scholarly journals The effect of family-centered empowerment model on the Self-care ability of patients with colorectal cancer

Background and Aim: Colorectal cancer is a chronic disease that reduces the patients’ quality of life. Hence, it is essential to have self-care ability. This study aimed to investigate the effect of the family-centered empowerment model on the self-care ability of patients with colorectal cancer. Materials and Methods: The present study is a randomized controlled study. The statistical population consisted of all patients referring to the surgery ward of the colorectal clinic affiliated with Shahid Faghihi Hospital in Shiraz in 2018. A total of 72 patients were selected by convenience sampling method and randomly allocated into control and experimental groups. A researcher-made questionnaire was used to collect data. The duration of this study was 9 months. Results: The results show that the mean score of total self-care ability and its components in the experimental group after the intervention had a significant increase compared to baseline (p<0.001) and the mean score of total self-care ability and its components in patients in the control group after the intervention was significantly higher than before the intervention (p<0.05). Moreover, the score of total self-care ability and its components in patients in the experimental group increased significantly more than the control (p<0.001) .Lastly, the mean score of total self-care ability and its components (except for the visit component) after intervention in the experimental group was significantly higher than the control (p<0.05). Conclusion: The family-centered empowerment model can affect the self-care ability of patients with colorectal cancer. It is suggested that non-pharmacological interventions be combined with medical interventions in treatment plans.

Health Scope ◽  
2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Alireza Salar ◽  
Hoda Taheri

Background: Self-care is one of the important aspects of treatment in hemodialysis patients. This study was done to determine the effect of the family-centered empowerment model on the self-care of hemodialysis patients. Methods: This study was performed on 100 hemodialysis patients referring to the Zahedan hemodialysis department in 2018. For the intervention group, the family-centered empowerment model was executed in four stages, including understanding the threat, problem-solving, educational participation, and evaluation according to the steps of the model, and the control group received the usual care of the department. The data collection tools were the demographic information questionnaire and self-care questionnaire. Data were analyzed using SPSS V.22 by analysis of variance (ANOVA), independent t-test, repeated measures t-test, and Chi-square test. Results: Based on the independent t-test, the mean self-care score of patients in the intervention and control group was significantly different (P < 0.001). There was a significant difference in the "main caregiver relation" variable (P = 0.006). The results of the "time" and "intervention" effects of this test also showed that these two variables had a significant effect on mean self-care scores (P < 0.001). The results of ANOVA showed that self-care score changed in the two groups there was an increase in the self-care score in the intervention group compared with the control group (P < 0.001). Conclusions: Implementing the family-centered empowerment model in hemodialysis patients by strengthening the ability of the patient and their families to care provides a platform for their promotion and maintenance of their self-care.


Author(s):  
Ali Eskandari ◽  
Minoo Motaghi

Abstract Objectives The purpose of this research was to compare the effect of self-care education in disasters with two student-centered and family-centered approaches to self-care in students of the Red Crescent Societies in the city of Lenjan in 2017. Methods One hundred and fifty individuals were selected by random sampling from 270 people. The research instrument was a questionnaire. The questionnaire was approved by the opinion of supervisors and other experts. The present research is a quasi-experimental study. The covariance analysis was used to determine the difference between the two groups in the experimental and control groups and the effect of educational intervention. All of the above steps were performed using the SPSS 23 statistical program. Results The results indicate that there is a significant difference between the two groups in self-care through the student-centered approach. The mean of the self-care group with a family-centered approach (21.72) was more than the mean of the control group in this variable (16.61). Moreover, the mean of the self-care group’s education with family-centered approaches (42.61) was more than the mean of self-care education h in a disaster with a student-centered approach (31.23). Conclusion According to the results of this study, it can be concluded that there is a significant difference between self-care education with two student-centered and family-based approaches to self-care in students, and a family-centered approach has better outcomes.


2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
H. Madani ◽  
H. Navipoor ◽  
P. Roozbayani

Aims:According to decreased self- esteem in multiple sclerosis (MS) patients, it is necessary to utilize appropriate methods in order to improve self- esteem in MS patients. So this study was conducted on patients with MS supported by the Iranian MS society for determining the effect of self - care program on their self- esteem.Method:In this semi - experimental study 34 patients with MS who were not in the acute phase of disease were selected. The data were collected via personal questionnaires, problem list, Cooper and smith standard questionnaire for self- esteem and self report check lists. Self - care program(self - care for muscular spasm, fatigue, constipation and amnesia and …) was educated, then it was performed for one month period and the data were analyzed using paired t- test, wilcoxon, croscal - wallis and manwithney tests.Results:Application of self - care program improve the self- esteem and reduced some symptoms such as muscular spasm, fatigue, constipation and amnesia in MS patients. The mean valve of self- esteem increased from 54 before performing the program to 68 after the program ( p < 0.05).Conclusion:Using self-care program can be an effective method for improving self- esteem of MS patients.


2015 ◽  
Vol 23 (4) ◽  
pp. 578-586 ◽  
Author(s):  
Ana Paula da Conceição ◽  
Mariana Alvina dos Santos ◽  
Bernardo dos Santos ◽  
Diná de Almeida Lopes Monteiro da Cruz

AbstractObjective: to describe self-care behavior and its associated factors in a sample of heart failure Brazilian patients.Method: descriptive cross-sectional study with non-probabilistic sample of 116 ambulatory patients undergoing heart failure treatment. Self-care was evaluated using the Self-Care of Heart Failure Index, (scores ≥70 points=appropriate self-care). Association tests were applied, considering a descriptive level of 0.05.Results: the mean age of participants was 57.7 (SD =11.3) years; 54.3% were male; the mean schooling was 5.5 (SD = 4.0) years; and 74.1% had functional class II-III. The mean scores on the subscales of the Self-Care of Heart Failure Index indicated inappropriate self-care (self-care maintenance: 53.2 (SD =14.3), selfcare management: 50.0 (SD = 20.3) and self-care confidence: 52.6 (SD=22.7)) and it was found low frequencies of participants with appropriate self-care (self-care maintenance, 6.9%), self-care management (14.7%) and self-care confidence (19%). Higher scores of the Self-Care of Heart Failure Index were associated with: reduced left ventricular ejection fraction (p=0.001), longer time of experience with the disease (p=0.05) and joint monitoring by physician and nurse (p=0.007).Conclusion: investments are needed to improve the self-care behavior and the nursing can play a relevant role in this improvement.


Author(s):  
Aman Bibi Soltani Yolme ◽  
Hamid Hojjati ◽  
Golbahar Akhoundzadeh

AbstractBackgroundThalassemia is the most common chronic hereditary disease in the world.ObjectivesThe purpose of this study was to determine the effect of logotherapy on the level of resilience of mothers of children with thalassemia major.MethodsThe statistical population of this study included all mothers with children with thalassemia major in Gonbad-e-Qabus. After selecting eligible samples, each sample was given a number and the number was put into a non-transparent envelope. The samples were assured that numbering and placement in one of two groups were completely random and 60 mothers were selected using available sampling. The research tool used was the Kollahen Brief Self-reporting Questionnaire. For the experimental group, eight sessions of 90 min of logotherapy training were performed. For both groups, pre-test and post-test were performed. The confidentiality of the data of the research samples was assured. Data were gathered. Finally, the information was analyzed using SPSS software version 16.ResultsThe results showed that the mean of the resilience of the experimental group was 28/16 ± 8/63 in the pre-test to was 24/76 ± 6/4 in the post-test. The result of paired t-test analysis showed that after eliminating the effect of the pre-test, the mean scores of the post-test of the two groups were statistically significant (p < 0/01, t = 18/4).ConclusionThis study shows that logotherapy for mothers with children with thalassemia is useful and it is effective in increasing the resilience of mothers.


2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Bárbara Sgarbi Morgan Fernandes ◽  
Ilka Afonso Reis ◽  
Heloisa de Carvalho Torres

ABSTRACT Objective: to evaluate the effectiveness of the telephone intervention for promoting self-care related to physical activity and following a diet plan in users with diabetes, compared to conventional monitoring of users over a six-month period. Method: this was a randomized clinical trial, which included 210 users with diabetes, linked to eight Primary Health Units of Belo Horizonte, Minas Gerais. The experimental group (104 members) received six telephone interventions over the six-month monitoring; the control group (106 members) received conventional monitoring. To evaluate the self-care practices related to physical activity and following a healthy eating plan, in both groups, the self-care questionnaire was applied before the intervention and at three and six months after its start. Results: the mean effect of self-care scores in the experimental group was 1.03 to 1.78 higher than the control group, with progressive and significant improvement (p<0.001). Conclusion: the results indicate that the telephone intervention had a beneficial effect on diabetes self-care. The primary identifier of the clinical trials registry was: RBR-8wx7qb.


2017 ◽  
Vol 1 (1) ◽  
Author(s):  
Somsak Thojampa

Abstract Background/Purpose: Type 2 diabetes mellitus (DM) is increasingly becoming common in developing countries including Thailand. Uncontrolled hyperglycemia can lead to progression of severe complications for persons with DM which include diabetic nephropathy and can, later on, lead to kidney failure. Self-management support and participation of social groups, specifically the family of the patient, can help people with DM in controlling the complications of their disease from progressing; in this case, the advancement of diabetic nephropathy. The aim of this research is to develop a program and determine if self-management support with the participation of the family members will have an effect in delaying the progress of diabetic nephropathy in adults with type 2 DM. Theoretical Framework: Self-management based on social cognitive and self-regulation theories were used in this study to set a framework which utilizes social support from the family and self-efficacy of patients in implementing self-management activities. Methods: This is a quasi-experimental research. The sample consisted of 50 Thai adults with type 2 DM, 25 for the control group and 25 for the experimental group. The participants in the experimental group attended a self-management support and family participation enhancing the program for 8 weeks. The interventions included a video presentation, manual, and health education with a family member in a focus group. Data were collected before attending the program and evaluated on the 8th and 12 weeks after the program. The instruments used for the data collection were (1) Self-Management Activity Questionnaire (SMAQ), (2) Self- Efficacy Questionnaire (SEQ). The data collected for clinical outcome used the automatic physiological measures: Systolic and Diastolic blood pressure, Hemoglobin A1c (HbA1c), serum creatinine (SCr) and estimated glomerular filtration rate (eGFR).  Data were analyzed using descriptive statistics, Independent t-test and Paired t-test and repeated measurement ANOVA. Results: The mean scores of the self-management activity and self-efficacy of the experimental group were significantly higher, their clinical outcomes for blood pressure, SCr and HbA1C levels were significantly lower, and eGFR results were significantly higher after attending the self-management support and family participation enhancing the program. Conclusions and Implications: The findings of this study indicate that the self-management and family participation enhancing program promote and support health behavior change and leads to better control of the delayed progression of diabetic nephropathy in Thai adults with type 2 DM. This can be applied by health care professionals in health care centers as a supplement to their usual care in dealing with persons with type 2 DM.


2021 ◽  
Vol 4 (1) ◽  
pp. 92-100
Author(s):  
Rini Rahmayanti ◽  
Dedi Adha ◽  
Fitri Wahyuni S

The coverage of exclusive breastfeeding for infants aged 0-5 months in Indonesia in 2018 is only 37.3%. Self-efficacy is one of the main factors affecting the behavior of exclusive breastfeeding. During the Covid-19 pandemic, the self-efficacy of mothers for breastfeeding decreased, so increasing efforts are needed. Increasing knowledge can be done by providing online education based on family centered maternity care (FCMC). The purpose of this study was to determine the effect of FCMC-based online education on the self-efficacy of postpartum mothers in exclusive breastfeeding. This type of research is pre-experimental with one group pretest-posttest design with a total sample of 10 postpartum mothers. Data were analyzed using paired t-test. The results showed that the mean self-efficacy before being given online education was 41 with a standard deviation of 4.37, the mean self-efficacy after being given peer education was 59.8 with a standard deviation of 3.4. There is a difference in the mean value before and after the online education intervention was given with p-value = 0.000 (p <0.05). There is an effect of FCMC-based online education on the self-efficacy of postpartum mothers in breastfeeding. Health servicesare expected to facilitate FCMC-based online education programs to increase self-confidence in breastfeeding.      


2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 50s-50s ◽  
Author(s):  
E. Temucin ◽  
N.O. Nahcivan

Background: Colorectal cancer (CRC) is the third leading cause of cancer mortality in the world. In Turkey, it is the third most commonly diagnosed cancer and fourth leading cause of cancer death. Cancer screening activities are mostly initiated and implemented at primary health care services. Despite it is known that benefits of screening in reducing CRC incidence and mortality rates CRC screening rates are significantly lower among men and women in Turkey. However there are several interventions have been proposed to identify and remove barriers for increasing CRCS in the literature, navigation programs, also known as individualized counseling, have begun to used as a promising method recently. Aim: The aim of this study is to evaluate effects of Nurse Navigation Program that is administered to individuals aged 50-70 on their screening behavior concerning colorectal cancer (fecal occult blood test and colonoscopy) and their beliefs about this process. Methods: The study was designed experimental pretest-posttest control group design. In the study it is used random assignment to intervention and control groups, with blocking stratified. The participants of the study were 110 individuals aged between 50 and 70 registered to a family health center in İstanbul. The 'Nurse Navigation Program' was administered to the participants. The data were collected through the use of the following three tools: the Demographical Information Form, The Harvard Colorectal Cancer Risk Assessment Tool, Instruments to Measure Colorectal Cancer Screening Benefits and Barriers. The data obtained were analyzed by the descriptive and significance analyses. Results: Following the Nurse Navigation Program the experimental groups FOBT (82% and 84%) and colonoscopy completion rate (15% and 22%) were significantly higher in the control group at 3 and 6 months follow-up. Following the program when compared with the control group it is found that the mean score of the barriers perception of the experimental group was significantly lower and the mean score of the benefits perception of the experimental group was significantly higher. Conclusion: The results show that the Nurse Navigation Program had significant effects on the CRC screening behavior and health-related beliefs concerning the CRC screening. It can be suggested that the Nurse Navigation Program can be further tested on different groups to observe its effects.


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