scholarly journals Patient self-care with double catheter lumen for hemodialization: validation of instructional folder

2019 ◽  
Vol 41 ◽  
pp. e47558
Author(s):  
Sayonnara Ferreira Maia ◽  
Daniely Matias Facundes ◽  
Amanda Lorena Lima Carneiro
Keyword(s):  
Renal Failure ◽  
Self Care ◽  
The Self ◽  
Methodological Study ◽  
Educational Materials ◽  
Lumen Catheter ◽  
Three Stages ◽  
Renal Patient ◽  
Printed Educational Materials ◽  
Dual Lumen Catheter

The use of venous catheters for hemodialysis is associated with high rates of morbidity and mortality in patients with chronic renal failure. The implant of the dual lumen catheter (DLC) assists the patient in a worsening situation but commonly the patient remains with the DLC back home and this requires a series of important measures. The use of printed educational materials becomes an important tool to assist this type of care. Thus, the objective was to create and validate an instructive folder for the self-care of the patient using a catheter for hemodialysis. It is a methodological study of creation and evaluation of technology, in three stages. For validation of the content and style the material was submitted to the evaluation by experts in the area. 92.3% of the participants stated that the folder demonstrates clarity in their language, 53.8% of the participants suggested change and addition of information, and the same percentage also states that the instrument is attractive. The main suggestions were to change some term/word used in the folder, suggest changes to the images used, and include some information in the content. It is presumed then that the use of educational materials results in benefits to the patients who will receive the guidelines for self-care. Thus, the importance of nurses to use these resources for chronic renal patient care is emphasized.

scholarly journals Construction and validation of self-care educational technology for caregivers

2021 ◽  
Vol 74 (4) ◽  
Author(s):  
Ana Caroline Soares ◽  
Anderson da Silva Rêgo ◽  
Thamires Fernandes Cardoso da Silva Rodrigues ◽  
Luana Cristina Bellini Cardoso ◽  
Mariana Angela Rossaneis ◽  
...  
Keyword(s):  
Educational Technology ◽  
Content Validity ◽  
Delphi Technique ◽  
Informal Caregivers ◽  
Self Care ◽  
Methodological Study ◽  
Validity Index ◽  
Content Validity Index ◽  
Three Stages ◽  
Care Technology

ABSTRACT Objectives: to build and validate educational self-care technology for informal caregivers. Methods: methodological study, anchored in the Delphi technique, carried out in a municipality in the state of Paraná, Brazil, between September 2018 and November 2019. It was developed in three stages: situational diagnosis; elaboration of educational technology; content and appearance validation by expert judges and informal caregivers, using the content validity index and coefficient of variation. Results: after the steps of the methodological process, an educational technology called “Taking Care of Those Who Care” was produced, as an information tool that deals with the self-care of informal caregivers, receiving a content validity index above 0.86 and a variation coefficient. below 20% on all items. Conclusions: the educational technology was built and evaluated with satisfactory rates by the specialists and target audience, showing a high correlation of agreement, characterizing it as adequate and informative to informal caregivers.

scholarly journals The Orem theory and its applicability in chronic renal patient care/A Teoria de Orem e sua aplicabilidade na assistência ao paciente renal crônico/La Teoría de Orem y su aplicabilidad en la atención al paciente crónico renal

2014 ◽  
Vol 3 (3) ◽  
pp. 105
Author(s):  
Jaira Santos Silva
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Patient Care ◽  
Nursing Care ◽  
Therapeutic Process ◽  
Self Care ◽  
The Self ◽  
Nursing Theory ◽  
Treatment And Prevention ◽  
Renal Patient

ABSTRACT Objective: To reflect on the applicability of Orem Theory in chronic renal patient care. Methodology: reflective, based on the analysis and interpretation of articles and books, to enable understanding of the possibilities of application of the Theory of Self-care to patients with chronic kidney disease, with a view to deepening the theme. Results: The Theory of Self-care is an essential tool in the focus of care for this patient, since it allows to a better understanding of the pathology and the therapeutic process, better acceptance of their treatment and prevention of  complications. Conclusion: The nursing care associated with the theory allows to emphasize the commitment of the professional and the client, engaging in the self-care. Keywords: Chronic Renal Patient. Nursing Theory. Self Care. RESUMO Objetivo: Refletir sobre a aplicabilidade da Teoria de Orem na assistência ao paciente renal crônico. Metodologia: Estudo reflexivo, com base na análise e interpretação de artigos e livros, para possibilitar a compreensão acerca das possibilidades de aplicação da Teoria do Autocuidado ao paciente renal crônico, numa perspectiva de aprofundamento da temática. Resultados: A teoria do Autocuidado constitui ferramenta essencial no foco da assistência a esse paciente, uma vez que possibilita ao mesmo um melhor conhecimento sobre a patologia e o processo terapêutico, melhor aceitação de seu tratamento e prevenção de complicações. Conclusão: A assistência de enfermagem associada à teoria permite enfatizar o compromisso do profissional com o cliente, engajando- o no autocuidado. Descritores: Paciente Renal Crônico. Teoria de Enfermagem. Autocuidado. RESUMEN Objetivo: Reflexionar sobre la aplicabilidad de la teoría de Orem en el cuidado del paciente renal crónico. Metodología: reflexiva, basada en el análisis e interpretación de los artículos y libros, para permitir la comprensión de las posibilidades de aplicación de la Teoría de la Auto-atención a los pacientes con enfermedad renal crónica, con el fin de profundizar en el tema. Resultados: La teoría de autocuidado es una herramienta esencial en el foco de atención de este paciente, ya que permite una mejor comprensión de la patología y el proceso terapéutico, una mejor aceptación de su tratamiento y la prevención de las complicaciones. Conclusión: La atención de enfermería asociado con la teoría permite destacar el compromiso de los profesionales y el cliente, con la participación en el autocuidado. Descriptors: Paciente Renal Crónico. Teoría de Enfermería. Autocuidado. 

scholarly journals Perceptions of pharmaceutical services among elderly people on polymedication

2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Ana Lucia Leitão Caldas ◽  
Selma Petra Chaves Sá ◽  
Vilmar da Conceição Oliveira Filho
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Elderly Patients ◽  
Care Center ◽  
Self Care ◽  
The Self ◽  
Methodological Study ◽  
Health Care Center ◽  
Medication Therapy ◽  
Open Questions

ABSTRACT Objectives: Describe the importance of guidelines provided during pharmaceutical consultation about compliance with medication therapy based on interviews with polymedicated elderly patients. Methods: A qualitative methodological study carried out during consultations with 40 elderly patients of both genders at the Health Care Center for Elderly Patients and Caregivers. The study used the technique of content analysis, applying a questionnaire with two open questions. Results: Two categories and eight subcategories emerged after the transcription of interviews and exhaustive reading of the data. The category “Pharmaceutical consultation as an education instrument for the self-care of polymedicated elderly patients” presented the highest frequency. The subcategory with the highest frequency was “Concern of elderly patients about self-care”. Final Considerations: In the case of polymedicated elderly patients, pharmaceutical consultation is an important education instrument which, through the provision of pharmaceutical guidelines, allows the minimization of concerns about pharmacotherapy, contributing to compliance and self-care.

Home Care Program Increases the Engagement in Patients With Heart Failure

2019 ◽  
Vol 31 (2) ◽  
pp. 99-106
Author(s):  
Sandra Lay ◽  
Nancy Moody ◽  
Susan Johnsen ◽  
Denise Petersen ◽  
Patricia Radovich
Keyword(s):  
Heart Failure ◽  
Home Care ◽  
Hospital Admissions ◽  
Self Care ◽  
Care Program ◽  
Emergency Department Visits ◽  
Practice Change ◽  
The Self ◽  
Educational Materials ◽  
Self Confidence

Heart failure patients seen in the outpatient home care setting and in cardiology clinics have repeated emergency department visits, hospital admissions, and readmissions despite receiving education about their medications diet and self-care interventions such as daily weights. The objective of this evidence-based practice change was to determine, in home care patients, whether the use of standardized teach-back methodology educational materials would improve their knowledge and confidence in the self-care of their chronic disease. Of the 22 patients enrolled, 15 were not readmitted to the hospital within 9 months of home care admission. The Self-Care of Heart Failure Index revealed an improvement in patient and caregiver contributions to heart failure self-care maintenance (daily adherence and symptom monitoring). The findings suggest that engaging patients by increasing their knowledge of their disease and their self-confidence can reduce hospitalizations and subsequent readmissions.

Development and psychometric properties of the female adolescents’ sexual reproductive self-care scale

2019 ◽  
Vol 0 (0) ◽  
Author(s):  
Zainab Alimoradi ◽  
Nourossadat Kariman ◽  
Fazlollah Ahmadi ◽  
Masoumeh Simbar ◽  
Hamid AlaviMajd
Keyword(s):  
Psychometric Properties ◽  
Content Validity ◽  
Research Team ◽  
Self Care ◽  
Female Adolescents ◽  
Methodological Study ◽  
Initial Questionnaire ◽  
Depth Interviews ◽  
Qualitative Phase ◽  
Cluster Correlation

Abstract Introduction The aim of this study was to design and evaluate the psychometric properties of an instrument for understanding female adolescents’ reproductive and sexual self-care behaviors. Methods A methodological study was conducted. In the qualitative phase, individual in-depth interviews were performed to develop the initial questionnaire. In the quantitative part, the psychometric properties of the questionnaire were evaluated. Findings The initial questionnaire with 128 items was reviewed by the research team and taking into account the cut-off point 1.5 for the item impact and 0.62 for the content validity ratio (CVR), the number of questions fell to 82 items. S-CVR and S-content validity index (CVI) rations were 0.83 and 0.91, respectively. Exploratory factor analysis led to 74 items in seven dimensions. The alpha Cronbach’s coefficient for the whole questionnaire was 0.895 and the intra-cluster correlation coefficient was 0.91. Conclusion The questionnaire developed in this study is reliable and valid for assessing female adolescents’ sexual and reproductive self-care.

scholarly journals Co-Designing and Evaluating a Self-Care Curriculum of an App for Chinese Immigrant Caregivers

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 507-508
Author(s):  
Ying Wang ◽  
Mandong Liu ◽  
Iris Chi
Keyword(s):  
Mental Health ◽  
United States ◽  
Physical Health ◽  
Self Care ◽  
The United States ◽  
The Self ◽  
Community Resources ◽  
Chinese Immigrant ◽  
Knowledge And Skills ◽  
Support Resources

Abstract Chinese immigrant caregivers face unique self-care difficulties in the United States due to language barriers, cultural isolation, and occupational stress. This study aimed to conduct a formative evaluation on a caregiver self-care curriculum of an app designed for Chinese immigrants in the United States. Using a co-design approach in 2019, 22 Chinese immigrant caregivers in Los Angeles county were recruited through purposive sampling method. The directed content analysis was adopted to analyze the qualitative data using NVivo 12.1.0 software. We organized the findings under two main contents: self-care and caregiving. Three categories were identified under the self-care content: physical health, emotional and mental health, and support resources. Sixteen subcategories under physical health (e.g., dietary supplements), five subcategories under emotional and mental health (e.g., depression) and eight subcategories under support resources (e.g., support and networking group, senior center) are suggested. Two categories were identified under the caregiving content: caregiving knowledge and skills, and community resources. Fourteen subcategories under caregiving knowledge and skills (e.g., care assessment) and six subcategories under community resources (e.g., medical emergency call) were mentioned. With this useful information, we could further refine the self-care curriculum to be more linguistically, culturally and occupationally sensitive for Chinese immigrant caregivers. Empowerment approach for enhancing the ability to caregiving and self-care should be emphasized in content design for immigrant caregivers. The co-design approach is crucial for planning of the program and intervention curriculum to improve understanding of the users’ needs and better cater them.

Teaching Mindfulness for the Self-Care and Well-Being of Counselors-in-Training

2019 ◽  
Vol 15 (2) ◽  
pp. 140-153 ◽  
Author(s):  
Lacretia Dye ◽  
Monica Galloway Burke ◽  
Cheryl Wolf
Keyword(s):  
Self Care ◽  
Well Being ◽  
The Self ◽  
Counselors In Training

Scale of Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis: A Psychometric Study in Brazil

2021 ◽  
pp. 105477382198980
Author(s):  
Marta Nunes Lira ◽  
Clemente Neves Sousa ◽  
Maria Carolina Medeiros Wanderley ◽  
Natália Ramos Costa Pessoa ◽  
Kelly Cristiane Rocha Lemos ◽  
...  
Keyword(s):  
Factor Analysis ◽  
Psychometric Properties ◽  
Arteriovenous Fistula ◽  
Content Validity ◽  
Self Care ◽  
The Self ◽  
Expert Committee ◽  
Cronbach’S Alpha ◽  
Cronbach's Alpha ◽  
Confirmatory Factor

The purpose of this study was to evaluate the psychometric properties of the Brazilian Scale for the Assessment of Self-Care Behaviors with Arteriovenous Fistula in Hemodialysis. Cross-sectional validation study, followed the recommendation provided by Sousa and Rojjanasrirat. Content validity, explanatory and confirmatory factor analyses used to check validity and Cronbach’s alpha was the reliability measure. Three hundred hemodialysis patients with arteriovenous fistula were included in the study. The expert committee assessed the content validity. Exploratory factor analysis confirmed the same two-factor structure found for the original scale, explaining 60.10% of the variance. Such solution was checked by confirmatory factor analysis with Cronbach’s alpha equal to 0.920, 0.810, and 0.884 for the overall scale, the self-care in management of signs and symptoms and the self-care in prevention of complications subscales respectively. The scale has good psychometric properties to assess self-care behaviors and can be used with Brazilian patients on hemodialysis with arteriovenous fistula.

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