scholarly journals Effect of WeChat-Based Health Education Combined with Satir Model on Self-Management Behaviors and Social Adaptation in Colorectal Cancer Patients during the Perioperative Period

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Limin Feng ◽  
Weina Wang ◽  
Meiying Wu ◽  
Huili Ma
Keyword(s):  
Health Education ◽  
Reference Group ◽  
Self Care ◽  
Perioperative Period ◽  
Social Adaptation ◽  
Self Management ◽  
Observation Group ◽  
Satir Model ◽  
Management Behaviors ◽  
Care Agency

Objective. To explore the effect of WeChat-based health education combined with the Satir model on self-management behaviors and social adaptation in colorectal cancer (CRC) patients during the perioperative period. Methods. A total of 100 CRC patients treated in our hospital from April 2018 to April 2020 were selected as the objects for the retrospective study and divided into the observation group and the reference group according to their admission order, with 50 cases each. The patients in both groups accepted health education based on the WeChat platform, and additionally, those in the observation group received the Satir group intervention on self-approval for 3 months to compare the patients’ scores on self-management behaviors, social adaptation, and self-care agency before and after the intervention between the two groups. Results. Between the observation group and the reference group, the patients’ general information, including age, gender ratio, and course of the disease, was not statistically different ( P > 0.05 ). After nursing intervention, the scores on patients’ self-management behaviors, social adaptation, and self-care agency were significantly higher in the observation group than in the reference group ( P < 0.001 ). Conclusion. Combining the WeChat-based health education with the Satir model can improve the self-management awareness in the CRC patients during the perioperative period, enhance their self-care agency and self-management behaviors, and promote their social adaptation, demonstrating that such a nursing intervention model is worthy of clinical promotion.

The Effectiveness of an Educational Intervention Based on Theories and Models on Diabetes Outcomes: A Systematic Review

2020 ◽  
Vol 16 (8) ◽  
pp. 859-868
Author(s):  
Seyedeh Belin Tavakoly Sany ◽  
Gordon A Ferns ◽  
Alireza Jafari
Keyword(s):  
Clinical Trial ◽  
Health Promotion ◽  
Health Education ◽  
Scientific Information ◽  
Self Care ◽  
Health Belief ◽  
Educational Interventions ◽  
Self Management ◽  
Belief Models ◽  
Management Behaviors

Background & Introduction: Patient’s self-management behaviors are essential to control diabetes. Studies have demonstrated that health educational interventions can improve some aspects of glycemic control and clinical outcomes, however, it is unclear which education theories underlying these interventions improve effectiveness. In this review of the literature, we aimed to assess the efficacy of health education and promotion theories, or models, to improve self-care and self- management behaviors among patients with type 2 diabetes (T2D). Methods & Results: Eight scientific databases (Web of Science, PubMed, Scopus, Magiran, Google Scholar, Medlib, ProQuest and Scientific Information Database) were searched to identify a published academic article from 2010 to 2019. We included quasi-experimental, clinical trial and randomized clinical trial studies. A total of 26 studies including data from 3879 patients with T2D met the inclusion criteria. We found that the PRECEDE (7/26, 26.92%) and Health Belief Models (7/26, 26.92%) were the most common models used to assess the efficacy of health education and health promotion models. Conclusion: Overall, health promotion and education theories and models have been used as a useful instrument for improving the self-care behaviors and self-management behaviors among patients with T2D.

scholarly journals Application Value of Information-Based Health Education and Continuity of Care in Patients With Peptic Ulcer

2021 ◽  
Vol 9 ◽  
Author(s):  
Aihong Liu ◽  
Yuhua Kuang ◽  
Ruiping Huang ◽  
Qunying Ge
Keyword(s):  
Health Education ◽  
Continuity Of Care ◽  
Value Of Information ◽  
Health Knowledge ◽  
Medication Compliance ◽  
Self Care ◽  
Control Group ◽  
Observation Group ◽  
Nursing Satisfaction

Objective: This study is to assess the application value of information-based health education and continuity of care in patients with PU (peptic ulcer).Methods: Patients (116) with PU who have been treated in the hospital between January 2019 and October 2020 were taken as research objects and equally assigned to a control group and an observation group in a random manner. In contrast to the routine care applied to the control group, the observation group received information-based health education and continuity of care intervention. The clinical efficacy, the mastery of health knowledge, self-care ability, medication compliance, quality of life, mental state, and nursing satisfaction of the two groups were compared.Results: After the intervention, the total effective rate, health knowledge adequate rate, Exercise of Self-Care Agency (ESCA) scores of all dimensions, the MOS 36-item short-form health survey (SF-36) scores of all dimensions, medication compliance rate, and total nursing satisfaction of the observation group all notably exceeded those of the control group, with a p &lt; 0.05. Patients of the group with continuity of care intervention showed lower Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores, as compared to the group with conventional care (p &lt; 0.05).Conclusion: Information-based health education and continuity of care elevates the medication adherence and nursing satisfaction of patients with PU, enhances disease-related knowledge of patients and their self-care ability, and eventually ameliorates the quality of life and psychological state. It is worthy of clinical application.

The Mediating Role of Self-Efficacy in the Association Between Diabetes Education and Support and Self-Care Management

2021 ◽  
pp. 109019812110088
Author(s):  
Lucía D. Juarez ◽  
Caroline A. Presley ◽  
Carrie R. Howell ◽  
April A. Agne ◽  
Andrea L. Cherrington
Keyword(s):  
Care Coordination ◽  
Self Efficacy ◽  
Diabetes Management ◽  
Diabetes Education ◽  
Self Care ◽  
Mediating Effect ◽  
Self Management ◽  
Foot Care ◽  
Self Monitoring ◽  
Management Behaviors

Diabetes self-management education and support enhance self-efficacy and promote self-management behaviors essential for diabetes management. We investigated the mediating effect of self-efficacy on the association between diabetes education or care coordination and self-care activities. We surveyed a population-based sample of adults with type 2 diabetes (19–64 years of age) covered by Alabama Medicaid. We examined whether receipt of diabetes education or care coordination were associated with improvements in diabetes self-care activities. We then examined if improvements were mediated by self-efficacy. Models were adjusted for age, gender, race, education, insulin use, diabetes duration, and depressive symptoms. Results A total of 1,318 participants were included in the study (mean age = 52.9 years, SD = 9.6; 72.5% female, 56.4% Black, 3.1% Hispanic). Diabetes education was associated with increases in self-care activity scores related to general diet, physical activity, glucose self-monitoring, and foot care; care coordination was associated with glucose self-monitoring. In addition, mediation analysis models confirmed that improvements in self-efficacy led to improved self-care activities scores, mediating the association of diabetes education and self-care activities. Conclusions Diabetes education and self-efficacy were associated with better self-care. Receiving diabetes education led to a higher likelihood of engaging in self-care activities, driven in part by increases in self-efficacy. Future interventions that aim to improve diabetes self-management behaviors can benefit from targeting self-efficacy constructs and from the integration of diabetes education in the care coordination structure.

Outpatient Clinic for Health Education: Contribution to Self-Management and Self-Care for People With Heart Failure

2015 ◽  
Vol 27 (1) ◽  
pp. 49-55 ◽  
Author(s):  
Camila de Souza Carneiro ◽  
Ana Paula Dias de Oliveira ◽  
Juliana de Lima Lopes ◽  
Maria Márcia Bachion ◽  
T. Heather Herdman ◽  
...  
Keyword(s):  
Heart Failure ◽  
Health Education ◽  
Outpatient Clinic ◽  
Self Care ◽  
Self Management

scholarly journals Feasibility and preliminary effects of a theory-based self-management program for kidney transplant recipients: A pilot study

PLoS ONE ◽  
2021 ◽  
Vol 16 (6) ◽  
pp. e0248947
Author(s):  
Hye Won Jeong ◽  
Chi Eun Song ◽  
Minjeong An
Keyword(s):  
Pilot Study ◽  
Kidney Transplant ◽  
Repeated Measures ◽  
Self Care ◽  
Management Program ◽  
Self Management ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Video Education ◽  
Care Agency

Self-care activities are important to prevent transplant-related side effects and complications among kidney transplant recipients. Therefore, we developed a theory-based self-management program for kidney transplant recipients hospitalized after surgery. This study aimed to examine the feasibility of the program and to identify its preliminary effects on autonomy, competence, and self-care agency. We assessed feasibility using quantitative data collected based on a single group repeated-measures design, along with qualitative data such as patients’ feedback on satisfaction during patient counseling. The program comprised video education and individual counseling by nurses. Thirty patients completed this program. Outcome variables were measured thrice: before education, immediately following the first week of video education, and after two consecutive weeks of counseling. A repeated measures ANOVA showed a statistically significant increase in autonomy (F = 5.03, p = .038), competence (F = 17.59, p < .001), and self-care agency (F = 24.19, p < .001). Our pilot study provided preliminary evidence supporting the feasibility for implementation of the theory-based self-management program, and suggesting its preliminary effects in improving autonomy, competence, and self-care agency among kidney transplant recipients. Further research is needed to examine the short- and long-term effects of this program in a longitudinal, randomized control study with a larger sample.

scholarly journals SELF-MANAGEMENT BEHAVIOR AND ITS IMPACT TO GLYCATED HEMOGLOBIN AMONG CLIENTS MEDICALLY DIAGNOSED WITH DIABETES MELLITUS: A CORRELATIONAL STUDY

2020 ◽  
Vol 6 (4) ◽  
pp. 111-115
Author(s):  
Somsak Thojampa ◽  
Joel Rey Ugsang Acob
Keyword(s):  
Diabetes Mellitus ◽  
Glycated Hemoglobin ◽  
Monitoring Program ◽  
Self Care ◽  
Health Care Use ◽  
Asia Pacific ◽  
Self Management ◽  
Dietary Control ◽  
Major Health Problem ◽  
Management Behaviors

Background: The Center for Disease Control and Prevention in 2016 identified and further classified Diabetes Mellitus as one of the chronic diseases, a leading cause of morbidity, and considered a major health problem in the Asia Pacific. Hence the quality of life as the optimum goal of any person is only achieved through appropriate self-care management. The person is a major key player of the nursing paradigm plays a crucial task in self-care since his/her responsibility is to assure balance between behavioral and environmental dynamics.Objective: To examine the self-management behaviors of clients medically diagnosed with Diabetes Mellitus and evaluate the correlation between self-management behaviors and glycated hemoglobin (HbA1c).Methods: The study utilized the validated Diabetes Self-Management Questionnaire (DSMQ) tool to 600 adults from the lower district of Khong Khlong, Kamphaengphet, Thailand. Through descriptive design, the investigation focused on major behavioral categories such as glucose management, physical activity, health care use and dietary control on at-risk stroke clients with DM aging 35 years old and above. Respondents with absolute complications of Diabetes Mellitus like stroke, blindness, undergoing dialysis even amputation are excluded to participate.Results: The findings revealed that most clients with DM are married female, ages 51-60 years old and is diagnosed of living with the disease for 6-10 years. Further, the respondents are generally aware on self-management activities for DM, however not all of them submitted for glucose monitoring program. On one hand, the respondents have high regard on controlling dietary intake to avoid the increase of blood glucose during scheduled tests while results also show that most of the respondents are having poor engagement on physical activities.Conclusion: It is concluded that self- management behaviors are strongly associated with HbA1c. Nonpharmacologic and identified independent nursing actions proven to aid clients with diabetes mellitus should be advocated in combating the disease.

The impact of physician communication on diabetes management in cancer survivors.

2018 ◽  
Vol 36 (7_suppl) ◽  
pp. 77-77
Author(s):  
Yvonne Okaka ◽  
Kimberly A. Muellers ◽  
Juan P. Wisnivesky ◽  
Jenny J. Lin
Keyword(s):  
Cancer Survivors ◽  
Diabetes Management ◽  
Early Stage ◽  
Healthcare Providers ◽  
Self Care ◽  
Self Management ◽  
Physician Communication ◽  
Diet And Exercise ◽  
The Impact ◽  
Management Behaviors

77 Background: As cancer survivors live longer and many die from other comorbidities, it becomes increasingly important to understand factors associated with self-management behaviors for common comorbidities such as diabetes (DM). Provider guidance and inclusive communication have been found to promote self- management behaviors (SMB) in patients with DM. This study aims to explore the impact of provider communication on DM SMB in cancer survivors with DM. Methods: Patients with pre-existing DM who were newly diagnosed with early-stage breast, prostate, colorectal or lung cancer were enrolled. The Summary of Diabetes Self-Care Activities instrument was used to assess patients’ SMBs. The Patient Reaction Assessment scale was used to assess physician communication. Additional survey questions elicited the range of DM self-care recommendations made by patients’ healthcare providers. Mann-Whitney U test was used to assess the association between provider recommendations and communication and SMBs. Results: Of the 74 patients enrolled, the average age was 62 years and 64% were female. Patients who reported their healthcare providers recommended exercise reported more days of specific physical activity (median 5 vs. 0, p = 0.029). Patients who reported that their providers recommended checking their sugar checked their blood sugar more days out of the last 7 days (median 4 vs. 0, p < 0.001). Patients who reported that is hard to talk to their provider about how their treatment is going reported eating more sweets per week (median 2 vs. 1, p = 0.015) and fewer vegetables (median 0 vs. 1, p = 0.043). Conversely, patients who felt that their providers were interested in them as a person reported following a healthful eating plan for more days in a week (median 5.5 vs. 2, p = 0.016) and checked their feet more often (median 6.5 vs. 0, p = 0.008). Conclusions: Cancer survivors with DM whose healthcare providers recommend specific DM SMBs and who report better provider relationships perform DM SMBs more often. Healthcare providers should recognize that supportive recommendations for diet and exercise may improve survivors’ self-management of comorbidities.

Effect of mHealth intervention for tuberculosis self-management based on the Integrated Theory of Health Behavior Change (ITHBC): a randomized controlled trial (Preprint)

2021 ◽  
Author(s):  
Yibo Wu ◽  
Yuhan Bao ◽  
Chunxiang Wang ◽  
Haiping Xu ◽  
Yongjie Lai ◽  
...  
Keyword(s):  
Care Management ◽  
Intervention Group ◽  
Self Care ◽  
Health Behavior Change ◽  
Self Management ◽  
Control Group ◽  
Mhealth Intervention ◽  
Integrated Theory ◽  
And Control ◽  
Management Behaviors

BACKGROUND Improving the level of health self-management of tuberculosis (TB) patients is significant for reducing drug resistance, improving the cure rate and controlling the prevalence of TB. And the mHealth intervention based on behavioral science theories may be a promising intervention for this goal. OBJECTIVE The study aims to explore and conduct a mHealth intervention based on the Integrated Theory of Health Behavior Change (ITHBC) in patients with pulmonary tuberculosis to increase their ability of self-care management, enhance cure rates and diminish infection and drug resistance. METHODS A prospective randomized controlled study was conducted in this study. Convenience sampling was performed in Harbin Chest Hospital to recruit 114 participants according to the inclusion criteria from May, 2020 to August, 2020. Participants were randomized to intervention and control groups through coin tossing. The intervention group added mHealth intervention based on ITHBC theory about TB management on the basis of the control group. Self-designed and standard scales were used to assess each outcome measure, evaluating effect of the intervention. Independent sample t-test was used for inter-group comparison, and paired sample t-test was used for intra-group comparison. The demographic informatics characteristics of the two groups were compared by chi-square test. RESULTS A total of 112 patients (59 for intervention and 53 for control) completed the study. After the intervention, a statistically significant increase was noted in scores of each item of self-care management behaviors compared with scores at the baseline(P<.001). The scores of all self-care management behaviors of control group were lower than intervention group (P＜.05), except item "cover your mouth and nose when coughing or sneezing" and item " wash hands properly " which had no statistically difference with intervention group . Compared with baseline, TB knowledge awareness, self-efficacy, social support, and degree of satisfaction with health education of the intervention group all increased significantly (P<.001), and it had higher scores than the control group (P<.001). CONCLUSIONS Mobile Health intervention for TB self-management based on ITHBC could deepen understanding of TB patients for their diseases, and improve their objective initiative and self-care management behaviors, which were beneficial to promote compliance behavior and quality of prevention and control for pulmonary tuberculosis.

scholarly journals A Survey of Self-Management and Intrusiveness of Illness in Native Americans With Diabetes Mellitus

2014 ◽  
Vol 15 (4) ◽  
pp. 170-183
Author(s):  
Ann F. Chou ◽  
Evaren E. Page ◽  
Ann I. Norris ◽  
Sue E. Kim ◽  
David M. Thompson ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Gender Differences ◽  
Native Americans ◽  
Patient Activation ◽  
Self Care ◽  
Self Management ◽  
National Public Health ◽  
And Gender ◽  
Adequate Management ◽  
Management Behaviors

Diabetes mellitus (DM) has emerged as an important focus of national public health efforts because of the rapid increase in the burden of this disease. In particular, DM disproportionately affects Native Americans. Adequate management of DM requires that patients participate as active partners in their own care and much of patient activation and empowerment can be attributed to their experience with DM and self-care. That is, the degree to which the patient feels the disease intrudes on his or her daily life would impact the motivation for self-care. We conducted a study in collaboration with 2 tribal nations in Oklahoma, collecting data on survey questions regarding intrusiveness of illness and self-management behaviors from a sample of 159 members of the Chickasaw and Choctaw Nations. Previously validated variables measuring intrusiveness of illness and self-care were included in the survey. Descriptive statistics and bivariate analyses illustrated the distribution of these variables and identified possible tribal and gender differences. Our findings showed that our sample adjusted well to DM and in general exhibited high compliance to self-care. However, our findings also revealed striking gender differences where female respondents were better adjusted to their disease, whereas male respondents reported higher adherence to self-management. Findings from our study, particularly those that describe tribal differences and gender disparities, can inform strategies for case management and patient interactions with providers and the health care system.

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