scholarly journals Effect of designed nursing instructions on knowledge and self-care behavior among patients with chemotherapy induced neutropenia

2018 ◽  
Vol 7 (2) ◽  
pp. 94
Author(s):  
Asmaa Sayed Abd-Almageed ◽  
. .
Keyword(s):  
Neutropenic Patient ◽  
Self Care ◽  
Education Of Patients ◽  
Significant Difference ◽  
Assessment Sheet ◽  
Life Threatening ◽  
Level Of Knowledge ◽  
Chemotherapy Induced Neutropenia ◽  
Dose Limiting Toxicity ◽  
Care Behavior

Background:Chemotherapy-induced neutropenia (CIN) is the main dose limiting toxicity of systemic chemotherapy and it is associated with significant morbidity, mortality and treatment cost.Aim:Of the study was to evaluate effect of designed nursing instructions on knowledge and self-care behavior among patients with chemotherapy-induced neutropenia.Research design: Pre-post research design was utilized.Setting: The study was conducted at internal Medical Oncology Department at South Egypt Cancer Institute.Sample: Sixty adult patients with chemotherapy induced neutropenia. Tools of data collection: Tool (I): Patient assessment sheet, Tool (II): Self-care behavior assessment.Results: There was a highly statistically significant difference between pre and post applying of designed nursing instructions as regard patients' level of knowledge and self- care behavior of the studied patients (p<0.01).Conclusion: The designed nursing instructions improved knowledge and self-care behavior among patients with chemotherapy-induced neutropenia.Recommendation: Each neutropenic patient should be given a booklet including knowledge about neutropenia, importance, and how to practice standards self-care behavior. Education of patients and families are keys to prompt recognition about potentially life-threatening symptoms associated with neutropenia.  

scholarly journals What is Important For You (WIFY) dan Life Map berbasis Goal Attaintment Model terhadap Self Care Behaviour pada Pasien Diabetes Melitus Tipe 2

2019 ◽  
Vol 12 (1) ◽  
pp. 1-11
Author(s):  
Kusnanto Kusnanto ◽  
Moh Zen Arifin ◽  
Ira Suarilah ◽  
Hidayat Arifin
Keyword(s):  
Goal Attainment ◽  
Self Care ◽  
Control Group ◽  
P Value ◽  
Significant Difference ◽  
Before And After ◽  
And Control ◽  
Type 2 Diabetic ◽  
Care Behavior

Introduction: Diabetes mellitus was an uncurable metabolic disease but it can be controlled. Diabetes can be controlled independently by diabetic with diabetes self-care behavior. Self-care behavior was challenge problem causing in adherence in majority diabetic clients especially in Persadia Darmo Hospital. Method: Research design was Quasy-Experiment study among type 2 diabetic client. This study involved 30 samples taken by purposive sampling. The independent variable were What is Important For You (WIFY) and Life Map. The dependent variable was self-care behavior. Data were taken by using SDSCA questionnaire then analyzed by using t-test with a= £0.05. Result and Analyze: WIFY and Life Map change self-care behavior in treatment group before and after treatment significantly with p value = 0,024. There was significant difference between treatment and control group of self-care behavior with p value = 0,029. Discussion: It could be concluded that application of WIFY and Life Map with goal attainment model increase self-care behavior in type 2 diabetic clients. The use of this approach could be optimizing diabetic counseling and education for clients. Further research to investigate WIFY and Life map effect on blood glucose level and HbA1c test in Type 2 Diabetic.

scholarly journals Mobile health, disease knowledge, and self-care behavior in chronic kidney disease: a prospective cohort study (Preprint)

2020 ◽  
Author(s):  
Yi-Chun Tsai ◽  
Pei-Ni Hsiao ◽  
Mei-Chuan Kuo ◽  
Shu-Li Wang ◽  
Tzu-Hui Chen ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Health Education ◽  
Mobile Health ◽  
Self Care ◽  
Traditional Education ◽  
University Hospital ◽  
Disease Knowledge ◽  
Significant Difference ◽  
Care Behavior

BACKGROUND Mobile health (mHealth) management is an emerging strategy of care for patients with chronic diseases. mHealth has developed considerably over recent years, and it has been shown to promote communication between healthcare professionals and patients to improve the early detection of a worsening health status. However, the effect of mHealth management on clinical outcomes of patients with chronic kidney disease (CKD) has not been well-studied. OBJECTIVE The aim of this study was to investigate the influence of mHealth on disease knowledge and self-care behavior compared with traditional education in patients with CKD. METHODS Kaohsiung Medical University Hospital designed and developed a new healthcare mobile application, called iCKD. The application has several major features, including home-based physiological signal monitoring, disease health education, nutrition analysis, medication reminder, and alarms and a warning system to promote self-care for patients with CKD. Using structured questionnaires of disease knowledge and self-care behavior, trained nurses interviewed patients with CKD who received traditional or mobile education. After propensity score matching, we analyzed 107 patients who used iCKD, and 107 who received traditional health education. RESULTS The mean age of all study participants was 63.9±11.5 years, and 59.3 % were male. The patients who used iCKD had higher disease knowledge scores than those who received traditional education (24.6±6.6 v.s. 22.6±5.3, p=0.02). In multivariate analysis, iCKD was significantly and positively associated with disease knowledge scores (β=1.78, p=0.02). Patients with high education level could have greater disease knowledge through using mHealth (β=3.16, p=0.001). However, there was no significant difference in total scores of self-care behavior between the two groups. CONCLUSIONS mHealth can significantly increase disease knowledge in patients with CKD.

scholarly journals Mobile Health, Disease Knowledge, and Self-Care Behavior in Chronic Kidney Disease: A Prospective Cohort Study

2021 ◽  
Vol 11 (9) ◽  
pp. 845
Author(s):  
Yi-Chun Tsai ◽  
Pei-Ni Hsiao ◽  
Mei-Chuan Kuo ◽  
Shu-Li Wang ◽  
Tzu-Hui Chen ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Mobile Health ◽  
Self Care ◽  
Warning System ◽  
Traditional Education ◽  
Disease Knowledge ◽  
Physiological Signal ◽  
Significant Difference ◽  
Care Behavior

Mobile health (mHealth) management is an emerging strategy of care for patients with chronic diseases. However, the effect of mHealth management on clinical outcomes of patients with chronic kidney disease (CKD) has not been well-studied. The aim of this study was to investigate the additional influence of mHealth on disease knowledge and self-care behavior in CKD patients who had received traditional education. We designed and developed a new healthcare mobile application, called iCKD, which has several major features, including home-based physiological signal monitoring, disease health education, nutrition analysis, medication reminder, and alarms and a warning system. Trained nurses interviewed patients with CKD using structured questionnaires of disease knowledge and self-care behavior. After propensity score matching, we analyzed 107 patients who used iCKD and traditional education, and 107 who received traditional education. The patients who used iCKD had higher disease knowledge scores than those who received traditional education. In multivariate analysis, iCKD was significantly and positively associated with disease knowledge scores. Patients with high education levels could have greater disease knowledge through using mHealth. There was no significant difference in total scores of self-care behavior between the two groups. In conclusion, mHealth can significantly increase disease knowledge in patients with CKD.

scholarly journals Impact of Tailored Educational Program on Primigravida Anxiety and Knowledge Regarding Minor Discomforts in Upper Egypt

2020 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Hanan Elzeblawy Hassan ◽  
Walaa Fathy Mohamed Ahmed ◽  
Alyaa Abdallah Mahmoud
Keyword(s):  
Educational Program ◽  
Well Being ◽  
Arabic Language ◽  
Anxiety Scale ◽  
Self Rating ◽  
Assessment Sheet ◽  
Quasi Experimental ◽  
Life Threatening ◽  
Level Of Knowledge ◽  
The Impact

Background: Although minor discomforts are not life-threatening, nevertheless their presence detracts from the mother feeling of comfort and well-being as well as their negligence may lead to serious problems. In many instances, they can be managed by self-care measures or healthful practices ones can do. Aim: evaluate the impact of а tailored educational program on primigravida anxiety and knowledge regarding minor discomforts. Subjects and Methods: Α quasi-experimental design was used with а purposive sample of 50 primigravida pregnant women, suffering from minor disorders of pregnancy attending to the outpatient antenatal care units affiliated to Ɓeni-Suef Public Hospital in Beni-Suef city, Egypt. Α structured-knowledge-questionnaire, Zung’ѕ-self-rating-anxiety-scale, and pre/post/retained-knowledge-assessment-sheet were used for data collection. Result: The majority of the participant women had poor knowledge with а marked increased severity level of self-rating-anxiety-scale regarding to minor discomfort of pregnancy. There were statistically significant relations between primigravida level of knowledge and their self-rating-anxiety-scale after the educational session and at follow up time compared to there before it (р-value <0.05). Conclusion: Designing and implementing an educational program about the studied subject indicated а significant effect in a remarkable rising of the primigravida level of knowledge with minimizing their level of anxiety. Recommendations: Based on the findings of this study, provision of the educational guidelines of the minor disorders to the antenatal clinics to be distributed to all the women attending to the clinic is of great value which is prepared in simple Arabic language.

9-item European Heart Failure Self-Care Behavior Scale

2009 ◽  
Author(s):  
Tiny Jaarsma ◽  
Kristofer Franzén Årestedt ◽  
Jan Mårtensson ◽  
Kathleen Dracup ◽  
Anna Strömberg
Keyword(s):  
Heart Failure ◽  
Self Care ◽  
Behavior Scale ◽  
Care Behavior

Renal Phosphate Handling in Antiretroviral-naïve HIV-infected Patients

2020 ◽  
Vol 20 ◽  
Author(s):  
Tewogbade Adeoye Adedeji ◽  
Simeon Adelani. Adebisi ◽  
Nife Olamide Adedeji ◽  
Olusola Akanni Jeje ◽  
Rotimi Samuel Owolabi
Keyword(s):  
Hiv Infection ◽  
Plasma Phosphate ◽  
Cross Sectional ◽  
Phosphate Retention ◽  
Significant Difference ◽  
Immunodeficiency Virus ◽  
Life Threatening ◽  
Moderate Chronic Kidney Disease ◽  
One Year ◽  
Sectional Analysis

Background: Human immunodeficiency virus (HIV) infection impairs renal function, thereby affecting renal phosphate metabolism. Objectives: We prospectively estimated the prevalence of phosphate abnormalities (mild, moderate to life-threatening hypophosphataemia, and hyperphosphataemia) before initiating antiretroviral therapy (ART). Methods: A cross-sectional analysis was performed on 170 consecutive newly diagnosed ART-naïve, HIV-infected patients attending our HIV/AIDS clinics over a period of one year. Fifty (50) screened HIV-negative blood donors were used for comparison (controls). Blood and urine were collected simultaneously for phosphate and creatinine assay to estimate fractional phosphate excretion (FEPi %) and glomerular filtration rate (eGFR). Results: eGFR showed significant difference between patients’ and controls’ medians (47.89ml/min/1.73m2 versus 60ml/min/1.73m2, p <0.001); which denotes a moderate chronic kidney disease in the patients. Of the 170 patients, 78 (45.9%) had normal plasma phosphate (0.6-1.4 mmol/L); 85 (50%) had hyperphosphataemia. Grades 1, 2 and 3 hypophosphataemia was observed in 3 (1.8%), 3 (1.8%), and 1(0.5%) patient(s) respectively. None had grade 4 hypophosphataemia. Overall, the patients had significantly higher median of plasma phosphate than the controls, 1.4 mmol/L (IQR: 1.0 – 2.2) versus 1.1 mmol/L (IQR: 0.3 – 1.6), p <0.001, implying hyperphosphataemia in the patients; significantly lower median urine phosphate than the controls, 1.5 mmol/L (IQR: 0.7 -2.1) versus 8.4 mmol/L (IQR: 3.4 – 16), p <0.001), justifying the hyperphosphataemia is from phosphate retention; but a non-significantly lower median FEPi% than the controls, 0.96 % (IQR: 0.3 -2.2) versus 1.4% (IQR: 1.2 -1.6), p > 0.05. Predictors of FEPi% were age (Odds ratio, OR 0.9, p = 0.009); weight (OR 2.0, p < 0.001); CD4+ cells count predicted urine phosphate among males (p = 0.029). Conclusion: HIV infection likely induces renal insufficiency with reduced renal phosphate clearance. Thus, hyperphosphataemia is highly prevalent, and there is mild to moderate hypophosphataemia but its life-threatening form (grade 4) is rare among ART-naïve HIV patients.

scholarly journals The effect of GMFCS level, age, sex, and dystonia on multi-dimensional outcomes after selective dorsal rhizotomy: prospective observational study

2021 ◽  
Vol 37 (5) ◽  
pp. 1729-1740
Author(s):  
Conor Scott Gillespie ◽  
◽  
Alan Matthew George ◽  
Benjamin Hall ◽  
Steven Toh ◽  
...  
Keyword(s):  
Motor Function ◽  
Self Care ◽  
Pediatric Neurosurgery ◽  
Care Quality ◽  
Fine Motor ◽  
Selective Dorsal Rhizotomy ◽  
Dorsal Rhizotomy ◽  
Significant Difference ◽  
Age Category ◽  
Gmfcs Level

Abstract Purpose Investigate the effect of age category (1–9 years vs 10–18 years), sex, Gross Motor Function Classification System (GMFCS) level, and presence of dystonia on changes in eight function test parameters 24 months after selective dorsal rhizotomy (SDR). Methods Prospective, single-center study of all children aged 3–18 years with bilateral cerebral palsy with spasticity who underwent SDR at a tertiary pediatric neurosurgery center between 2012 and 2019. A linear mixed effects model was used to assess longitudinal changes. Results From 2012 to 2019, 42 children had follow-up available at 24 months. Mean GMFM-66 scores increased after SDR (mean difference 5.1 units: 95% CI 3.05–7.13, p < 0.001). Statistically significant improvements were observed in CPQoL, PEDI Self-care and Mobility, 6MWT, Gillette, and MAS scores. There was no significant difference in the improvements seen for age category, sex, GMFCS level, and presence of dystonia for most of the parameters tested (5/8, 6/8, 5/8, and 6/8 respectively). Conclusion SDR may improve gross and fine motor function, mobility and self-care, quality of life, and overall outcome based on extensive scoring parameter testing at 24 months. Atypical patient populations may benefit from SDR if appropriately selected. Multi-center, prospective registries investigating the effect of SDR are required.

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.

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