scholarly journals Ability for self-care in clients undergoing antineoplastic chemotherapy treatment

2020 ◽  
Vol 36 (4) ◽  
Author(s):  
Fabiano Henrique Oliveira Sabino ◽  
Leidiane Mota de Oliveira Chagas ◽  
Nathália Silva Gomes ◽  
Elizabeth Barichello

To identify the self-care capacity of cancer clients treated at the chemotherapy service of a university hospital in Minas Gerais/Brazil. This is a cross-sectional study conducted with 79 adult and elderly participants diagnosed with primary cancer on antineoplastic chemotherapy treatment. Two instruments were used to achieve the proposed objective, one created by the authors for sociodemographic characterization and another translated, adapted and validated to Brazilian Portuguese to assess the capacity of self-care, namely, the Appraisal of Self Care Agency Scale-Revised, the ASAS-R. Most respondents were female (50.6%), married (58.2%), had between five and nine years of schooling (43.0%), had a family income of one to three minimum wages (86.1%) and were predominantly elderly (54.4%). The mean score obtained for self-care capacity was 57.8. A dichotomy between the patients' usual chores and their diagnoses was observed, but the participants also stated that they dedicate time and were willing to take care of their health. They also stated that they looked for the best ways to take care of themselves and sought updated information whenever necessary, although no statistically significant association was found between self-care scores and sociodemographic variables. This study allowed to show that sociodemographic variables such as education, income, religion and cohabitation should be taken into account by health professionals to favor the client's engagement in self-care actions.

2018 ◽  
Vol 71 (5) ◽  
pp. 2535-2542 ◽  
Author(s):  
Richardson Augusto Rosendo da Silva ◽  
Romanniny Hévillyn Silva Costa ◽  
Laísi Catharina da Silva Barbalho Braz ◽  
Indira de Araújo Lucena ◽  
Kalyane da Silva Ferreira ◽  
...  

ABSTRACT Objective: To analyze the association between nursing diagnoses and sociodemographic and clinical characteristics in people living with AIDS. Method: Cross-sectional study with 100 people living with AIDS in a University Hospital. Data collection took place between January and July 2015, using an interview script and physical examination. The association occurred through Pearson's Chi-Square Test and Fisher's Exact Test. Results: The most prevalent nursing diagnoses were: ineffective protection, poor knowledge, lack of adherence and sexual dysfunction. Significant associations were observed among nursing diagnoses with the following sociodemographic and clinical characteristics: marital status, place of residence, level of schooling, family income, modes of transmission of acquired immunodeficiency virus, current opportunistic infection, abandonment of treatment, difficulty of access to health services and use of alcohol and illicit drugs. Conclusion: The diagnoses presented significant associations with sociodemographic and clinical aspects.


Author(s):  
Ebru Aydin

This study was designed as a descriptive-cross-sectional study in order to determine self-care ability in hemodialysis patients. The study was conducted with participation of 254 patients who received treatment in three dialysis centers between November 1, 2015 and January 30, 2016, who volunteered to participate in the study and were able cooperate with the researchers. The data were collected using a questionnaire comprised of 17 items and Self-Care Agency Scale. Self-Care Agency Scale was developed in 1979 by Kearney and Fleischer and was adapted to Turkish by Nahçivan. It is a Likert-type scale comprised of 35 items. The minimum possible score is 35, the maximum possible score is 140. Higher scores show greater self-care ability. Data were evaluated by calculating percentages and using one-way ANOVA, t-test, and Tukey test. Of all the study participants, 46.5% were female and 53.5% were male; 36.2% were primary school graduates; 98.4% had a social security; 84.3% had income levels that were equal to their expenditures; 68.5% lived in city centers. Mean age of the participants was 58.2 ± 12.9years. 80.3% of the patients had accompanying chronic disease; 39.4% have been undergoing dialysis for 1-5 years; 96.1% were undergoing dialysis for 3 times a week; 54.3% described their health as good; 53.5% had changes in their daily life activities due to dialysis treatment; and 29.9% had their familial and social life affected by dialysis treatment.  The mean total score from Self-Care Agency Scale was calculated as 112.4 ± 10.3. Self-Care Agency Scale score was found to correlate with some sociodemographic and clinical features of the patients (p<0.05). It was found that patients had above intermediate level of Self-Care Agency Scale scores. In light of the study results, it is recommended that patients are educated to further improve their self-care ability. Keywords: Hemodialysis, Self-care, Behavior, Knowledge, Application.   


2017 ◽  
Vol 17 (1) ◽  
pp. 179-184
Author(s):  
Karla Danielly S. Ribeiro ◽  
Luana Weigert ◽  
Talita Andrade ◽  
Amanda Lima ◽  
Jeane Medeiros ◽  
...  

Abstract Objectives: To evaluate the influence of the socioeconomic factors on the alpha-tocopherol concentration in maternal serum. Methods: a retrospective, observational, cross-sectional study with the participation of 103 adult parturient volunteers attended at Hospital Universitário Ana Bezerra (Ana Bezerra University Hospital) in Santa Cruz - Rio Grande do Norte. 5.0 mL of blood was collected from each participant in fasting before the delivery to extract alpha-tocopherol of the serum. Socioeconomic and demographic information were obtained by a previously structured questionnaire. Alpha-tocopherol serum was determined by a High-Performance Chromatography Liquid (Cromatografia Líquida de Alta Eficiência (CLAE). Results: The average concentration of alpha-tocopherol in the serum was 1281.4 (594.8) µg/dL, and 6% of the women presented vitamin E deficiency (DVE). Most pregnant women aged between 18 and 24 years (59%), marital status was married or consensual marriage (77%), elementary schooling complete (34%), low family income (74%) and living in the urban area (73%). No significant differences were found in the alpha-tocopherol concentration according to socioeconomic characteristics and none of the studied factors were associated to the presence of DVE ( p >0.05). Conclusions: The maternal social characteristics were not determinants for the alpha-tocopherol serum and DVE. Further investigations should be carried out during lactation to assess which factors may be involved in the presence of this deficiency.


Author(s):  
Ana Railka de Souza Oliveira-Kumakura ◽  
Larissa Maria Bezutti ◽  
Juliany Lino Gomes Silva ◽  
Renata Cristina Gasparino

Objective: describe the self-care and functionality levels of patients with multiple sclerosis and determine whether sociodemographic, clinical and functional variables interfere with self-care and/or functionality. Method: correlational, cross-sectional study with a quantitative approach performed with individuals in outpatient follow-up. We collected sociodemographic and clinical data and applied the Appraisal of Self-care Agency Scale, the Barthel index, the Lawtton and Brody Scale, and the instrument to investigate the performance in Advanced Activities of Daily Living. We performed descriptive and inferential analysis. Results: most patients were classified as “having self-care” (82.14%); with moderate dependence (51.19%) for the basic activities of daily living, partial dependence for the instrumental activities of daily living (55.95%), and more active for the advanced activities of daily living (85.71%). Patients with longer disease duration had a higher number of disabilities and, in those with better socioeconomic and educational profile, the functionality was better. Conclusion: disease duration was strongly correlated with a higher number of disabilities and better socioeconomic and educational profiles showed to be protective factors for functionality. Care planning should consider the needs observed by the multidisciplinary team, stimulating the development of self-care, functionality and sociability.


2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 22-29
Author(s):  
Fernanda Auxiliadora Trevizani ◽  
Daniella Tech Doreto ◽  
Gabriella Santos Lima ◽  
Sueli Marques

ABSTRACT Objective: to analyze the association between self-care activities of older adults with Type 2 Diabetes Mellitus (DM) and sociodemographic variables, type of treatment and depressive symptoms. Method: inferential and cross-sectional study, with 121 older adults with Type 2 DM in ambulatory care. We used a questionnaire for characterization of sociodemographic and health, questionnaire self-care activities with DM, Mini Mental State Examination and Geriatric Depression Scale. The association of variables was used (Fisher’s exact test) and for comparing the means (Student’s t-test and analysis of variance). Results: The mean age was 68.1 years, the majority were women (57.2%), retired (71.9%) and married (65.3%). The highest averages were for the activities: “to dry the spaces between the toes, after washing them” and smaller averages for “exercise”. Conclusion: In spite of high average for self-care activities, there is a need for enhanced performance and compliance to them.


2021 ◽  
pp. 105477382110369
Author(s):  
Bilsev Demir ◽  
İlker Demir

Individuals with liver transplantation (LT), hopelessness, and lack of self-care may occur and change in the illness perceptions; however, no study has examined the effects of the illness perceptions on self-care agency and hopelessness levels in individuals with LT. This study was conducted to examine the effects of the illness perceptions of patients who had received LT surgery on their self-care agency and hopelessness levels. A descriptive cross-sectional study with a convenience sample ( N = 120) was conducted at a center in eastern Turkey. The data were collected by using the “Brief Illness Perception Questionnaire” (B-IPQ), “Self-Care Agency Scale” (SCAS), “Beck Hopelessness Scale” (BHS). In the study, the mean total B-IPQ, SCAS, BHS scores was found as 57.50 ± 3.61, 83.83 ± 9.43, 10.19 ± 3.81, respectively. There was a positive and significant relationship between the B-IPQ and BHS total scores.


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