Determination of self-care power of hemodialysis patients

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.   

2021 ◽  
pp. 105477382110561
Author(s):  
Onome Henry Osokpo ◽  
Lisa M. Lewis ◽  
Uchechukwu Ikeaba ◽  
Jesse Chittams ◽  
Frances K. Barg ◽  
...  

This cross-sectional study aims to describe the self-care of adult African immigrants in the US with chronic illness and explore the relationship between acculturation and self-care. A total of 88 African immigrants with chronic illness were enrolled. Self-care was measured with the Self Care of Chronic Illness Inventory v3 and the Self-Care Self-Efficacy scale. Scores are standardized 0 to 100 with scores >70 considered adequate. Acculturation was measured using a modified standardized acculturation instrument and predefined acculturation proxies. The self-care scores showed adequate self-care, with the mean scores of 78.6, 77.9, and 75.6 for self-care maintenance, monitoring, and management. Self-care self-efficacy mean score was 81.3. Acculturation was not significantly associated with self-care. Self-care self-efficacy was a strong determinant of self-care maintenance ( p < .0001), monitoring ( p < .0001), and management ( p < .0001). The perception of inadequate income was a significant determinant of poor self-care management ( p = .03). Self-care self-efficacy and perceived income adequacy were better determinants of self-care than acculturation.


2021 ◽  
Author(s):  
Fatema Johora ◽  
Asma Akter Abbasy ◽  
Fatiha Tasmin Jeenia ◽  
Mithun Chandra Bhowmik ◽  
Mohsena Aktar ◽  
...  

Background: Since December 2019, the novel coronavirus, SARS-CoV-2, has garnered global attention due to its rapid transmission, which has infected more than twenty nine million people worldwide. World is facing enormous stress and anxiety as there is no effective medicine or vaccine to treat or prevent COVID-19 till date. Experts are recommending self-care like social distancing, respiratory etiquette, hand washing, using face mask to prevent corona virus infection. Materials and methods: This descriptive cross-sectional study was designed to assess the prevalence of self-care practice among the undergraduate medical students (4th year) of 14 medical colleges of Bangladesh during COVID-19 pandemic. A structured questionnaire survey linked in the google form was used as study instrument and was distributed among study population through email, messenger, whatsapp and other social media during the month of October 2020. Total 916 students were participated in the study. Results: 79.8% of students reported self-care practice in study period. 44.98% of students went outside once in a week. 90.5%, 70.96% and 52.62% of respondents always used face mask, followed 20 seconds hand washing principle and maintained social distancing. Face masks (97.8%), sanitizers (76.7%) and gloves (71.9%) are most common items purchased as protective mesures. Most of the students (76.9%) follow their hobbies as a coping strategy to overcome phychological stress, while 6% of students took professional help. Conclusion: Suboptimal practice of self-care was found among the undergraduate medical students of Bangladesh.


Heart & Lung ◽  
2017 ◽  
Vol 46 (4) ◽  
pp. 280-286
Author(s):  
Maiko Noguchi-Watanabe ◽  
Noriko Yamamoto-Mitani ◽  
Azusa Arimoto ◽  
Sachiyo Murashima

2018 ◽  
Vol 23 (2) ◽  
pp. 167-172 ◽  
Author(s):  
Miao‐miao Yang ◽  
Hui‐hua Zhao ◽  
Xiao‐qiang Ding ◽  
Guo‐hong Zhu ◽  
Zhen‐hua Yang ◽  
...  

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.


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.


2020 ◽  
Vol 9 (2) ◽  
pp. e14-e14
Author(s):  
Maryam Zibaei ◽  
Monir Nobahar ◽  
Raheb Ghorbani

Introduction: It is generally accepted that stress and anxiety are of the most common psychiatric complications of hemodialysis. Self-care is considered as one of the health promotion behaviors. Self-care reduction increases the risk of mortality and morbidity too. Objectives: The purpose of this study was to determine the correlation between stress and anxiety with self-care in hemodialysis patients. Patients and Methods: The present cross-sectional study was conducted on 80 hemodialysis patients, selected by convenience sampling method. The perceived stress was measured by a perceived stress scale (PSS) questionnaire, since the anxiety assessed by the Spielberger StateTrait Anxiety Inventory (STAI), accordingly, self-care assessed by hemodialysis patients’ selfcare measurement scale. Results: In this study, no patient had poor self-care. The self-care was moderate in 75% of patients and good in 25% of patients. The anxiety was mild in 46.2% of patients, moderate in 50% and severe in 3.8%. The perceived stress was low in 62.5% of patients and high in 37.5% of patients. There was a significant negative correlation between the perceived stress score and the self-care score (P=0.001, r=-0.376), however, no correlation was observed between anxiety and self-care score (P=0.089, r=-0.193). Conclusion: The results showed that stress of hemodialysis patients had a negative effect on their self-care, while anxiety had no significant effect on self-care. Therefore, it is suggested to identify and resolve the factors affecting stress of these patients, and to conduct further research regarding this subject.


1970 ◽  
Vol 7 (1) ◽  
pp. 48-53
Author(s):  
Sheh Mureed ◽  
Muhammad Hassan Gandro ◽  
Walid Hassan

Background: Globally, 3.1 million newborn deaths occur every year out of these estimated 400,000 neonatal deaths occur in Pakistan. All neonatal deaths 99% take place in poorest region and countries of the world, usually within hours of birth; mostly the cause of neonatal deaths is hypoxia. To access knowledge and practice of SBAs regarding HBB and to access the availability of equipments required for HBB. Methods: Descriptive Cross-Sectional Study on SBAs as trained in HBB. All 46 SBAs trained on HBB working in Labour room eight rural Health centers, four Taluka, One district Head Quarter Health Facilities and thirteen Mlbcs of the district, were included in the sample for study. All 41 SBAs were trained on HBB participated in the study. Results: Mean age of 30 years. Out of total 41 participants 25 were working in B-EmoNC (61%), 3in C-EmoNC (7.3%) and 13 in mid wife laid birth Centre (MLBC) or birth station (31.7%). About 92.7% of participants said that main purpose of HBB training is to decrease the NMR by improving newborn care. Drying of newborn is 82.7%, hand washing is 95.12% and 85.3% of the study participants said that they gave 30-40 breaths per minutes. Cord clamp and pair of ties was accessible to 85% of participants versus 14.3% who reported it's not accessible. Almost one quarter (34.1%) participants have low knowledge and practice. Knowledge and training had significant effect on the overall practices of the skilled birth attendants for skilled birth deliveries and reduce the neonatal deaths (P <0.001). Conclusion: Tools play a vital role for the implication of the knowledge into practices and tools were available almost to every participant. Although few barriers also identified for the less application of the helping hand babies trainings in the community.


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