scholarly journals Oral self-care behavior and its influencing factors in a sample of school children from Central Iran

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Iraj Zareban ◽  
Mahmood Karimy ◽  
Marzieh Araban ◽  
Daniel Delaney
Keyword(s):  
Linear Regression Analysis ◽  
Self Care ◽  
Educational Interventions ◽  
Extended Model ◽  
School Students ◽  
Related Factors ◽  
Cross Sectional ◽  
Coping Planning ◽  
And Coping ◽  
Care Behavior

Abstract Background Oral health is an important part of public health and crucial to health promotion and enhancing the quality of life. This research examined childhood oral self-care behavior and their related factors using extended Theory of Planned Behavior (TPB). Method This cross-sectional study was conducted on 368 sixth-grade elementary school students in Saveh city, Iran, in 2019. The students were selected using a random multi-stage sampling method. The instrument included the socio-demographic questions, TPB constructs, and action and coping plan items. Data were analyzed by SPSS software (Version 21) at alpha level p ≤ 0.05. Result Overall, 24 (6.6%) students have never used toothbrushes, 222 (62.7%) have never used dental floss, and 298 (82.7%) students have never used mouthwash. The stepwise multiple linear regression analysis results indicated that the TPB with action and coping planning constructs had better predictive power than the original model. In the final model, coping planning (β = .28), intention (β = .24), action planning (β = .23), and perceived behavior control (β = .15) were the most important predictors of oral self-care behavior. Conclusion The results indicated that the oral self-care behavior status in Iranian elementary students was not favorable, and the extended model of the TPB with action and coping plan constructs were significant predictors of self-care behavior. Therefore, these findings emphasize the need for expanding educational interventions based on the extended model of the TPB to improve the oral self-care behavior of students.

scholarly journals Exploring the Relationship of Health Beliefs and Self-Care Behaviors Related to Diabetic Foot Ulcers of Type II Diabetes Mellitus Patients: A Cross-Sectional Study

2021 ◽  
Vol 18 (13) ◽  
pp. 7207
Author(s):  
Meng-Chien Tsai ◽  
Hsiao-Ling Chuang ◽  
Cheng-Yi Huang ◽  
Shu-Hsin Lee ◽  
Wen-Chun Liao ◽  
...  
Keyword(s):  
Health Beliefs ◽  
Diabetic Foot ◽  
Self Care ◽  
Health Belief ◽  
Living Alone ◽  
School Level ◽  
High School Level ◽  
Cross Sectional ◽  
The Relationship ◽  
Care Behavior

Objective: Diabetic foot ulcers are an invasive complication of diabetes and are increasing. This study investigates the relationship between health beliefs and foot self-care behaviors, among people with type II diabetes. Methods: A cross-sectional design was adopted, and 98 patients were recruited from outpatient clinics of the endocrine department. The questionnaires of Demographic, Diabetes Foot Ulcer Health Belief Scale (Health Beliefs, DFUHBS), and Diabetes Foot Self-Care Behavior Scale (Self Care, DFSBS) were used to collect data. Results: Among the subjects living alone or who had diabetes less than ten years, the score of DFSBS was significantly lower than among those living with families or who had diabetes for ten years or more. The frequency of performing diabetes foot self-care behavior, among males was lower than among females significantly. Although there was no significant difference in the Health Belief total score, there were differences in the benefit subscale. Those who had junior high school level or less or had diabetes less than ten years, their score was significantly lower than those with senior high school level or more or had diabetes ten years or more. In a multivariable regression model, living with family, diabetes duration, and health beliefs explained 42.9% of the variance of diabetic-foot self-care behaviors. Conclusions: Living alone, shorter duration of diabetes, male gender, and lower health belief scores predict less adequate diabetic foot self-care behavior. Health care providers should assess these factors when designing individual care plans.

scholarly journals Perawatan Diri Pada Pasien Gagal Jantung

2018 ◽  
Vol 4 (2) ◽  
Author(s):  
Dwi Prihatiningsih ◽  
Tiwi Sudyasih
Keyword(s):  
Heart Failure ◽  
Care Management ◽  
Financial Burden ◽  
Self Care ◽  
Chi Square ◽  
Cross Sectional ◽  
Low Frequencies ◽  
Heart Failure Patients ◽  
Failure Index ◽  
Care Behavior

ABSTRAKGagal jantung merupakan salah satu penyakit kardiovaskuler yang paling sering terjadi di seluruh dunia yang mengakibatkan tingginya angka mortalitas, morbiditas dan juga berdampak secara finansial terutama bagi lanjut usia. Rehospitalisasi merupakan masalah umum yang sering terjadi pada pasien gagal jantung yang sebagain besar disebabkan oleh keterlambatan dalam pengenalan gejala, pengobatan dan ketidakpatuhan diet serta kurangnya pengetahuan dan keterampilan dalam melakukan perawatan diri. Panduan penanganan gagal jantung menekankan pentingnya perilaku perawatan diri untuk menurunkan kekambuhan dan rehospitalisasi pada pasien gagal jantung. Penelitian ini bertujuan untuk menggambarkan perilaku perawatan diri pada pasien gagal jantung yang mengunjungi poliklinik jantung di RSUD Panembahan Senopati Bantul. Penelitian ini merupakan penelitian deskriptif quantitatif dengan menggunakan pendekatan cross sectional. Sampel berjumlah 74 responden yang merupakan pasien rawat jalan di poliklinik jantung pada bulan Juni hingga Juli 2018. Alat ukur yang digunakan adalah Self-Care of Heart Failure Index (SCHFI), (skor ≥70 poin=adekuat). Uji statistik chi-square digunakan untuk mengetahui hubungan antara factor sosiodemografi dengan perilaku perawatan diri pada pasien gagal jantung. Hasil penelitian ini menunjukkan bahwa perilaku perawatan diri pada sebagian besar responden masih belum adekuat dengan frekuensi perilaku perawatan diri adekuat yang masih rendah (pemeliharaan: 45±13.1 (7.7%), pengelolaan: 46±20.4 (13.0%) dan kepercayaan: 69±16.5 (38.5%)). Hanya satu faktor yaitu penyakit penyerta yang berhubungan dengan perilaku perawatan diri pada pasien gagal jantung pada dimensi kepercayaan diri. Hasil penelitian ini menunjukkan bahwa sebagian besar responden memiliki perilaku perawatan diri yang tidak adekuat seperti juga pada negara-negara lainnya sehingga diperlukan upaya untuk meningkatkan perilaku perawatan diri pada pasien gagal jantung. ABSTRACTHeart failure (HF) is one of the most prevalent cardiovascular diseases in the world which associated with significant mortality, morbidity, and huge financial burden, particularly among aging population. Rehospitalization remain a concern in the care of the heart failure patient which largerly associated with delay in symptoms recognition, treatment, diet non-compliance and also lack of knowledge and skills in heart failure self-care. Guideline on HF emphasize the important of self care in preventing symptoms and hospital readmission. This study aims to describe self-care behavior in a sample of heart failure patients. This is a descriptive cross-sectional study with non-probabilistic sample of 74 in an out-patient heart clinic from June-July 2018. Self-care was measured using the Self-Care of Heart Failure Index (SCHFI), (scores ≥70 points=adequate self-care). Chi-square test was conducted to test whether participant’s characteristics associated with self-care behavior among heart failure patients in three scales. The result shows that self-care was inadequate in most scales (self-care maintenance: 43.4±11.8, self-care management: 49.4±18.5 and self-care confidence: 68,6±14.5. Low frequencies of participants with adequate self-care also observed in the study (self-care maintenance: 5.4%, self-care management: 15.4%) and self-care confidence: 36.5%)). In self-care confidence subscale, higher scores of the SCHFI were associated with no comorbid conditions (p=0.01). None of the sociodemographic and clinical characteristics of the sample were associated with increased self-care in other 2 sub-scales. In conclusion, study shows that self-care in HF is inadequate, interventions aimed at improving self-care espescially in self-care maintenance sub-scale are greatly needed. Additional studies are needed to determine the best approach for this. 

scholarly journals Foot Self Efficacy dan Foot Self Care Behaviour pada Lansia dengan Diabetes Melitus

2019 ◽  
Vol 3 (1) ◽  
pp. 12-18
Author(s):  
Ainul Yaqin Salam ◽  
Nur Hamim
Keyword(s):  
Self Efficacy ◽  
Self Care ◽  
Cross Sectional Study ◽  
Foot Care ◽  
Cross Sectional ◽  
Foot Complications ◽  
Patients With Diabetes ◽  
Main Determinants ◽  
And Gender ◽  
Care Behavior

 AbstrakLansia dengan diabetes adalah kelompok khusus yang memiliki resiko tinggi komplikasipada kakinya. Self-efficacymenjadi salah satu determinan faktor utama untuk meningkatkan perilaku perawatan kaki. Penelitian ini bertujuan untuk mengidentifikasi tingkat efikasi diri kaki (Foot Self Efficacy) dan perilaku perawatan kaki (Foot Crae Behaviour) dan hubungannya dengan karakteristik demografis pada lansia dengan diabetes.Studi cross-sectional digunakandi Desa Karangren Kecamatan Krejengan Probolinggo dari Mei hingga Juni 2019. Kriteria khusus dipilih untuk berpartisipasi dalam penelitian ini. Para responden diwawancarai menggunakan seperangkat kuesioner yang telah divalidasi. Statistik deskriptif dan inferensial (regresi linier berganda) digunakan untuk menjawab hipotesis penelitiandengan bantuanSPSS 19. Hasil penelitian menyebutkan rata-ratafoot self-efficacysebesar 29,79 dengan standar deviasi 8,26 danrata-ratafoot care behavior sebesar 28,72 dengan SD 6,33. Terdapat hubungan positif dan signifikan antara foot self-efficacy (β = 0,43, p <0,001), tingkat pendidikan (β = 0,43, p <0,001), dan jenis kelamin (β = 0,31, p <0,001) dengan perilaku perawatan kaki. Program edukasi self-efficacydapat menjadi pertimbangan yang krusial  untuk meningkatkan perilaku perawatan kaki. Lansia dengan diabetes harus diajari pemeriksaan kaki secara mandiri.Perawatan kaki diabetes yang tepat dan berkelanjutan dapat secara signifikan mencegah terjadinya komplikasi pada kaki lebih lanju yang berefek pada peningkatan kualitas hidup.                                                                                                     Kata kunci: diabetes, lansia, efikasi diri, perilaku perawatan diri, kaki  AbstractThe elderly with diabetes is a special group that has a high risk of complications in the legs. Self-efficacy is one of the main determinants of improving foot care behavior.The essential aims of this study were to identify the level of self-efficacy and foot care behavior and its relationship to demographic characteristics in elderly patients with diabetes. The cross-sectional study has been done in Karangren Village, Krejengan Probolinggo district from May to June 2019. Specific criteria  were chosen to participate in this study. The respondents interviewed used a set of validated questionnaires. Descriptive and inferential statistics (multiple linear regression) were used to answer the research hypothesisby SPSS 19. The results mentioned that the average foot self-efficacy was 29.79, with a standard deviation of 8.26, and the normal foot care behavior was 28.72, with an SD of 6.33. There is a significant relationship between foot self-efficacy (β = 0.43, p <0.001), level of education (β = 0.43, p <0.001), and gender (β = 0.31, p <0.001) with foot care behavior. The self-efficacy education program can be a crucial considerateness for improving foot care behavior.Elderly with diabetes must be taught foot examinations independently. Appropriate and ongoing diabetes foot care can significantly prevent diabetic foot complications, which affect improving the quality of life. Keywords: diabetes, elderly, self-efficacy, self-care behavior, feet

scholarly journals Psychosocial determinants of self-care behavior in outpatients with heart failure: A test of Penderʼs health promotion model

2020 ◽  
Keyword(s):  
Heart Failure ◽  
Health Promotion ◽  
Conceptual Model ◽  
Self Care ◽  
Perceived Benefits ◽  
Cross Sectional ◽  
Health Promotion Model ◽  
Psychosocial Determinants ◽  
Patients With Heart Failure ◽  
Care Behavior

Background: Patients with heart failure need to be engaged in adequate cardiac self-care behaviors helping to prevent the development of the disease and ameliorate their health status. However, the conceptual model of the present study has not been tested in previous studies among patients with heart failure. Objectives: The present study aimed to investigate the psychosocial determinants based on Pender’s health promotion model (HPM) affecting self-care behavior among outpatients suffering from heart failure. Methods: In this cross-sectional study, a total of 200 patients suffering from heart failure were selected from the outpatient clinics of Tabriz, Iran, using convenience sampling and assessed for self-self-care behaviors and major concepts of HPM via self-administered questionnaires. Path analysis was used in order to analyze the conceptual model Results: The present hypothetical model showed a good fit. Perceived benefits and activity-related effects directly affected self-care behaviors. Bootstrapping mediation analyses indicated that perceived self-efficacy, perceived barriers, perceived benefits, and activity-related effects indirectly affected self-care behaviors through commitment to action. Conclusions: The commitment to action can help to promote self-care behaviors among the subjects suffering from heart failure. The interventions should take the role of predictive variables of this study and commitment to action into account in these patients.

scholarly journals Multi-Theory Model and Predictors of Likelihood of Accepting the Series of HPV Vaccination: A Cross-Sectional Study among Ghanaian Adolescents

2020 ◽  
Vol 17 (2) ◽  
pp. 571 ◽  
Author(s):  
Matthew Asare ◽  
Peter Agyei-Baffour ◽  
Beth A. Lanning ◽  
Alex Barimah Owusu ◽  
Mary E. Commeh ◽  
...  
Keyword(s):  
High School Students ◽  
Hpv Vaccination ◽  
Educational Interventions ◽  
Cross Sectional Study ◽  
Theory Model ◽  
Sectional Study ◽  
Theoretical Frameworks ◽  
School Students ◽  
Cross Sectional ◽  
Vaccination Uptake

HPV vaccines are efficacious in preventing HPV related cancers. However, the vaccination uptake in Ghana is very low. Studies that utilize theoretical frameworks to identify contributory factors to HPV vaccination uptake in Ghana are understudied. We used multi-theory model (MTM) constructs to predict initiation and completion of HPV vaccination series in Ghanaian adolescents. Adolescents (n = 285) between the ages of 12 and 17 years old were recruited from four selected schools in Ghana to participate in the cross-sectional study. Linear regressions were used to analyze the data. Most participants were female (91.2%) and senior high school students (60.0%). Many of the participants had neither heard about HPV (92.3%) nor HPV vaccinations (95.4%). Significant predictors of adolescents’ likelihood of getting the first dose of HPV vaccination were perceived beliefs and change in a physical environment (p < 0.001), with each variable accounting for 6.1%and 8.8% of the variance respectively. Significant predictors of adolescents’ likelihood of completing HPV vaccination recommended series were perceived beliefs, practice for change, and emotional transformation (p < 0.001), with each variable accounting for 7.8%, 8.1%, and 1.1% of the variance respectively. Findings underscore important opportunities for developing educational interventions for adolescents in Ghana to increase the HPV vaccination uptake.

scholarly journals Obesity-Related Factors in Turkish School Children

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
Cihad Dündar ◽  
Hatice Öz
Keyword(s):  
Private School ◽  
Individual Characteristics ◽  
Cross Sectional Survey ◽  
School Students ◽  
Related Factors ◽  
Cross Sectional ◽  
Public And Private ◽  
Turkish Children ◽  
Prevalence Of Obesity ◽  
Watching Tv

Objective. To determine the prevalence of obesity and its risk factors in Turkish children.Method. This cross-sectional survey was conducted on students including 1271 boys and 1206 girls selected from 20 secondary schools in Samsun, Turkey. A predesigned questionnaire was used to elicit the information on individual characteristics. The height and weight of students were measured in their classroom. Obesity was defined as body mass index at or above the 95th percentile for age of the sex-specific CDC growth charts.Result. The mean age was 12.8 ± 0.9 years, and the prevalence of obesity was found at 10.3%. There were higher numbers of obese students in boys than in girls (X2= 53.4;P< 0.001). The prevalence of obesity was 10.0% and 16.8% in public and private school students, respectively. The percentage of obese children in students who skipped breakfast was found to be higher than that in the group that consumed 3 meals a day regularly. There was no difference at time spent in sedentary behavior except watching TV, and prevalence of obesity in the group of students watching television over 3 hours per day was higher than that in their counterparts (X2= 13.6;P< 0.01). The time of engagement in sports was lower in obese group statistically (F= 8.9;P< 0.001).Conclusion. In order to prevent childhood obesity, monitoring children's lifestyle by parents is necessary.

Health Beliefs Related to Salt-Restricted Diet and Associated Factors in Turkish Patients on Hemodialysis

2017 ◽  
Vol 29 (2) ◽  
pp. 155-164
Author(s):  
Belgüzar Kara
Keyword(s):  
Family Support ◽  
Health Beliefs ◽  
Salt Intake ◽  
Linear Regression Analysis ◽  
Restricted Diet ◽  
Related Factors ◽  
Cross Sectional ◽  
Dietary Compliance ◽  
Tailored Interventions ◽  
Turkish Patients

Purpose: To examine health beliefs related to salt-restricted diet, to investigate their associations with demographic/disease-related characteristics and family support, and to determine the need for tailored interventions in Turkish patients on hemodialysis. Method: A cross-sectional study was conducted among 200 patients on hemodialysis. Data were collected through an information form, the Perceived Social Support from Family Scale and the Beliefs about Dietary Compliance Scale, including two subscales: perceived benefits and barriers. Descriptive statistics, Student’s t test, Pearson’s correlation coefficients, and linear regression analysis were used for data analysis. Results: The item mean perceived benefit score was higher than the item mean perceived barrier score. Limiting salt intake, family support, and the presence of residual urine output were associated with health beliefs. Conclusions/Implications: The likelihood of adherence to salt-restricted diet was high. A better understanding of health beliefs about salt-restricted diet and their related factors may facilitate the implementation of tailored interventions.

Emotional empathy mediates the relationship between personality traits and coping strategies in orphan and non-orphan students

2019 ◽  
Vol 12 (2) ◽  
pp. 163-176
Author(s):  
Muhammad Aqeel ◽  
Rafia Komal ◽  
Tanvir Akhtar
Keyword(s):  
High School Students ◽  
Personality Traits ◽  
Coping Strategies ◽  
School Students ◽  
Emotional Empathy ◽  
Cross Sectional ◽  
Content Type ◽  
Interpersonal Factors ◽  
And Coping ◽  
Experimental Researches

Purpose The purpose of this paper is to inspect the potential mediation pathways among emotional empathy, personality traits and coping strategies in orphan and non-orphan students. Additionally, it designed to investigate the association of coping strategies with emotional empathy and personality traits. Design/methodology/approach Purposive sampling technique and cross-sectional design were employed in current study. The data of 130 adolescents (institutionalized orphans, n= 62; school students, n=68) were included from different high schools and orphanages of Rawalpindi and Islamabad, Pakistan, in 2017. Three instruments, emotional empathy scale (Mehrabian and Epstein, 1972; Shazia, 2004), coping of problem experience (Carver, 1989; Akhtar, 2005), and Eysenck personality questionnaire (Naqvi and Kamal, 2010; Eysenck, 1964; Eysenck and Eysenck, 1994), were employed to measure personality traits, emotional empathy and coping strategies in orphan and non-orphan students. Findings Mediation analyses illustrated that personality traits relegated active avoidance coping strategy through emotional empathy in orphan students. On contrary, the study findings demonstrated that neurotic personality promoted positive coping strategy through emotional empathy in non-orphan students. Research limitations/implications The methodological limitations of this study are that the sample is of 130 participants that limits the generalizability of its results; furthermore, it was done on only the male orphans students of only one institute. Further research can be done on different orphanages to enhance the generalizability of results. This study included orphan and non-orphan students from the two cities of Pakistan; consequently, its findings may not be generalizable to the whole population. In the future, cross-sectional and experimental researches working with more assorted data could help elucidate the mechanisms by which interpersonal factors affect and stimulate coping strategies in orphans and high school students. Practical implications This paper exposes a number of ways for upcoming future studies. This study findings can be employed to enhance knowledge and offer assistance for orphans, on how to identify and get help from coping resources to tackle various problems and how to build new psychological preventions and interventions strategies in the Pakistani society. There still exists a need to find out the effect of emotion, empathy on personality types in relation to different environmental conditions. The findings have implications for pedagogical intervention as such improvements can be initiated in the pedagogical context. Social implications This study comprised only orphan and non-orphan students from two twin cities of Pakistan; consequently, its findings may not be applicable to the whole population. In future, cross-sectional and experimental researches with more assorted data will assist clarify the mechanism that interpersonal factors affect and stimulate coping strategies in high school students. Originality/value Study findings proposed that coping strategies can be promoted by interpersonal factors such as personality traits and empathy to tackle different orphan’s psychological problem in various negative situation.

Evaluation of self care behaviours, medication and dietary compliance of patients with heart failure

2017 ◽  
Vol 4 (2) ◽  
pp. 86-93
Author(s):  
Sengul Akdeniz
Keyword(s):  
Heart Failure ◽  
Medication Compliance ◽  
Personal Information ◽  
Self Care ◽  
Study Data ◽  
Cross Sectional ◽  
Dietary Compliance ◽  
Patients With Heart Failure ◽  
Moderate Relationship ◽  
Care Behavior

In this study, it was aimed to evaluate the self-care behaviors, dietary and medication compliance of patients with heart failure.The study was conducted as a cross-sectional sampling study between April and August 2016. After identifying the clinical diagnosis and treatment, 120 patients who were diagnosed with HF were included in the study. Data were obtained by using personal information form, Turkish versions of the European Heart Failure Self-care Behavior Scale (EHFScBS), Beliefs about Medication Compliance Scale and Beliefs about Dietary Compliance Scale   for patients with HF. The mean score on EHFSc BS was found to be 31.20± 8.05. Benefit and barrier subscale mean scores were found to be 26.11 ± 4.23 and 13.09 ± 3.5 for dietary compliance and 20.44 ± 2.7 and 22.36 ± 3.8 for medication compliance, respectively. According to the results of the study ıt was found that there was a moderate relationship between self-care behaviors and dietary compliance (r=0,538,p<0,05) benefits and medication compliance (r=0,420, p<0,05 )  benefits.  Keywords: The European Heart Failure self care scale; medication compliance; dietary compliance; heart failure.   

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