scholarly journals The knowledge and practice of self-care management among patients attending a diabetes clinic in Kigali, Rwanda

2015 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
M Mukeshimana ◽  
G Hakizimana ◽  
C Mwali ◽  
C Umuhoza ◽  
J Uwambajimana ◽  
...  
2015 ◽  
Vol 2 (1) ◽  
pp. 24
Author(s):  
M Mukeshimana ◽  
G Hakizimana ◽  
C Mwali ◽  
C Umuhoza ◽  
J Uwambajimana ◽  
...  

Author(s):  
Aliyu Samaila ◽  
Abdulmuminu Isah ◽  
Ubaka C. Michael ◽  
Aminu A. Biambo ◽  
Nuruddeen Usman ◽  
...  

The available services for the treatment of premalignant and malignant cervical cancer (CC) lesions are grossly inadequate in Nigeria. Drug-oriented self-care education programmes are lacking in our healthcare facilities. Pharmacist interventions as an expert in drug therapy management are needed. This study assessed the therapy options received and impact of pharmacist-led interventions on self-care management of AEs among CC patients in Usmanu Danfodiyo University Teaching Hospital (UDUTH), Sokoto, North-Western Nigeria. The study used a prospective longitudinal design with a 12-week patient follow-up. Instrument used was an intervieweradministered questionnaire, which was developed and pre-tested for reliability. Fifty-six eligible CC patients completed the pre- and post-interventions survey conducted over a period of eight months (From October, 2019 to May, 2020). Data analysis was done with appropriate descriptive (frequencies, percentages, means, and standard deviations) and inferential statistics (Paired sample t-test, Pearson’s Chi-square and Correlation) using SPSS Inc., Chicago, IL, USA V. 20 for windows. P< 0.05 was considered statistically significant. The mean age of the patients was 53.8±7.7years and 22(39.2%) have no formal education. Chemoradiation (CRT) and chemotherapy (CT) were the major therapy options received by the 25(44.6%) and 16 (28.6%) of the patients respectively. Before the interventions, the patients scored 57.7±18.7% and 50.8±7.1% overall mean knowledge and practice scores respectively. After the interventions, there was significant increase in the patients’ overall mean knowledge and practice, 17.6% and 6.7%, (p<0.05) scores respectively. There were significant association between patients’ age and total post-intervention knowledge (r=-0.614, p<0.001), and practice, (r=-0.424, p=0.001) scores. There were significant association between the patients’ level of education and total preand post-intervention knowledge (r=0.952, p<0.001 and


Author(s):  
Thomas Archer ◽  
Hugh Gray ◽  
Wing Ping Tsang ◽  
Daiana Bassi ◽  
Sue Conner ◽  
...  

2021 ◽  
Vol 11 (2) ◽  
pp. 418-429
Author(s):  
Joana Pereira Sousa ◽  
Hugo Neves ◽  
Miguel Pais-Vieira

Patients with heart failure have difficulty in self-care management, as daily monitoring and recognition of symptoms do not readily trigger an action to avoid hospital admissions. The purpose of this study was to understand the impact of a nurse-led complex intervention on symptom recognition and fluid restriction. A latent growth model was designed to estimate the longitudinal effect of a nursing-led complex intervention on self-care management and quality-of-life changes in patients with heart failure and assessed by a pilot study performed on sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p < 0.001) and emergency admission (IRR 4.24; p < 0.001) at three-months follow-up. Analysis of the time scores demonstrated that the intervention group had a clear improvement in self-care behaviours (βSlope. Assignment_group = −0.881; p < 0.001) and in the quality of life (βSlope. Assignment_group = 1.739; p < 0.001). This study supports that a nurse-led programme on symptom recognition and fluid restriction can positively impact self-care behaviours and quality of life in patients with heart failure. This randomised controlled trial was retrospectively registered (NCT04892004).


2021 ◽  
pp. 1-10
Author(s):  
Katie Nesbitt ◽  
Huiyun Du ◽  
Paul Nolan ◽  
Susie Cartledge ◽  
Parichat Wonggom ◽  
...  

Background/Aims Research has shown that health literacy can influence an individual's ability to practise self-care, particularly for patients with heart failure. This study aimed to assess health literacy and its relationship with heart failure knowledge and self-care practices in this patient group. Methods An observational sub-study was conducted with the data from a large randomised control trial that evaluated the relationship between patients' health literacy, general literacy, knowledge of heart failure and self-care. Results A total of 36 participants were recruited, of which 33 (89.9%) had adequate levels of health literacy. Health literacy was positively associated with heart failure knowledge. However, 67.7% of participants with adequate health literacy were found to have inadequate levels of self-care management. Conclusions Health literacy may facilitate better heart failure knowledge, but it does not necessarily lead to improved self-care management in patients with heart failure. This suggest that clinicians need to put more emphasis on translating knowledge into behavioural changes for self-care in this patient group.


2018 ◽  
Vol 24 (4) ◽  
pp. 563-584 ◽  
Author(s):  
Ercole Vellone ◽  
Misook L. Chung ◽  
Rosaria Alvaro ◽  
Marco Paturzo ◽  
Federica Dellafiore

Mutuality in patient–caregiver dyad may improve heart failure (HF) patient self-care and caregiver contribution to self-care, but literature is scarce. We evaluated the influence of mutuality and its dimensions on patient–caregiver dyad self-care. A sample of 366 HF patient–caregiver dyads was enrolled. The Actor–Partner Interdependence Model was used to identify the influence of individual patient and caregiver mutuality on their own self-care (actor effect) and on partner self-care (partner effect). The total mutuality score had an actor effect on patient self-care maintenance (i.e., behaviors aimed at maintaining HF stability) and on patient and caregiver self-care confidence. Total score of patient mutuality also had a partner effect on caregiver self-care management (i.e., responses to symptoms of HF exacerbation). Specific mutuality dimensions had different actor and partner effects on patient and caregiver self-care. Interventions to improve mutuality in HF patient–caregiver dyads may influence patient self-care and caregiver contribution to self-care.


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