scholarly journals Self-care practices, patient education in women with breast cancer-related lymphedema

2021 ◽  
Vol 67 (2) ◽  
pp. 187-195
Author(s):  
Zeynep Deveci ◽  
Özgül Karayurt ◽  
Sibel Eyigör
Keyword(s):  
Breast Cancer ◽  
Patient Education ◽  
Self Care ◽  
Breast Cancer Surgery ◽  
Care Practice ◽  
Clinical Factors ◽  
Cross Sectional ◽  
Significant Difference ◽  
Care Practices ◽  
Breast Cancer Related Lymphedema

Objectives: This study aims to evaluate self-care practices, sociodemographic and clinical factors that affect self-care and patient education among women with breast cancer-related lymphedema (BCRL). Patients and methods: This descriptive, cross-sectional study included a total of 102 women with BCRL (median age: 59 years; range, 35 to 80 years) who received lymphedema (LE) treatment at least once between July 2014 and May 2016. A Sociodemographic and Clinical Characteristics Form and the Lymphedema Self-care Survey were used to collect data via face-to-face interviews. Results: The median LE self-care practices score for women was 10 (range, 5 to 14). A total of 39.1% of the women implemented regular self-care. A statistically significant relationship was found between the score for perceived benefit of LE self-care and the score for self-care practice. No statistically significant difference was found among the self-care scores of the women with LE in terms of sociodemographic and clinical factors, except for education status. A total of 90.2% of the women with LE received self-care education, mostly from a physical therapy specialist and a physiotherapist. There was a statistically significant difference among self-care scores between patients who were educated and uneducated about LE. Conclusion: It is recommended that healthcare professionals should educate patients diagnosed with breast cancer to reduce LE risk and promote the implementation of self-care practices following the breast cancer surgery. Interventions should be made to increase the perceived benefits and reduce the perceived barriers and burden towards self-care behaviors to prevent and manage LE.

Self-Care Practices Among Adult Type 2 Diabetes Patients With and Without Peripheral Neuropathy: A Cross-Sectional Study at Tertiary Healthcare Settings in Ethiopia

2021 ◽  
pp. 084456212110206
Author(s):  
Mezgebu Gode ◽  
Fekadu Aga ◽  
Aklil Hailu
Keyword(s):  
Social Support ◽  
Peripheral Neuropathy ◽  
Self Care ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Cross Sectional ◽  
Glucose Testing ◽  
Blood Glucose Testing ◽  
Care Practices

Background Type 2 diabetes mellitus (T2D) has become a global health challenge. Diabetic peripheral neuropathy (DPN) is one of the common comorbidities of T2D that may affect the ability to perform diabetes self-care. Purpose To compare self-care practices between adult T2D patients with and without comorbid DPN and identify factors predicting self-care practices. Methods In this cross-sectional study, conducted at tertiary hospitals in Ethiopia, a total of 216 (108 with DNP and 108 without DNP) participants completed an interviewer-administered questionnaire including measures of diabetes self-care practices, self-evaluated peripheral neuropathy, self-efficacy, diabetes knowledge, and social support. Results Adult T2D patients with comorbid DPN had lower dietary (P< 0.001), exercise (P< 0.001), blood glucose testing (P = 0.001), and foot (P = 0.007) self-care practice than those without DPN. Social support is a significant predictor of dietary self-care in both groups while predicting foot self-care and blood glucose testing in those with comorbid DPN. Moreover, occupation, education, and having a glucometer are significant predictors of diabetes self-care practice in both groups. Conclusion This study found that adult T2D patients with comorbid DPN have poorer diabetes self-care practice than those without comorbid DPN. Interventions should focus on addressing social support and access to a glucometer in order to improve diabetes self-care practices in adult T2D patients with comorbid DPN.

scholarly journals Quality of Life for Women with Breast Cancer-Related Lymphedema: The Importance of Collaboration between Physical Medicine and Rehabilitation and General Surgery Clinics

2021 ◽  
pp. 119-126
Author(s):  
Türkan Turgay ◽  
Pınar Günel Karadeniz ◽  
Göktürk Maralcan
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Body Image ◽  
Axillary Dissection ◽  
Cancer Surgery ◽  
Breast Cancer Surgery ◽  
Physical Medicine ◽  
Significant Difference ◽  
Breast Cancer Related Lymphedema

Background: The aim of this study was to examine the clinical characteristics and quality of life (QOL) of patients with BCRL (breast cancer-related lymphedema).Methods: In this cross-sectional descriptive study, patients' characteristics such as age, body mass index (BMI: kg/m²), history of chemotherapy (CT), radiotherapy (RT), hormone replacement therapy (HRT), neoadjuvant therapy (NT), cancer stages, and types of surgery were recorded. Patients were evaluated using the ‘Disabilities of the Arm, Shoulder and Hand questionnaire’ (DASH), the ‘Lymphedema Quality of Life Questionnaire’ (LYMQOL-ARM), and a visual analogue scale (VAS). Results: A total of 68 women with the mean age of 52.50±9.33 and BMI 29.240 ± 5.05 kg/m² were recruited after breast cancer surgery in this study: thirty-three patients (48.5%) in Stage 0; 24 (35.3%) in Stage 1; 10 (14.7%) in Stage 2; and 1 (1.5%) in Stage 3. No statistically significant difference was found in the QOL according to treatments received after the diagnosis of breast cancer surgery, RT (except the appearance domain of QOL), CT, HRT, or NT. In patients who had received axillary dissection in combination with RT, a statistically significant association was observed between QOL related to body image and symptoms (p=0.009 and p=0.017, respectively). A statistically significant difference was found only in body image and clinical symptom domains according to the lymphedema stage (p=0.027 and p=0.002, respectively). It was observed that as shoulder pain (VAS) and disability (DASH) scores increased, scores of all domains of QOL increased except the overall domain in QOL (p<0.05). Conclusion: It was observed that clinical symptoms and body image parameters in QOL were associated with the lymphedema stage and the number of lymph nodes dissected. It was concluded that axillary dissection with axillary RT and RT alone after breast cancer surgery is associated with body image. Our study revealed that body image perception is related to the quality of life in patients with BCRL. Optimal management of the negative effects of self-reported lymphedema evaluated in the latency phase on quality of life requires coordination between Physical Medicine and Rehabilitation and General Surgery Clinics.

scholarly journals Knowledge and Practice of Stoma Care among Ostomates at B.P.Koirala Memorial Cancer Hospital

2015 ◽  
Vol 4 (1) ◽  
pp. 36-45 ◽  
Author(s):  
Radha Acharya Pandey ◽  
Sandhya Baral ◽  
Govinda Dhungana
Keyword(s):  
Skin Irritation ◽  
Self Care ◽  
Care Practice ◽  
Psychomotor Skills ◽  
Permanent Colostomy ◽  
Cross Sectional ◽  
Significant Difference ◽  
Peristomal Skin ◽  
Knowledge And Practice ◽  
Stoma Care

Background: There are more than 1 million patients with a permanent colostomy and the number is increasing by the rate of 100 000 per year. Clients with a new stoma must master multiple psychomotor skills to remove their pouch, clean the stoma and peristomal skin and empty and dispose of effluent from the pouch. Stoma care self-efficacy has been positively related to ostomy adjustment.Objective: To assess knowledge and practice of stoma care among ostomates.Method: This is a simple descriptive cross sectional study. A total of 94 ostomates who met eligible criteria were purposively sampled. Stoma self care efficacy scale and semi-structured questionnaire was used and face to face interview was done. Data were analyzed using SPSS version 16 program. T test was used to see the mean difference.Result: The knowledge of ostomates on normal stoma and complication of stoma was adequate (61.7%). Majority (92.6%) respondents had good daily care practice like emptying pouch, hand washing before and after procedure and cleaning stoma. Majority of the ostomates suffered from physical problem (89.4%). Of which maximum 72.3% had peristomal skin irritation, then came leakage and odour. More than half (64.9%) of ostomates had higher efficacy.Conclusion: On the basis of findings, it is concluded that there was significant difference in mean knowledge of ostomates with variables pre-operative teaching, training on stoma care, living with stoma for more than 12 months. There was significant difference in mean self care efficacy with variables duration of living with stoma and training on stoma care. Thus training on stoma care should be provided frequently to further improve self care efficacy.Journal of Nobel College of Medicine Vol.4(1) 2015: 36-45

scholarly journals Impact of COVID-19 on patient health and self-care practices: a mixed-methods survey with German patients

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e051167
Author(s):  
Amelia Fiske ◽  
Antonius Schneider ◽  
Stuart McLennan ◽  
Siranush Karapetyan ◽  
Alena Buyx
Keyword(s):  
Mixed Methods ◽  
Rural Areas ◽  
Self Care ◽  
Care Practice ◽  
Cross Sectional ◽  
Patient Health ◽  
Care Practices ◽  
Urban And Rural Areas ◽  
The Impact ◽  
First Time

ObjectiveThis study aimed to examine German patients’: (1) self-estimation of the impact of the pandemic on their health and healthcare; and (2) use of digital self-care practices during the pandemic.DesignCross-sectional mixed-methods survey.Setting and participantsGeneral practice patients from four physicians’ offices located in urban and rural areas of Bavaria, Germany, between 21 July 2020 and 17 October 2020. A total of 254 patients participated (55% response rate); 57% (262 of 459) identified as female and participants had an average age of 39.3 years. Patients were eligible to participate if they were 18 years or older and spoke German, and had access to the internet.Results(1) Healthcare for patients was affected by the pandemic, and the mental health of a small group of respondents was particularly affected. The risk of depression and anxiety disorder was significantly increased in patients with quarantine experience. (2) Self-care practices have increased; more than one-third (39%) of participants indicated that they started a new or additional self-care practice during the pandemic, and about a quarter (23%) of patients who were not previously engaged in self-care practices started new self-care activities for the first time; however, such practices were not necessarily digital.ConclusionsFurther investigation is required to understand the relationship between digital self-care and public health events such as the COVID-19 pandemic, and to develop strategies to alleviate the burden of the quarantine experience for patients.

scholarly journals Knowledge and Self Care Practices for Women with Breast Cancer Related Lymphedema

2020 ◽  
Vol 11 (2) ◽  
pp. 46-65
Author(s):  
Basma El-Araby El-Feqi ◽  
Magda Abd El-Aziz ◽  
Manal Salah Hassan ◽  
Yosreah Mohamed Mohamed
Keyword(s):  
Breast Cancer ◽  
Self Care ◽  
Care Practices ◽  
Breast Cancer Related Lymphedema

scholarly journals Perception of Self-care and Self-care Practice of Diabetic Patients Attending Selected Hospitals in Oyo State, Nigeria

2021 ◽  
Vol 1 (2) ◽  
pp. 50-59
Author(s):  
Aina M.A. ◽  
Agbede C.O.
Keyword(s):  
Glucose Monitoring ◽  
Self Care ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Diabetic Patients ◽  
Foot Care ◽  
Cross Sectional ◽  
Perception Of Self ◽  
Care Practices

Patients with diabetes require continuous self-care practice as poor self-care results in complications. This study assessed the perception of self-care and self-care practice of diabetic patients attending selected hospitals in Oyo State, Nigeria. An institutional-based cross-sectional study was employed and a total of 120 diabetic patients were selected using a systematic random sampling technique. Pretested, structured, and interview administered questionnaires were used for data collection. The collected data were analysed using IBM SPSS version 23 to generate descriptive (Mean and standard deviation) and inferential (Chi-square and correlation) statistics. The respondents had a mean perception score of 30.68±7.56. Majority 113(94.2%) of the respondents had poor self-care practices. Respondents’ perception was significantly correlate with patient physical activity (r= 0.184; p=0.004); healthy eating (r=-0.24; p= 0.026); glucose monitoring (r=0.319; p=0.000); compliance with medication (r= 0.438; p = 0.00); risk reduction (r= 0.229; p=0.012) However, patient perception is not correlated with foot care (r= 0.052; p=0.575). Patient’s perception of diabetes is a key determinant of self-care. It is recommended that psycho cognitive interventions are developed to help patients practice the recommended self-care practices.

scholarly journals Influence Of The Conditioning Factors Of Cardiac Transplant Patients To The Self-Care Engagement Profile

10.3823/2357 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Ires Lopes Custódio ◽  
Francisca Elisângela Teixeira Lima ◽  
Marcos Venícios De Oliveira Lopes ◽  
Érica Oliveira Matias ◽  
Luiza Marques Cavalcante ◽  
...  
Keyword(s):  
Heart Transplant ◽  
Self Care ◽  
Cross Sectional Study ◽  
The Self ◽  
Care Practice ◽  
Cardiac Transplant ◽  
Cross Sectional ◽  
Conditioning Factors ◽  
Transplant Patients ◽  
Significant Difference

Background: This study aimed to identify the conditioning factors that influence the self-care practice of heart transplant patient after discharge and relate the conditioning factors to the Engagement Profile of Self Care. Methods: Cross-sectional study, undertaken at a transplantation unit of one public hospital, in Fortaleza-Ceará. There was the participation of 63 heart transplant patients. Results: The majority of the patients were men (88.9%), aged 40-59 years (68.3%), catholic (81.0%), married (77.8%), elementary school (71, 4%), retired or not working (82.5%); income below minimum wage (47, 6%); diagnosis to transplantation was chagasic cardiomyopathy (28.6%), post-transplant time between one and three years (39.7%). The determinant for self-care had significant difference (p<0.05) was the time of transplantation, because patients who have higher scores on Engagement Profile Self-Care had performed transplantation between 3 and 5 years. Conclusion: The professional team of heart transplant should consider the conditioning factors of patients transplanted cardiac in establishing strategies for promoting self-care.

scholarly journals Self-care practices among known type 2 diabetic patients in Haldwani, India: a community based cross-sectional study

2019 ◽  
Vol 6 (4) ◽  
pp. 1740 ◽  
Author(s):  
Neha Goyal ◽  
Sudhir Kumar Gupta
Keyword(s):  
Self Care ◽  
Cross Sectional Study ◽  
Blood Glucose Monitoring ◽  
Care Practice ◽  
Diabetic Patients ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Care Practices

Background: The prevalence of diabetes worldwide is expected to rise to 9.9% by 2045 and with this rising prevalence raises the need for good self-care practices by patients themselves, which play a key role in effective management and prevention of complications.Methods: Present community-based cross-sectional study was conducted among 168 type 2 diabetes mellitus patients by interviewing them using a structured questionnaire assessing their self-care practices using summary of diabetes self-care activities (SDSCA) scale. Different domains were diet, exercise, blood glucose monitoring, medication compliance, foot care and smoking and responses were graded according to number of days in previous week a particular self-care activity of a domain was followed. Data analysis was done with help of SPSS version 21.Results: Mean age of diabetic patients in this study subjects was 54.37±13.24 years. 43.45% respondents have poor self-care practice scores. Bivariate analysis showed that self-care practices were significantly poorer among the diabetic patients less than 60 years of age, residing in rural area, either illiterate or studied till primary/intermediate, had diabetes for less than a year and were taking treatment from public health facilities. Poor self-care practices were insignificantly related with gender, marital status, occupation, monthly family income, type of family, food habits, hypertension as comorbidity, family history, BMI and mode of diagnosis. Multivariate analysis indicates that age, education and duration of diabetes are significant predictors for self-care practices.Conclusions: Self-care practices among diabetic patients were poor among 43.45% patients and there is a need for improving them across all assessed domains. 

Mindful Self-Care Practice of Nurses in Acute Care: A Multisite Cross-Sectional Survey

2021 ◽  
pp. 019394592110045
Author(s):  
Hussan Zeb ◽  
Ijaz Arif ◽  
Ahtisham Younas
Keyword(s):  
Acute Care ◽  
Self Care ◽  
Male Nurses ◽  
Care Practice ◽  
Organizational Strategies ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Convenience Sample ◽  
Care Practices ◽  
Female Nurses

Consistent mindful self-care practices mitigate professional burnout and improve resilience to enable nurses provide safe and effective patient care. This study determined the levels and the influencing factors of mindful self-care of nurses in acute care settings. Data were collected from a convenience sample of 258 nurses from seven acute care hospitals using the 36-item Mindful Self-Care Scale. Data were analyzed using descriptive and correlation analyses. Nurses’ mindful self-care scores were low, and female nurses had higher levels of mindful self-care than male nurses. Statistically significant negative correlations were found between nurses’ mindful self-care levels and their age and clinical experience. Nurses’ engagement in mindful self-care is low which may negatively affect their interactions with and care of patients and their families. Therefore, a need exists to develop and evaluate more clinical-based personal and organizational strategies to enhance the mindful self-care practices of nurses.

scholarly journals Patients’ awareness and extent of self-reported foot care practices in diabetes population

2019 ◽  
Vol 5 (9) ◽  
pp. 246
Author(s):  
Mohammed Assen Seid ◽  
Eden Zenebe Worku ◽  
Habtamu Bulbula Mideksa
Keyword(s):  
Self Care ◽  
Foot Ulcer ◽  
Diabetic Foot Ulcer ◽  
Care Practice ◽  
P Value ◽  
Binary Logistic Regression Analysis ◽  
Foot Care ◽  
Cross Sectional ◽  
Care Practices ◽  
Diabetes Patients

<p class="abstract"><strong>Background:</strong> Diabetic foot ulcer is a serious complication of diabetes which results lower extremity amputation. Proper preventative measures, appropriate foot self-care and management of foot ulcer will reduce, delay or prevent the incidence of infection, gangrene, and amputation. This study was intended to assess diabetes patients’ awareness and extent of foot care practice at University of Gondar referral Hospital.</p><p class="abstract"><strong>Methods:</strong> An institutional based cross-sectional study was conducted from March to June 2018. A total of 372 diabetes patients were included in this study. Data were collected through face to face interview using structured questionnaires. The data were analyzed using SPSS version 20. Binary logistic regression analysis was conducted. A p value &lt;0.05 was consisdered statitisticaly significant.  </p><p class="abstract"><strong>Results:</strong> Of all participants more than half 197 (53%) were male. The age range of participants was 18-90 years. Majority, 65.6 % (with 95% CI 60.8-70.2) of diabetes patients had good foot self-care practice. Poor foot self-care practice was significantly associated with having poor level of awareness about foot care (AOR 12.55, 95% CI, 6.49- 24.28) and having no previous information about foot ulcer (AOR 7.03, 95% CI, 2.11-23.46).</p><p class="abstract"><strong>Conclusions:</strong> Generally, in this hospital most of the study participants had good awareness and practices towards foot self-care. However, selectively majority of patients had poor foot self-care practice regarding; drying of their feet after every wash, change the socks/stockings/ used regularly, and avoid wearing of slippers with no fastening. Foot self-care practices were positively associated with having good awareness about foot care and having previous information about foot ulcer.</p>

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