scholarly journals Self-Care Experiences of Adults with Chronic Disease in Indonesia: An Integrative Review

2020 ◽  
Vol 2020 ◽  
pp. 1-17
Author(s):  
Nurul Akidah Lukman ◽  
Annette Leibing ◽  
Lisa Merry

We conducted a literature review to document what is known regarding the self-care experiences and various influencing factors among adults living with chronic disease in Indonesia, from the perspective of those living with the illness. We searched CINAHL and Google Scholar to identify peer-reviewed research focused on men and/or women living with a chronic disease (the most prevalent) in urban or rural settings in Indonesia. Using a “Self-Care of Chronic Illness” framework as a guide, information on self-care experiences and how various factors influence these experiences, was extracted and synthesized. Nine studies were included (3 quantitative; 6 qualitative). Self-care involves maintaining well-being through different strategies (e.g., foot hygiene, seeking information/care, praying, diet, resting, and simplifying life), following prescribed treatments, and using traditional remedies. Religion sometimes serves as a means for taking care of one’s health (e.g., prayer), or as a source of motivation to self-care, while in other instances, it results in a fatalistic attitude. Which treatments (conventional versus traditional) are sought, it is affected by an understanding of the disease and treatments, which is shaped by beliefs, values, emotions, health literacy, and SES. The literature shows that family, especially women, has a key role in providing support. Community organizations also play an important supportive role, particularly for patients in rural areas. Significant barriers to healthcare include costs and care not being well-adapted to the psychosocial needs and contexts of patients. The literature highlights a disconnection between the self-care experiences and how healthcare and support are delivered. To better support self-care, healthcare professionals should use a personalized approach; however, more research is needed to gain a better understanding of what patients want and expect regarding how religion, beliefs, life circumstances, and the use of alternative therapies should be addressed within the patient-professional dynamic.

2019 ◽  
Vol 15 (2) ◽  
pp. 140-153 ◽  
Author(s):  
Lacretia Dye ◽  
Monica Galloway Burke ◽  
Cheryl Wolf

2005 ◽  
Vol 13 (2) ◽  
pp. 148-153 ◽  
Author(s):  
Faye Hayman

Objective: To provide descriptive information about a short-term educational programme for rural carers of people with a mental illness, living in the Loddon Campaspe Southern Mallee region. Method: The Carers Education Exchange Programme is a flexible, needsbased model that can be modified to cater for individual groups. It consists of a number of sessions on topics relevant to caring for someone with a mental illness, held over a period of several weeks. The programme is offered at locations throughout the region, making it accessible to carers in isolated, rural areas. Results: Feedback indicates that the benefits of participating in the programme include the reduction of isolation and stigma, increased understanding of mental illness, development of skills relevant to the caring role and the formation of supportive networks, both professional and personal. Conclusions: Educational group programmes for carers are an effective way of providing both education and support. This programme can assist in reducing some of the distress and difficulties inherent in caring for someone with a mental illness. Carer well-being is enhanced by the promotion of self-care and a positive outlook.


Social Work ◽  
2019 ◽  
Vol 65 (1) ◽  
pp. 21-28
Author(s):  
Jacquelyn J Lee ◽  
Shari E Miller ◽  
Brian E Bride

Abstract Self-care is regarded as essential for effective social work practice, offsetting occupational stress and promoting well-being and resiliency among practitioners. However, the literature reveals a notable absence of psychometrically sound instruments to measure self-care. The purpose of the present study was to describe the development, refinement, and construct validity of the Self-Care Practices Scale (SCPS). The piloted version of the SCPS is a 38-item instrument designed to measure frequency of engagement in personal and professional self-care practices. Data were collected through mailed surveys from a random sample of master’s-level clinical social workers and members of the National Association of Social Workers (N = 492). Analysis supports the construct validity of an 18-item SCPS with two subscales that demonstrate strong internal validity. The SCPS is useful for social work educators, practitioners, and administrators to ascertain frequency of self-care practice and build a stronger culture of self-care. The role of SCPS in future research is discussed.


HortScience ◽  
1990 ◽  
Vol 25 (9) ◽  
pp. 1175b-1175
Author(s):  
David W. Bradshaw

The keynote address for this session was presented by Drs. Rachael and Stephen Kaplan. They presented the concept of “Thereness” - that the knowledge that the availability of a good view of vegetation from the workplace was more important to the psychological well-being of workers than the actual use of that view. M.K. Honeyman then presented results of a study which showed that vegetation does contribute to psychological wellbeing, and the lack of vegetation may create stress. Dr. E. Matsuo, in his paper, stated that all human creative actions are motivated by the urge to either foster or to acquire, and to be kept from either of these two would prevent us from living a fulfilled life. He also cautioned that we should account for the value of horticulture as a part of human life rather than just report the dollar value of the economics of horticulture.. Dr. B. Hull then stated that community is the overlapping of the extensions of the self-images of the people within that community. A. Mukherjee reported that community, state and regional planning must be coordinated to protect existing farms, watersheds and views as urban developments spread into rural areas. With time remaining, Bilge Friedlaender made an oral presentation of her poster outlining the making of seven community gardens, and closed with a moving statement of oar responsibilities for the stewardship of our earth.


2019 ◽  
Vol 26 (1) ◽  
pp. 27-48
Author(s):  
Mohammad-Javad Haj’jari ◽  
Noorbakhsh Hooti

Abstract An honest intellectual dutifully standing with truth against lies and treacheries of his society is a parrhesiastic figure in Foucault’s terminology. Foucault takes parrhesia as the fearless and frank speech regarding the truth of something or a situation before truthmongering and public deception and he takes the parrhesiastic as the spokesperson for truth. In this light, Dr. Stockmann in Ibsen’s An Enemy of the People occupies a unique position within Ibsen’s political philosophy. Dutifully criticizing what the majority blindly take for granted from their liar leaders in the name of democracy, Dr. Stockmann fulfills the role of a parrhesiastic figure that stands against socio-political corruption. He enters a parrhesiastic game with both the majority and the officialdom to fulfill his democratic parrhesia as a truthful citizen before the duped community, while covertly preparing for his own philosophic parrhesia or self-care within the conformist community. However, his final failure lies in his confrontation with democracy itself, which wrongly gives the right of speaking even to the liars. This article thus aims at analyzing Ibsen’s play through a Foucauldian perspective regarding the concept of parrhesia and its relation to democracy. It is to reveal Ibsen’s satire on the fake ideology of democracy and highlight the necessity of humanity’s parrhesiastic self-care for the well-being of the self and the others.


Author(s):  
Monica Minisini ◽  
Lorraine Sheppard ◽  
Anne Jones

Rural physiotherapists may need to extend their skills to address the lack of allied health service provision in rural areas but will do so based on their perceived self-efficacy. This narrative review aims to understand self-efficacy amongst rural physiotherapists and contributing factors to self-efficacy, especially in the specialised area of paediatrics.Method: A search of the literature was undertaken to understand the self-efficacy of rural physiotherapists who are expected to undertake specialist paediatric cases. Databases searched included CINAHL, PEDro, Informit, Proquest, PubMed, and Ovid. Articles were assessed for quality in accordance with the National Health and Medical Research Council (NHMRC) evidence ranking system. Using this search strategy and inclusion criteria, a total of forty five articles were found and included in the narrative review. Results: Self-efficacy, a person’s judgement of their capabilities, is a key component in performance, accomplishments, and positive well-being. If the rural physiotherapist has low self-efficacy in their work practices, then physiotherapy specialisation or advance practice may not be considered an achievable career option. However, the caseload of the rural physiotherapist is vast and demanding, spanning across many boundaries and scopes including paediatrics, which has been defined as an area of specialisation within physiotherapy. The work practices of the rural physiotherapist’s are often challenged by the complexities of rural area’s and an unstructured, poorly supportive workforce, thus giving cause for the recognition of rural physiotherapy as a specialist branch of physiotherapy practice. Yet, the majority of the evidence base surrounding this topic has been developed through opinion pieces and observational studies which were rated as level IV evidence. At present, the lack of higher level evidence allowed readers to make assumptions based on opinions and descriptive studies. Conclusion: If the current workforce and structure leads to low self-efficacy in the rural physiotherapy population, this in turn could lead to impaired confidence in the ability to practice as a physiotherapist as well as result in the development of poor coping strategies. Early identification of the self-efficacy beliefs within this cohort will allow the development and evaluation of strategies to help address those issues identified as challenges in rural areas. There is a definite need for stronger, higher levels of evidence on this topic in order to develop more accurate definitions of the work practices and working environments of the rural physiotherapists. Additional higher level research is needed to better understand the self-efficacy of rural physiotherapists and possible contributing factors for low self-efficacy. Higher level research will also establish true clinical implications of low self-efficacy amongst the rural physiotherapist population.


Author(s):  
John Rine A. Zabanal

Self-care is a topic that has gained traction among helping professionals. It is considered a preventive health care measure used to promote physical and mental health as well as personal well-being. In this article, I use a self-care framework created for social workers and adapt it to music educators with the intention of aiding music teachers in practicing and maintaining their own self-care. The self-care framework is categorized into two dimensions—personal and professional self-care—which each contains various domains. Pragmatic strategies grounded in relevant literature in music education are described in each category within the self-care framework. By providing a self-care framework and relevant strategies, I aim to improve knowledge of self-care practices of music teachers.


2021 ◽  
pp. 30-32
Author(s):  
Parvez Shahid Ali

Dealing with globally spread Covid-19 pandemic in 2020-2021 is a big issue for India, like most of the other countries of this world. Restrictions of lockdown have shattered various sections of our country. These sections need national attention with top priority to bring back normalcy. In this area, protecting health and livelihood of rural areas come as signicant parts in a Covid protection measure. Here, we should particularly mention the role of Gram Panchayat without whom, this task would certainly be difcult to handle. Rural areas of India are still very backward if we compare them with our urbanized zones. In those remote villages, Gram Panchayat is the self-governance body that is functional to maintain safety and well-being of the rural people. Our Government has launched a number of arrangements and schemes in current years providing Gram Panchayat surplus and improved support for handling rural issues. In a crucial time as this Covid-19 pandemic, such initiatives and even more should be sanctioned for our Gram Panchayats boosting their efciency to keep safe our rural population, make them properly aware about the deadly disease as well as ensure provisions and security to stabilize them. Issues, such as, migrant villagers and supporting their dropped economy are something that become their additional responsibilities. In our Evaluative Study, we have found exclusive methods in which our Gram Panchayats have worked to support all the above stated problems. We have identied certain innovative approaches applied as post-covid preventions measures in rural areas that can be further enhanced to deal similar crisis.


Diagnostics ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. 1833
Author(s):  
Otilia Aurora Ramírez-Arellano ◽  
Mirna García-Méndez ◽  
Juan Garduño-Espinosa ◽  
Luis Alberto Vargas-Guadarrama ◽  
Víctor Manuel Mendoza-Núñez

Generativity is a quality that allows the person to do something for others. In teaching, caring for grandchildren, or volunteering, the generative person contributes to the people around him and at the same time must maintain self-care for good health and functionality. In this sense, an individual in good health has the potential to contribute to the well-being of others. Likewise, with adequate self-esteem, the generative person can love himself, take care of himself and others; in this affective representation, satisfaction can be perceived from the recognition that others make of his transmission of experiences. The most used scales that measure generativity in the gerontological field are the Loyola Generativity Scale (LGS) and the Generative Behavior Control List (GBC). However, they do not recognize generative health-related behavior. The purpose of this study was to design a scale to assess generativity relative to health (GeReH) and analyze its psychometric properties in an aging population (45 years and over) in Mexico, considering its internal structure, reliability, and relationship with self-esteem. Method: A non-experimental cross-sectional study was carried out with a single group considering three stages: (i) design of the GeReH scale and (ii) psychometric properties of the GeReH scale, and (iii) the GeReH’s relationship with self-esteem. This type of instrument will allow identifying the profile of people willing to be independent and support their peers, considering the use of technological devices for community telecare, such as smartphones and personal computers, through the use of social networks such as “Facebook”, “WhatsApp”, and “Zoom” among others, is essential, especially since more and more older adults are users of these devices and virtual community social networks. The participants were 450 adults aged 45 years and over, of whom 296 women and 154 men; 235 people lived in rural areas and 215 people in urban areas. Inclusion criteria: independent in basic and instrumental activities of daily living. Exclusion criteria: cognitive alterations, no training or work history in health care. In the first stage, the GeReH design was carried out divided into three phases: i) elaboration of 258 items by a group of researchers in accordance with the proposed construct for the instrument, ii) focus group to know the meanings of adults regarding the items, iii) expert consultation for item analysis, which resulted in 90 items. In the second stage, the psychometric properties of the scale were analyzed, proceeding to the statistical analysis. Results: Bias, kurtosis, and total item correlation were analyzed, eliminating 17 items. KMO 0.904 values and Bartlett’s test of sphericity (X2 = 2717, gl = 190, p < 0.0001) were obtained. In the third stage, the correlation of the GeReH score with the Self-Esteem Inventory was determined. Orthogonal rotation (Oblimin) was used, obtaining a total explained variance of the generativity construct of 44.2% with a global Omega McDonald reliability coefficient of 0.887, which yielded five factors: F1 = Generative attitude; F2 = Satisfaction; F3 = Volunteering; F4 = Support Networks; F5 = Social support offered. In this sense, the design of a GeReH of 20 items with psychometric properties. Correspondingly, significant positive correlations were observed between the GeReH score and the Self-Esteem Inventory, especially in factor 2 relative to satisfaction. Conclusion: GeReH is an instrument with reliable psychometric properties that could be applied in populations with similar characteristics. In addition to considering the use of technological devices, for the optimal use of media and social networks, such as “Facebook”, “WhatsApp”, “E-mail”, and “Zoom”, among others.


2016 ◽  
Vol 34 (3) ◽  
pp. 93-107 ◽  
Author(s):  
Monica Galloway Burke ◽  
Lacretia Dye ◽  
Aaron W. Hughey

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