Factors Related to Self-Care Ability in Patients With Severe Mental Disorders： Based on Community Patients Investigation in Beijing, China (Preprint)

2021 ◽  
Author(s):  
Chen Chen ◽  
Yun Chen ◽  
Qingzhi Huang ◽  
Shengming Yan ◽  
Junli Zhu
Keyword(s):  
Medication Adherence ◽  
Mental Disorders ◽  
Influencing Factors ◽  
Self Care ◽  
The Self ◽  
Severe Mental Disorders ◽  
Course Of Disease ◽  
Physical Disease ◽  
Targeted Interventions ◽  
Care Course

UNSTRUCTURED Background: Severe Mental Disorders (SMD) have become a topic of increasing interest in research due to their serious consequences for the quality of life and functioning. In the pages that follow, it will be argued that the self-care ability and its influencing factors among SMD patients in Beijing, according to the questionnaire survey in 2019. Methods: The present study aimed to explore the factors influencing the self-care ability of SMD patients. Multi-stage sampling and proportioning sampling were used to take samples. The demographic characteristics of patients were obtained by questionnaires, and the self-care ability was measured by self-made scales. Multiple linear regression was used to analyze the influencing factors. Results: We surveyed 662 people and found that the deficiency of self-care ability is common in SMD patients. Significant relations were found between self-care ability and age, educated levels, guardian care, course of disease and physical disease (P<0.05). From a dimensional perspective, the daily basic activity was associated with educated levels and physical disease (P<0.05); the housework ability was associated with gender, educated levels, source of income, physical disease and medication adherence (P＜0.05); the social function was associated with age, educated levels, source of income, guardian care course of disease, physical disease and medication adherence (P＜0.05). Conclusion: The self-care ability of SMD patients is affected by many factors, including patient characteristics and social factors. Therefore, targeted interventions are needed to help patients restore their self-care ability, which requires the joint efforts of the government and the whole society.

scholarly journals A PROSPECTIVE STUDY: KNOWLEDGE ASSESSMENT AND PATIENT CARE OF DIABETIC FOOT ULCER PATIENTS IN TERTIARY CARE HOSPITAL

2017 ◽  
Vol 9 (10) ◽  
pp. 104
Author(s):  
Sheena Marin Thomas ◽  
Ishita Gajjar Nitin ◽  
M. Uday Kiran Reddy ◽  
Harsha Devi S.
Keyword(s):  
Medication Adherence ◽  
Diabetic Foot ◽  
Tertiary Care ◽  
Self Care ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
The Self ◽  
Care Practice ◽  
Care Hospital ◽  
Patient Counselling

Objective: To assess the knowledge with a diabetic foot ulcer, to evaluate the severity and grade of diabetic foot ulcer, to study the self-care behaviour and medication adherence in a patient with diabetic foot ulcer and to counsel the patients.Methods: The KAP, self-care foot behaviour and MMAS-8 questionnaire were given during interview; severity using Wagner’s scale was assessed. Knowledge, attitude, self-care foot practice and adherence was measured based on various parameters such as demographic factors, clinical characteristics, and medication taking characteristics. It was measured before and after the patient counselling to see improvement in the quality of life.Results: In the study period of 6 mo 111 cases were gathered. There were 74 (66%) patients who were illiterate; the patients with low economic status were 63 (56%). Patients who are illiterate have poor knowledge and poor self-care behaviour, in our study 74 (66%) are illiterate which improved after counselling and 59 patients with high knowledge. Medication adherence is also associated with the education of the patient. After counselling and providing knowledge most of the patients are having high KAP scores. Wagner’s scale for the study of the severity shows that most of the patients 30 out of 111 are having Grade 4 of the score which shows the need of counselling and education towards foot care. Improvement in the self-care practice and on safety and prevention was seen after counselling.Conclusion: Knowledge, attitude, self-care practice and adherence of the patient can be improved by establishing a good patient-provider relationship and giving proper patient counselling to the patient or their relatives.

scholarly journals FÍSTULA ARTERIOVENOSA NA PERSPECTIVA DE PACIENTES

2016 ◽  
Vol 7 (1) ◽  
pp. 37-41
Author(s):  
José Melquiades Ramalho Neto ◽  
Evelyn Rolim dos Santos Rocha ◽  
Aran Rolim Mendes De Almeida ◽  
Maria Miriam Lima Da Nóbrega
Keyword(s):  
Mental Disorders ◽  
Renal Insufficiency ◽  
Arteriovenous Fistula ◽  
Exploratory Study ◽  
Self Care ◽  
Renal Dialysis ◽  
The Self

Objetivos: trata-se de estudo que visou analisar a percepção de pacientes renais crônicos frente à fístula arteriovenosa implantada em seu corpo; descrever as emoções e sentimentos provocados pela implantação da fístula arteriovenosa e identificar o autocuidado para a sua preservação. Metodologia: pesquisa exploratória, cujos dados foram coletados com 10 participantes em outubro de 2011, e analisados mediante a técnica do Discurso do Sujeito Coletivo. Resultados: os dados revelaram nos pacientes um desvelamento do eu frente à fístula, e um velamento da fístula a partir do eu, emergindo situações de transtornos físicos, emocionais e psíquicos, superados em sua grande maioria pelos laços de vida e esperança ao longo do tratamento. Conclusão: é necessário que o enfermeiro tenha competência técnica e conhecimento dos aspectos que levem em consideração os sentimentos e as necessidades de tais pacientes.Descritores: Insuficiência Renal Crônica, Diálise Renal, Fístula Arteriovenosa, Percepção.ARTERIOVENOUS FISTULA IN CHRONIC RENAL PATIENTS PERSPECTIVEObjectives: the study aimed to analyze the perception of chronic renal patients across the arteriovenous fistula implanted in your body; describe the emotions and feelings caused by the implementation of arteriovenous fistula; and identify self-care for its preservation. Methodology: exploratory study whose data were collected with 10 participants in October 2011 and used the Discourse of the Collective Subject technique being used to analyze the data. Results: the data revealed in patients an unveiling of the self against the fistula, and a fistula veiling from me, emerging situations of physical, emotional and mental disorders, overcome mostly by bonds of life and hope throughout the treatment. Conclusion: it is necessary that the nurse has expertise and knowledge of aspects to take into consideration the feelings and needs of such patients.Descriptors: Renal Insufficiency Chronic, Renal Dialysis, Arteriovenous Fistula, Perception.LA FÍSTULA ARTERIOVENOSA EN CRÓNICA PERSPECTIVA DE LOS PACIENTES RENALESObjetivos: el estudio buscó analizar la percepción de los pacientes renales crónicos a través de la fístula arteriovenosa implantado en su cuerpo; describir las emociones y los sentimientos causados por la aplicación de la fístula arteriovenosa; e identificar el auto-cuidado para su preservación. Metodologia: investigación exploratoria cujos datos fueron recolectados con 10 participantes, en octubre de 2011 y utilizan la técnica del Discurso del Sujeto Colectivo para el análisis de los datos. Resultados: los dados revelaron en los pacientes una revelación del yo contra la fístula y fístula velo de mí, situaciones emergentes de trastornos físicos, emocionales y mentales, a superar su mayoría por bonos de la vida y la esperanza de todo el tratamiento. Conclusión: es necesario que la enfermera tiene la experiencia y el conocimiento de los aspectos a tener en cuenta los sentimientos y necesidades de estos pacientes.Descriptores: Insuficiência Renal Crónica, Diálisis Renal, Fístula Arteriovenosa, Percepción.

scholarly journals Factors influencing medication adherence among patients with severe mental disorders from the perspective of mental health professionals

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Mengjie Deng ◽  
Shuyi Zhai ◽  
Xuan Ouyang ◽  
Zhening Liu ◽  
Brendan Ross
Keyword(s):  
Mental Health ◽  
Medication Adherence ◽  
Mental Disorders ◽  
Qualitative Study ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Hunan Province ◽  
Severe Mental Disorders ◽  
Qualitative Approaches ◽  
Factors Influencing

Abstract Background Medication adherence is a common issue influenced by various factors among patients with severe mental disorders worldwide. However, most literature to date has been primarily quantitative and has focused on medication adherence issue from the perspective of patients or their caregivers. Moreover, research focused on medication adherence issue in China is scarce. Present study aims to explore the influential factors of medication adherence among patients with severe mental disorders form the perspective of mental health professionals in Hunan Province, China. Methods A qualitative study was performed in Hunan Province, China with 31 mental health professionals recruited from October to November 2017. And semi-structured interviews or focus group interviews were conducted along with audio recordings of all interviews. Interview transcripts were then coded and analyzed in Nvivo software with standard qualitative approaches. Results Three major themes influencing medication adherence among patients with severe mental disorders were identified as: (1) attitudes towards mental disorder/treatment; (2) inadequate aftercare; (3) resource shortages. Conclusions This qualitative study identified the factors influencing medication adherence among patients with severe mental disorders in China. As a locally driven research study, it provides practical advice on medication adherence promotion for mental health workers and suggests culturally tailored models that improve the management of patients with severe mental disorders in order to reduce economic burden on individual and societal level.

scholarly journals The Role of Self-Care Activities (SASS-14) in Depression (PHQ-9): Evidence From Slovakia During the COVID-19 Pandemic

2022 ◽  
Vol 9 ◽  
Author(s):  
Beata Gavurova ◽  
Boris Popesko ◽  
Viera Ivankova ◽  
Martin Rigelsky
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Sleep Quality ◽  
Self Care ◽  
The Self ◽  
Online Questionnaire ◽  
Targeted Interventions ◽  
Slovak Population ◽  
Patient Health ◽  
Quantile Regression Analysis

In the ongoing situation, when the world is dominated by coronavirus disease 2019 (COVID-19), the development of self-care programs appears to be insufficient, while their role in mental health may be crucial. The aim of the study was to evaluate the associations between self-care activities and depression in the general Slovak population, but also in its individual gender and age categories. This was achieved by validating the self-care screening instrument, assessing differences, and evaluating the associations using quantile regression analysis. The final research sample consisted of 806 participants [males: 314 (39%), females: 492 (61%)] and data were collected through an online questionnaire from February 12, 2021 to February 23, 2021. Patient Health Questionnaire (PHQ-9) for depression (α = 0.89) and Self-Care Activities Screening Scale (SASS-14) [health consciousness (HC) (α = 0.82), nutrition and physical activity (NPA) (α = 0.75), sleep quality (SLP) (α = 0.82), and interpersonal and intrapersonal coping strategies (IICS) (α = 0.58)] were used as screening measures. Mild depressive symptoms were found in 229 participants (28.41%), moderate depressive symptoms in 154 participants (19.11%), moderately severe depressive symptoms in 60 participants (7.44%) and severe depressive symptoms in 43 participants (5.33%). The main findings revealed the fact that individual self-care activities were associated with depression. This supported the idea that well-practiced self-care activities should be an immediate part of an individual's life in order to reduce depressive symptoms. Sleep quality played an important role, while HC indicated the need for increased attention. Other dimensions of self-care also showed significant results that should not be overlooked. In terms of depression, females and younger individuals need targeted interventions. The supportive educational intervention developed based on the self-care theory can help manage and maintain mental health during a stressful period, such as the COVID-19 pandemic. Health policy leaders should focus on health-promoting preventive self-care interventions, as the demand for them increases even more during the pandemic.

scholarly journals Self-care Status and Influencing Factors of Patients with Chronic Heart Failure in Community from The Perspective of Health Ecology

2021 ◽  
Author(s):  
Bingying Zhou ◽  
Cuirong Xu ◽  
Xiaolu Xu ◽  
Yong Chen ◽  
Weihong Tang
Keyword(s):  
Heart Failure ◽  
Chronic Heart Failure ◽  
Influencing Factors ◽  
Self Care ◽  
Current Situation ◽  
The Self ◽  
Object A ◽  
Anxiety Depression ◽  
Community Patients

Abstract Objective To explore the current situation and influencing factors of self-care of patients with chronic heart failure in community. Methods Patients with chronic heart failure in four community health service centers of a third class hospital in Nanjing were selected as the research object. A questionnaire was formed based on health ecology to understand the current situation and influencing factors of self-care. The data were analyzed by one-way ANOVA and multiple linear regression.Results The self-care status of community patients with chronic heart failure was poor, and they were in the state of "low maintenance, low management and low confidence"; Social support level, anxiety, depression, number of complications, course of disease, education level and income were independent influencing factors of self-care ability of community patients with chronic heart failure (P < 0.05). Conclusion The self-care ability of community patients with chronic heart failure needs to be improved, which is affected by many factors. Personalized evaluation and active intervention should be carried out to improve the self-care ability and quality of life of patients with chronic heart failure.

scholarly journals Self-care experiences of Indonesian adults with chronic disease living in Montreal

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N A Lukman ◽  
A Leibing ◽  
L Merry
Keyword(s):  
Chronic Disease ◽  
Chronic Illness ◽  
Influencing Factors ◽  
Healthcare Professionals ◽  
Self Care ◽  
The Self ◽  
Structured Interviews ◽  
Literacy Support ◽  
Adult Men ◽  
Different Sources

Abstract Background Self-care (i.e., the actions towards monitoring and managing chronic illness and maintaining health) is an essential aspect of chronic disease management. These experiences are shaped by culture and values, health literacy, support from others and access to care. We conducted a study to explore the chronic illness self-care experiences and various influencing factors among a minority immigrant group, Indonesians, living in Montreal, Canada. Methods We used a qualitative descriptive approach. Eight adult men and women living with various chronic illnesses were recruited. Data were collected via semi-structured interviews and thematically analyzed. Results Three broad themes were identified: What's helpful, Challenges and responses, and Expectations. What's helpful captured different sources of supports of that helped the participants manage and monitor their illness and feel well and healthy. Challenges and responses highlighted the key challenges that participants have faced while living with a chronic illness, and how they have adapted (or not) and responded to these. Expectations include participants' disappointments towards their own self-care and/or support from family, the community and healthcare professionals, and describes what participants wished was different about their situation. The multiple views and nuances of their experiences as well as the various influencing factors of pre- and post-migration were interwoven within the description of each theme. Conclusions The self-care experiences of Indonesians living in Montreal shaped by different sources that helpful, challenges they faced and their responses as well as their disappointments and wishes for their own self-care. Key messages The self-care experiences of Indonesians living in Montreal are vary and shaped by different factors and sources. Healthcare professionals should engage more and consider the helpful sources for them, their challenges and the responses, their disappointments and hopes shaping their self-care experiences.

scholarly journals Motivational interviewing to reduce blood pressure in hypertensive patients: randomized clinical trial

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
L.C.J Silveira ◽  
G Aliti ◽  
E Vellone ◽  
R.H De Souza ◽  
E.R Rabelo-Silva
Keyword(s):  
Blood Pressure ◽  
Clinical Trial ◽  
Medication Adherence ◽  
Motivational Interviewing ◽  
Systolic Blood Pressure ◽  
Randomized Clinical Trial ◽  
Self Care ◽  
The Self ◽  
Funding Source

Abstract Background Uncontrolled hypertension is the leading risk factor for cardiovascular disease. This factor is often due to poor self-care; however, patients find lifestyle modifications difficult to achieve. Motivational interviewing has been proposed as an approach to enhance intrinsic motivation to change, develop autonomy, and promote healthy behaviors, but few randomized controlled trials have explored this approach, especially in hypertension. Purpose To evaluate the effectiveness of motivational interviewing in reducing blood pressure and improving self-care behaviors and medication adherence in patients with hypertension. Methods Single-center, parallel, randomized clinical trial with outcome-assessor blinding. The study included 120 adult patients diagnosed with hypertension who received regular follow-up in an outpatient hypertension clinic in Southern Brazil. Patients were allocated to one of two groups: the intervention group (IG), which received motivational interviewing by a trained nurse, and the control group (CG), which received standard care. All patients in the IG and the CG were assessed face-to-face once monthly for 6 months. The primary outcome was the reduction in systolic blood pressure and changes in mean blood pressure measured by 24-hour ambulatory blood pressure monitoring; secondary outcomes included self-care behaviors, measured with the Self-Care of Hypertension Inventory, and medication adherence, measured with Medication Assessment Questionnaire. Outcomes of interest were measured at baseline and at 6-month follow-up. Results The sample consisted largely of white (72%) females (70%), with a mean age of 62 years (SD=10), and a median duration of hypertension of ≥13 years. There were no statistically significant differences between groups at baseline. Over time, a statistically significant decrease in blood pressure levels occurred in the motivational interviewing group, except for daytime systolic blood pressure. The magnitude of change was greatest for nighttime systolic blood pressure (−6.4 mmHg) and 24h systolic blood pressure (−5.3 mmHg). Furthermore, patients in the IG showed improvement in all dimensions of the self-care score (P&lt;0.05). Medication adherence improved in the IG (within-group analysis), but not in controls (P&gt;0.05). Conclusion Motivational interviewing is effective in reducing blood pressure and improving self-care and medication adherence in patients with hypertension. Funding Acknowledgement Type of funding source: Public Institution(s). Main funding source(s): Coordenação de Aperfeiçoamento de Pessoal de Nível Superior- Brasil (CAPES)- Finance code 001.

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