Reality Testing and Self-Reported Aids Self-Care Behavior

1992 ◽  
Vol 70 (1) ◽  
pp. 59-65
Author(s):  
Lynette E. Bassman

This investigation examined the relationship between reality testing and AIDS self-care behavior for 509 urban college students. It was hypothesized that reality testing may become impaired in sexual interactions that carry the risk of HIV infection, leading to imperfect adoption of safer sex practices. Reality testing, measured by the Bell Object Relations and Reality Testing Inventory, was significantly related to AIDS knowledge as measured by the AIDS Prevention Survey of Thomas and not significantly related to self-reported safer sex behavior, measured by Bassman's HIV Infection Prevention Scale.

Author(s):  
Meng-Chien Tsai ◽  
Hsiao-Ling Chuang ◽  
Cheng-Yi Huang ◽  
Shu-Hsin Lee ◽  
Wen-Chun Liao ◽  
...  

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.


2017 ◽  
Vol 17 (6) ◽  
pp. 496-504 ◽  
Author(s):  
Kyoung Suk Lee ◽  
Debra K Moser ◽  
Kathleen Dracup

Background: Although incomplete understanding of heart failure and its signs and symptoms appears to be a barrier to successful self-care, there are few studies examining the relationship between self-care and levels of comprehensive understanding of heart failure and its signs and symptoms. Aim: To determine whether incomplete understanding of heart failure and its signs and symptoms is associated with self-care in heart failure patients who were recently discharged from the hospital due to heart failure exacerbation. Methods: Patients completed the nine-item European Heart Failure Self-care Behavior scale and questionnaire to assess knowledge of heart failure and its signs and symptoms. Three groups were formed by their different levels of understanding of heart failure and its signs and symptoms. Multivariable linear regression was used to determine whether these three levels of understanding groups predicted self-care after controlling for demographic and clinical variables. Results: Of 571 patients 22.1%, 40.1% and 37.8% had poor, moderate, and complete understanding, respectively. Compared with patients in the poor understanding group, patients in complete and moderate understanding groups were more likely to have better adherence to self-care activities (standardized β = −0.14, 95% confidence interval −3.41, −0.47; standardized β = −0.19, 95% confidence interval −4.26, −1.23, respectively). Conclusions: Fewer than half of the patients had a comprehensive understanding of heart failure and its signs and symptoms, which was associated with poor self-care. Our study suggests that patient education should include contents to promote comprehensive understanding of heart failure and its symptoms, as well as the importance of self-care behaviors.


2018 ◽  
Vol 22 (3) ◽  
pp. 134-140
Author(s):  
Nastaran Mansouriyeh ◽  
Hamid Poursharifi ◽  
Mohammad Reza Taban Sadeghi ◽  
Mohammad Raze Seirafi

PurposeThe purpose of this paper is to investigate the role of illness-related worries as a mediator among depression, anxiety and self-care in heart failure (HF) patients was the aim of this study.Design/methodology/approachThis study was descriptive and correlational study. In total, 149 patients with HF were selected for sampling in 2016. Patients completed self-care behavior scale, illness-related worries questionnaire and Depression Anxiety Stress Scale (DASS) questionnaires. The Pearson correlation coefficient and Sobel test were also done.FindingsAccording to the analysis of the Sobel test, the role of illness-related worries as a mediator in the relationship between depression and self-care result was −5.37. Sobel test analysis was done to assess the role of illness-related worries as mediator between anxiety and self-care (6.66). The correlation between depression and self-care was 0.488 (p<0.01); correlation between anxiety and self-care was 0.4 (p<0.01); correlation between anxiety and depression was 0.79 (p<0.01); and the correlation between illness-related worries and self-care was 0.71 (p<0.01).Originality/valueIllness-related worries can serve as a mediator in the relationship among depression, anxiety and self-care. There was a significant correlation among the research variables. Therefore, educational programs to reduce depression, anxiety and increase self-care should be given priority to for HF patients.


2006 ◽  
Vol 43 (Supplement_4) ◽  
pp. S178-S183 ◽  
Author(s):  
Frederick L. Altice ◽  
Lynn E. Sullivan ◽  
Duncan Smith-Rohrberg ◽  
Sanjay Basu ◽  
Sharon Stancliff ◽  
...  

2021 ◽  
Author(s):  
Naoko Tsukamoto ◽  
Aya Watanabe ◽  
Yukiko Katagiri ◽  
Mikiko Kudo ◽  
Yuka Funaki ◽  
...  

Abstract Background: The purpose of this study is to elucidate the relationship between fundamental daily living habits and health literacy exhibited by self-care behaviour in sixth-grade students in Japanese elementary schools by verifying the association of actual status of fundamental daily living habits with awareness of behavioural and health contingencies and healthy behavioural choices.Methods: In this study, a cross-sectional survey was undertaken with 287 sixth-grade students in Japanese elementary school. The questionnaire consisted of three elements of status of basic lifestyle habits, behavioural and health contingencies, and healthy behavioural choices.Results: These results indicate that while fundamental daily living habits are formed by including behavioural and health contingencies, the association of awareness of contingencies and behavioural choices with their actual status is not clear. It is found that during childhood, there is a risk of interruption in the awareness about the acquired behaviours and health contingencies, and it is evident that sustaining such awareness is necessary.Conclusions: This study makes a significant contribution to the literature because there are very few studies on children’s fundamental daily living habits from a health literacy viewpoint and it is not clear whether the fundamental daily living habits are associated with self-care ability as health literacy.


Background and Purpose: Diabetes mellitus is an important health problem that leads to severe complication and death, health literacy (HL) is capacity of individual to obtain process and understand basic health information and services needed to make proper health decision that leads to empowering in self-care behavior. The purpose of this study was to determine the relationship between health literacy and self-care in patient with typ2 diabetes. Material and Method: This study was a cross sectional study conducted in 2017 on 390 patients with type2 diabetes referred to Babol rural health center. Data were collected using health literacy for Iranian Adults (HELIA) and Summary of Diabetes Self-Care Activities (SDSCA). Result: The result of study showed that mean average of HL was 48.56±16.31 and 55.9percent of patient had inadequate HL. The mean average of self-care in one week was 50.77±15.18. There was no significance association between HL and self-care behavior. HL was significant relation by sex, age, marriage, education, job, economic status and disease duration (p<0.05). Also there were significant relation between self-care behavior with number of family, education and disease duration. Conclusion: Considering that over 50% of patients have inadequate HL and demographic factor play an important role in HL and self-care behavior, it’s suggested that health care provider addressed this factor in order to designing appropriate program.


2021 ◽  
Vol 20 (Supplement_1) ◽  
Author(s):  
KS Lee ◽  
DK Moser ◽  
K Dracup

Abstract Funding Acknowledgements Type of funding sources: Other. Main funding source(s): RO1HL083176 Improving Self-Care Behavior and Outcomes in Rural Patients with Heart Failure Background/Introduction: Patients with heart failure (HF) experience cardiac and non-cardiac related comorbid conditions. Such comorbidities create challenges to successful engagement in self-care of HF because patients are asked to simultaneously perform a variety of recommended self-care activities for HF and their comorbid conditions. It is possible that patients with a greater number of comorbid conditions experience more difficulty performing activities of HF self-care compared to those with a smaller number of comorbid conditions. However, it is also possible that types of comorbid conditions are more important factors influencing self-care of HF. Purpose To explore whether self-care of HF is associated with the number of comorbid conditions or types of comorbid conditions. Methods A total of 589 patients with HF (66 years, 41% female, 65% NYHA III/IV) were included in this study. The number of comorbid conditions was measured using the list of the conditions in the Charlson Comorbidity Index. Types of comorbidities were defined as follows: concordant conditions, sharing overall pathophysiologic risk profiles with HF, and discordant conditions, not being directly related to HF. Patients were categorized into 4 groups: HF patients without comorbidities; those with concordant conditions; those with discordant conditions; and those with both concordant and discordant conditions. Self-care was measured with the European HF self-care behavior scale. A multivariate linear regression was performed to explore the relationship of HF self-care with the number and types of comorbid conditions after adjusting for relevant covariates. Results The number of comorbid conditions was not associated with self-care of HF. However, the types of comorbid conditions were related to self-care of HF after controlling for covariates. Compared to HF patients without comorbidities, patients with both concordant and discordant conditions were more likely to have poorer self-care (β=0.155, 95% CI 0.29-4.09). However, levels of self-care in patients having either concordant or discordant conditions were not different from levels in patients having no comorbid conditions. Conclusion: Patients’ adherence to HF self-care was associated with the types of comorbidities, but not the simple count of comorbidities. Patients who had both concordant and discordant conditions were more likely to perform poor self-care of HF compared to those who had either concordant or discordant conditions or no comorbid conditions. It appears that HF patients with both concordant and discordant conditions experience difficulty integrating HF self-care in relation to a variety of conditions.


Sign in / Sign up

Export Citation Format

Share Document