digital.ConclusionsFurther investigation is required to understand the relationship between digital self-care and public health events such as the COVID-19 pandemic, and to develop strategies to alleviate the burden of the quarantine experience for patients.

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Self-Care Practices Among Adult Type 2 Diabetes Patients With and Without Peripheral Neuropathy: A Cross-Sectional Study at Tertiary Healthcare Settings in Ethiopia

Canadian Journal of Nursing Research ◽

10.1177/08445621211020653 ◽

2021 ◽

pp. 084456212110206

Author(s):

Mezgebu Gode ◽

Fekadu Aga ◽

Aklil Hailu

Keyword(s):

Social Support ◽

Peripheral Neuropathy ◽

Self Care ◽

Cross Sectional Study ◽

Care Practice ◽

Cross Sectional ◽

Glucose Testing ◽

Blood Glucose Testing ◽

Care Practices

Background Type 2 diabetes mellitus (T2D) has become a global health challenge. Diabetic peripheral neuropathy (DPN) is one of the common comorbidities of T2D that may affect the ability to perform diabetes self-care. Purpose To compare self-care practices between adult T2D patients with and without comorbid DPN and identify factors predicting self-care practices. Methods In this cross-sectional study, conducted at tertiary hospitals in Ethiopia, a total of 216 (108 with DNP and 108 without DNP) participants completed an interviewer-administered questionnaire including measures of diabetes self-care practices, self-evaluated peripheral neuropathy, self-efficacy, diabetes knowledge, and social support. Results Adult T2D patients with comorbid DPN had lower dietary (P< 0.001), exercise (P< 0.001), blood glucose testing (P = 0.001), and foot (P = 0.007) self-care practice than those without DPN. Social support is a significant predictor of dietary self-care in both groups while predicting foot self-care and blood glucose testing in those with comorbid DPN. Moreover, occupation, education, and having a glucometer are significant predictors of diabetes self-care practice in both groups. Conclusion This study found that adult T2D patients with comorbid DPN have poorer diabetes self-care practice than those without comorbid DPN. Interventions should focus on addressing social support and access to a glucometer in order to improve diabetes self-care practices in adult T2D patients with comorbid DPN.

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Self-care practices, patient education in women with breast cancer-related lymphedema

Turkish Journal of Physical Medicine and Rehabilitation ◽

10.5606/tftrd.2021.5022 ◽

2021 ◽

Vol 67 (2) ◽

pp. 187-195

Author(s):

Zeynep Deveci ◽

Özgül Karayurt ◽

Sibel Eyigör

Keyword(s):

Breast Cancer ◽

Patient Education ◽

Self Care ◽

Breast Cancer Surgery ◽

Care Practice ◽

Clinical Factors ◽

Cross Sectional ◽

Significant Difference ◽

Care Practices ◽

Breast Cancer Related Lymphedema

Objectives: This study aims to evaluate self-care practices, sociodemographic and clinical factors that affect self-care and patient education among women with breast cancer-related lymphedema (BCRL). Patients and methods: This descriptive, cross-sectional study included a total of 102 women with BCRL (median age: 59 years; range, 35 to 80 years) who received lymphedema (LE) treatment at least once between July 2014 and May 2016. A Sociodemographic and Clinical Characteristics Form and the Lymphedema Self-care Survey were used to collect data via face-to-face interviews. Results: The median LE self-care practices score for women was 10 (range, 5 to 14). A total of 39.1% of the women implemented regular self-care. A statistically significant relationship was found between the score for perceived benefit of LE self-care and the score for self-care practice. No statistically significant difference was found among the self-care scores of the women with LE in terms of sociodemographic and clinical factors, except for education status. A total of 90.2% of the women with LE received self-care education, mostly from a physical therapy specialist and a physiotherapist. There was a statistically significant difference among self-care scores between patients who were educated and uneducated about LE. Conclusion: It is recommended that healthcare professionals should educate patients diagnosed with breast cancer to reduce LE risk and promote the implementation of self-care practices following the breast cancer surgery. Interventions should be made to increase the perceived benefits and reduce the perceived barriers and burden towards self-care behaviors to prevent and manage LE.

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Mindful Self-Care for Earlier Schooling

Advances in Early Childhood and K-12 Education - Supporting Children’s Well-Being During Early Childhood Transition to School ◽

10.4018/978-1-7998-4435-8.ch002 ◽

2021 ◽

pp. 21-41

Author(s):

Jacquelynne Anne Boivin ◽

Theresa Melito-Conners

Keyword(s):

Early Childhood ◽

Self Care ◽

Public Schooling ◽

Review Of The Literature ◽

Emotional Competencies ◽

Mindfulness Practices ◽

Care Practices ◽

The Impact ◽

First Time

This chapter explores the role that mindful self-care practices play in helping students transition into attending school for the first time. Self-care practices are described in this chapter based on a thorough review of the literature focusing on the benefits for young students in early childhood educational settings. A thorough review of the literature has provided insight into five areas that address the following topics: (1) defining the concept of mindful self-care, (2) the impact of mindfulness practices on self-care, (3) the significance of modeling in learning to be self-cared, (4) benefits of self-care in the early childhood transitionary period, (5) long-term benefits of implementing self-care skills as socio-emotional competencies in early childhood, (6) implications for earlier public schooling, (7) educating starting at birth.

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Perception of Self-care and Self-care Practice of Diabetic Patients Attending Selected Hospitals in Oyo State, Nigeria

10.52589/ijphp-xkalsfe8 ◽

2021 ◽

Vol 1 (2) ◽

pp. 50-59

Author(s):

Aina M.A. ◽

Agbede C.O.

Keyword(s):

Glucose Monitoring ◽

Self Care ◽

Sampling Technique ◽

Cross Sectional Study ◽

Care Practice ◽

Diabetic Patients ◽

Foot Care ◽

Cross Sectional ◽

Perception Of Self ◽

Care Practices

Patients with diabetes require continuous self-care practice as poor self-care results in complications. This study assessed the perception of self-care and self-care practice of diabetic patients attending selected hospitals in Oyo State, Nigeria. An institutional-based cross-sectional study was employed and a total of 120 diabetic patients were selected using a systematic random sampling technique. Pretested, structured, and interview administered questionnaires were used for data collection. The collected data were analysed using IBM SPSS version 23 to generate descriptive (Mean and standard deviation) and inferential (Chi-square and correlation) statistics. The respondents had a mean perception score of 30.68±7.56. Majority 113(94.2%) of the respondents had poor self-care practices. Respondents’ perception was significantly correlate with patient physical activity (r= 0.184; p=0.004); healthy eating (r=-0.24; p= 0.026); glucose monitoring (r=0.319; p=0.000); compliance with medication (r= 0.438; p = 0.00); risk reduction (r= 0.229; p=0.012) However, patient perception is not correlated with foot care (r= 0.052; p=0.575). Patient’s perception of diabetes is a key determinant of self-care. It is recommended that psycho cognitive interventions are developed to help patients practice the recommended self-care practices.

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Self-care practices among known type 2 diabetic patients in Haldwani, India: a community based cross-sectional study

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20191415 ◽

2019 ◽

Vol 6 (4) ◽

pp. 1740 ◽

Cited By ~ 1

Author(s):

Neha Goyal ◽

Sudhir Kumar Gupta

Keyword(s):

Self Care ◽

Cross Sectional Study ◽

Blood Glucose Monitoring ◽

Care Practice ◽

Diabetic Patients ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Care Practices

Background: The prevalence of diabetes worldwide is expected to rise to 9.9% by 2045 and with this rising prevalence raises the need for good self-care practices by patients themselves, which play a key role in effective management and prevention of complications.Methods: Present community-based cross-sectional study was conducted among 168 type 2 diabetes mellitus patients by interviewing them using a structured questionnaire assessing their self-care practices using summary of diabetes self-care activities (SDSCA) scale. Different domains were diet, exercise, blood glucose monitoring, medication compliance, foot care and smoking and responses were graded according to number of days in previous week a particular self-care activity of a domain was followed. Data analysis was done with help of SPSS version 21.Results: Mean age of diabetic patients in this study subjects was 54.37±13.24 years. 43.45% respondents have poor self-care practice scores. Bivariate analysis showed that self-care practices were significantly poorer among the diabetic patients less than 60 years of age, residing in rural area, either illiterate or studied till primary/intermediate, had diabetes for less than a year and were taking treatment from public health facilities. Poor self-care practices were insignificantly related with gender, marital status, occupation, monthly family income, type of family, food habits, hypertension as comorbidity, family history, BMI and mode of diagnosis. Multivariate analysis indicates that age, education and duration of diabetes are significant predictors for self-care practices.Conclusions: Self-care practices among diabetic patients were poor among 43.45% patients and there is a need for improving them across all assessed domains.

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Mindful Self-Care Practice of Nurses in Acute Care: A Multisite Cross-Sectional Survey

Western Journal of Nursing Research ◽

10.1177/01939459211004591 ◽

2021 ◽

pp. 019394592110045

Author(s):

Hussan Zeb ◽

Ijaz Arif ◽

Ahtisham Younas

Keyword(s):

Acute Care ◽

Self Care ◽

Male Nurses ◽

Care Practice ◽

Organizational Strategies ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Convenience Sample ◽

Care Practices ◽

Female Nurses

Consistent mindful self-care practices mitigate professional burnout and improve resilience to enable nurses provide safe and effective patient care. This study determined the levels and the influencing factors of mindful self-care of nurses in acute care settings. Data were collected from a convenience sample of 258 nurses from seven acute care hospitals using the 36-item Mindful Self-Care Scale. Data were analyzed using descriptive and correlation analyses. Nurses’ mindful self-care scores were low, and female nurses had higher levels of mindful self-care than male nurses. Statistically significant negative correlations were found between nurses’ mindful self-care levels and their age and clinical experience. Nurses’ engagement in mindful self-care is low which may negatively affect their interactions with and care of patients and their families. Therefore, a need exists to develop and evaluate more clinical-based personal and organizational strategies to enhance the mindful self-care practices of nurses.

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Patients’ awareness and extent of self-reported foot care practices in diabetes population

International Journal of Scientific Reports ◽

10.18203/issn.2454-2156.intjscirep20193763 ◽

2019 ◽

Vol 5 (9) ◽

pp. 246

Author(s):

Mohammed Assen Seid ◽

Eden Zenebe Worku ◽

Habtamu Bulbula Mideksa

Keyword(s):

Self Care ◽

Foot Ulcer ◽

Diabetic Foot Ulcer ◽

Care Practice ◽

P Value ◽

Binary Logistic Regression Analysis ◽

Foot Care ◽

Cross Sectional ◽

Care Practices ◽

Diabetes Patients

Background: Diabetic foot ulcer is a serious complication of diabetes which results lower extremity amputation. Proper preventative measures, appropriate foot self-care and management of foot ulcer will reduce, delay or prevent the incidence of infection, gangrene, and amputation. This study was intended to assess diabetes patients’ awareness and extent of foot care practice at University of Gondar referral Hospital.Methods: An institutional based cross-sectional study was conducted from March to June 2018. A total of 372 diabetes patients were included in this study. Data were collected through face to face interview using structured questionnaires. The data were analyzed using SPSS version 20. Binary logistic regression analysis was conducted. A p value <0.05 was consisdered statitisticaly significant. Results: Of all participants more than half 197 (53%) were male. The age range of participants was 18-90 years. Majority, 65.6 % (with 95% CI 60.8-70.2) of diabetes patients had good foot self-care practice. Poor foot self-care practice was significantly associated with having poor level of awareness about foot care (AOR 12.55, 95% CI, 6.49- 24.28) and having no previous information about foot ulcer (AOR 7.03, 95% CI, 2.11-23.46).Conclusions: Generally, in this hospital most of the study participants had good awareness and practices towards foot self-care. However, selectively majority of patients had poor foot self-care practice regarding; drying of their feet after every wash, change the socks/stockings/ used regularly, and avoid wearing of slippers with no fastening. Foot self-care practices were positively associated with having good awareness about foot care and having previous information about foot ulcer.

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Magnitude and determinants of Poor Self-Care Practices and associated factors among Hypertensive Patients attending at Debre Berhan Referral Hospital, Amhara Regional State, Ethiopia

10.21203/rs.3.rs-664091/v1 ◽

2021 ◽

Author(s):

Mekasha Getnet

Keyword(s):

Associated Factors ◽

Statistical Significance ◽

Self Care ◽

Referral Hospital ◽

Health Concern ◽

Care Practice ◽

P Value ◽

Cross Sectional ◽

Debre Berhan ◽

Care Practices

Abstract Background: Hypertension is one of a non-communicable diseases that become public health concern and cause early mortality around the globe. Poor management of hypertension is a very important cause for various cardiovascular problems. Reducing the outcome of the disease through compliance to self-care practices is crucial. However, comprehensive assessment on domains of self-care was not well studied. Objective: To assess self-care practices and associated factors among hypertensive patient attending in Debre Berhan Referral Hospital. Method: A hospital based cross-sectional study was conducted. Initially the data were checked manually and entered in to Epi-Data version 3.1. P-value of <0.05 was used as a cut of point to affirm statistical significance. Finally, results were presented in text, tables and graphs. Result: The prevalence of poor self-care practice was had poor self-care practices with 95% CI (71.7, 80.3%). Multivariate analysis indicated that patients without comorbidities 1.5 (1.3-1.9), being aged 60 and above years 4.2 (1.7-10.3) and unavailability of blood pressure apparatus at home were more likely to have poor self-care practice as compared with their counter parts. Conclusion: - The level of self-care practice was found to be low and attention is needed for self-care practices.

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Perceived self-efficacy and self-care practices among diabetic patients in a Tertiary Hospital, Nepal

Journal of Diabetes and Endocrine Association of Nepal ◽

10.3126/jdean.v5i1.38801 ◽

2021 ◽

Vol 5 (1) ◽

pp. 25-32

Author(s):

N. Dwa ◽

B. Panthee

Keyword(s):

Self Efficacy ◽

Self Care ◽

Public Health Problem ◽

Care Practice ◽

Diabetic Patients ◽

Major Public Health Problem ◽

Foot Care ◽

Cross Sectional ◽

Quality Life ◽

Care Practices

Background: Diabetes Mellitus (DM) is a major public health problem worldwide and Nepal is not an exception. Complications of DM are in rise which results in major disabilities and poor quality of life. But evidences show that adoption of self-care practices can prevent those complications leading a healthy and quality life. Self-care practice is closely related to self-efficacy. Thus, present study aimed to assess perceived self-efficacy and self-care practices and to examine relationship between perceived self-efficacy and self-care practice of patients with Diabetes. Methods: This analytical cross-sectional study conducted in Patan Hospital among 100 patients was reviewed and approved by Institutional Review Committee. Samples were selected purposively and data was collected by face to face interview technique. Diabetes Self-Efficacy Scale and self-care practice questionnaire was used to measure self-efficacy and self-care practice, respectively. Results: Fifty nine percent and 81% of participants had moderate level of perceived self-efficacy and good self-care practice, respectively. There was significant moderate positive (r=0.62, p<0.001) correlation between perceived self-efficacy and self-care practice even after controlling the variables (e.g. age, gender and participation in educational program regarding self-care). Conclusion: The self-efficacy of participants was moderate and self-care practice was good. However, self-care practice was very low on foot care and exercise. The significant positive relationship between perceived self-efficacy and self-care practice highlights the need for conducting educational activities for patients with DM to increase self-efficacy thereby increasing self-care practice.

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