scholarly journals Comparative study of diabetic self-care management “educational intervention among family members on diabetic individuals”, in rural field practicing area, a cluster randomization study

2020 ◽  
Vol 7 (8) ◽  
pp. 3160
Author(s):  
Hanumanthappa Kudachi ◽  
Venkatesh Gonibeedu ◽  
Suresh Ramappa ◽  
Sundar Muniswamy
Keyword(s):  
Educational Intervention ◽  
Care Management ◽  
Management Practices ◽  
Behavioural Change ◽  
Self Care ◽  
Preventive Measure ◽  
Family Intervention ◽  
Cluster Randomization ◽  
Entire Family ◽  
Adherence To Medication

Background: To achieve optimal blood glucose levels educating diabetic patient alone may not be sufficient but the entire family must have access to proven preventive measure. The present study was done to assess the outcome of self-care management practices educational intervention among family member on diabetic individuals.Methods: This prospective interventional cluster randomization study was conducted in rural field practice area, attached to department of Community medicine of Hassan Institute of Medical Sciences. Clusters were formed among the population based on the sub-centres and four clusters were randomly selected. Two clusters were assigned for family intervention and two clusters with individual intervention.Results: Consuming 5 or more serving of fruits and vegetables for more than 5 days a week, increased in the FIC after education and the difference in increase was statistically significant (p<0.02). Physical activity with specific exercise sessions increase after the intervention and the increase was statistically significant in the FIC (p<0.08).  Adherence to medication and testing attained statistically significant increase in the FIC. Also washing of foot daily with luke-warm water increase was statistically significant in both the Intervention Clusters (p<0.0002). On subsequent follow up there was a significant improvement in BMI of family intervention cluster (p<0.03) as compared to individual intervention cluster.Conclusions: Health education intervention activity at the community involving the supportive members of the family can drive-in to bring about behavioural change in the desired direction. 

scholarly journals Nursing Students Attitude Towards Self-Care Management

2019 ◽  
Vol 7 (1) ◽  
pp. 218-229
Author(s):  
WILLIAMS KWASI PEPRAH ◽  
GIFTY TANO ◽  
Fiskvik Boahemaa Antwi ◽  
Simon Akwasi Osei
Keyword(s):  
Nursing Students ◽  
Care Management ◽  
Management Practices ◽  
Self Care ◽  
The Philippines ◽  
Human Potential ◽  
Test Analysis ◽  
Physical Relationship ◽  
Significant Difference ◽  
Fundamental Value

Abstract   INTRODUCTION: Self-care management has become a theoretical discussion among health professionals and students. As a result of its importance, the International Council for Nurses has incorporated it in their standard of competence. Self-care encourages health and is a fundamental value of the scope and standards of practice. Nursing students are advised to have proper self-care.   METHOD: This study investigated the self-care management practices of nursing students at the Adventist University of the Philippines (AUP) and how they align with the institutional outcomes. This quantitative study conveniently samples 47 nursing students as respondents. The study adopted the Circle of Human Potential ' questionnaire by Dossey and Keegan (2009), which assessed self-care management in the areas of physical, relationship, emotional, spiritual, mental, and choice. The application for SPSS 23 was used for the descriptive and t-test analysis as demanded by the research questions.    RESULTS: The results of the study revealed that there is a positive self-care management attitude among nursing students. The ranked of self-care management from highest to the least in the order of spiritual, mental, emotional, relational, choice, and physical assessments. It further revealed that there was no significant difference in self-care management when considering the sex of the students.   DISCUSSION AND RECOMMENDATION: The outcomes of the study were in accordance with the AUP institutional outcomes of spirituality, critical thinking, professional expertise, service, health and wellness, and positive attitude. The study recommends that nursing students keep up with their positive self-care management.

Self-Care Management Practices for the Home Health Nurse

2012 ◽  
Vol 30 (5) ◽  
pp. 295-305 ◽  
Author(s):  
Jennifer M. Hitt ◽  
Eva Tatum ◽  
Mary McNair ◽  
Marilyn Harrington ◽  
Sandra D. Stanton ◽  
...  
Keyword(s):  
Care Management ◽  
Management Practices ◽  
Self Care ◽  
Home Health ◽  
Health Nurse

scholarly journals Self-care interventions in patients with coronary artery disease: room for improvement

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
H Westland ◽  
T Jaarsma ◽  
B Riegel ◽  
P Iovino ◽  
O Henry Osokpo ◽  
...  
Keyword(s):  
Physical Activity ◽  
Coronary Artery Disease ◽  
Coronary Artery ◽  
Care Management ◽  
Behavioural Change ◽  
Self Care ◽  
Activity Level ◽  
Public Institution ◽  
Funding Source ◽  
Artery Disease

Abstract   After a coronary artery event it is vital that patients perform self-care Self-care can be defined broadly as a process of maintaining health through treatment adherence and health-promoting practices (self-care maintenance), behavior and condition monitoring (self-care monitoring), and managing signs and symptoms when they occur (self-care management). For patients with coronary artery disease (CAD) essential self-care activities include adherence to medication, risk-factor management, symptom monitoring and preventive behavior. To advance the field of self-care in CAD patients, it is important to understand which self-care elements are currently addressed in interventions studies. The purpose of this study was to describe which behaviors are emphasized in self-care interventions for patients with CAD. Methods We conducted a systematic review of self-care interventions in chronic diseases. Four databases were search for randomized controlled trials with allocation to an intervention or to usual care or another intervention in adults with nine major symptomatic chronic conditions, one of which was coronary artery disease. Between 2008 and 2019 there were 9309 potential articles addressing self-care in chronic disease. After duplicates were removed and titles and abstracts were reviewed, 166 full-text articles on CAD studies evaluating a self-care intervention were assessed for eligibility and 15 studies remained after further assessment. Results Almost all studies (80%) in CAD patients included all three components of self-care (self-care maintenance, monitoring and management) in their interventions. Self-care maintenance behaviors addressed in these studies were mainly related to physical activity (73%) diet (60%) and medication management (33%) Another 40% included a psychosocial component, but only 4 studies (26%) were specially targeted at smoking behavior. With regard to self-care monitoring, most (60%) included monitoring of their physical activity level and 26% monitoring of symptoms. Self-care management behaviours were addressed rarely, but when addressed, focused on adapting activity level (60%), adapting diet (27%), medication changes (20%) and stress reduction (20%). Goal setting (60%), problem solving (40%) and feedback (33%) were the behavioural change techniques that were used most often to promote self-care. Only 1 study mentioned the use of social support. One study used reminders. Conclusions Most interventions that are tested to improve outcomes in patients with CAD address self-care maintenance, monitoring, management. The behavioural change techniques used are limited. There is a large variation in which behaviours are emphasized in research studies and the focus is primarily on changing traditional lifestyle factors, but not all life-style factors are addressed adequately in the interventions. Funding Acknowledgement Type of funding source: Public Institution(s). Main funding source(s): Australian Catholic University

scholarly journals Diabetes self-care management practices among insulin-taking patients

2018 ◽  
Vol 23 (7) ◽  
pp. 553-565
Author(s):  
Besher Gharaibeh ◽  
Loai Issa Tawalbeh
Keyword(s):  
Type 2 Diabetes ◽  
Care Management ◽  
Management Practices ◽  
Self Care ◽  
Complex Nature ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Cross Sectional Design

Background Diabetes self-care management (DSCM) is complex because various factors and relationships influence its processes. Aims This study aimed to identify the level of DSCM, compare the levels of self care between patients with type 1 and patients with type 2 diabetes, and identify significant predictors of self-care among Jordanian patients with type 1 and type 2 diabetes who were taking insulin. Methods A descriptive cross-sectional design was employed using a convenience sample of 310 Jordanian patients. The Arabic translated version of the 40-item Diabetes Self-Management Scale was used to collect data. Results The type of diabetes ( t(310) = 4.81; p < .001) and the type of medications (insulin, or insulin and tablets) ( t(310) = 4.75; p < .001) significantly affected the level of self-care. Age ( t(296) = − 3.41; p = 0.001), gender ( t(296) = −4.78; p < 0.001) training in self-care ( t(296) = 4.30; p < .001), educational level ( t(296) = 2.81, P = .005) and using traditional treatment (herbal therapy) ( t(296) = −4.64, p < .001) significantly predicted self-care and explained around 58% of the variance in self-care. Conclusions Various factors were found to influence self-care. Further research is needed to explore the complex nature of DSCM.

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