Self-care model application to improve self-care agency, self-care activities, and quality of life in patients with systemic lupus erythematosus

Kusnanto, Kusnanto; Sari, Ni Putu Wulan Purnama; Harmayetty, Harmayetty; Efendi, Ferry; Gunawan, Joko

doi:10.1016/j.jtumed.2018.07.002

Cited by 18 publications

(21 citation statements)

References 22 publications

(32 reference statements)

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“…The low level of education can prevent a person from digesting information related to knowledge. The level of education greatly influences the respondent's knowledge regarding diabetes mellitus disease, both the complications that occur in hypoglycemia and their discussion [34][35][36]. Based on the above results for health education regarding diabetes mellitus, most respondents have never received health education because there are rarely meetings in that area, so that health education is rarely given to families.…”

Section: Characteristics Of Diabetes Mellitus Familymentioning

confidence: 99%

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2021

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This study aimed to determine the effect of video education about hypoglycemia on knowledge of diabetes mellitus patients and their families. This type of research is a quantitative study with a pre-experiment method. This study focused on two groups, namely, type 2 diabetes mellitus patients by 162 people, and the families of diabetes mellitus patients by 162 people. In the group of diabetes mellitus patients, the sample used 30 respondents who were divided into two groups, namely 15 respondents in the experimental group and 15 respondents in the control group. In the population of family diabetes mellitus patients, the sample applied 30 respondents, who were divided into 15 respondents for the experimental group and 15 respondents for the control group. Non-probability sampling with a purposive sampling technique was utilized. Data analysis using the paired t-test showed a p-value of 0.001 <0.05. So, it can be concluded that health education on knowledge of hypoglycemia in type 2 diabetes mellitus patients was effective in the working area of Puskesmas Nguter Sukoharjo. For the results of the paired t-test, we found p = <0.001 in the experimental group, which showed that there was an effect of hypoglycemia health education with videos on knowledge of type 2 diabetes families. Diabetes mellitus patients need to always adopt a healthy lifestyle so as to create a good health status and avoid complications of diabetes mellitus patients.

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Section: Characteristics Of Diabetes Mellitus Familymentioning

confidence: 99%

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2021

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“…A large number of health programs have been developed to improve patients’ self-care ability. These are mostly disease-specific and often based on Orem’s nursing theory of self-care [45, 47–51]. This theory is based on the assumption that people have a natural ability for self-care, and nursing should focus on improving self-care behavior.…”

Section: Introductionmentioning

confidence: 99%

Holistic care program for elderly patients to integrate spiritual needs, social activity, and self-care into disease management in primary care (HoPES3): study protocol for a cluster-randomized trial

Straßner

Frick

Stotz-Ingenlath

et al. 2019

Trials

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Background Strategies to improve the care of elderly, multimorbid patients frequently focus on implementing evidence-based knowledge by structured assessments and standardization of care. In Germany, disease management programs (DMPs), for example, are run by general practitioners (GPs) for this purpose. While the importance of such measures is undeniable, there is a risk of ignoring other dimensions of care which are essential, especially for elderly patients: their spiritual needs and personal resources, loneliness and social integration, and self-care (i.e., the ability of patients to do something on their own except taking medications to increase their well-being). The aim of this study is to explore whether combining DMPs with interventions to address these dimensions is feasible and has any impact on relevant outcomes in elderly patients with polypharmacy. Methods An explorative, cluster-randomized controlled trial with general practices as the unit of randomization will be conducted and accompanied by a process evaluation. Patients aged 70 years or older with at least three chronic conditions receiving at least three medications participating in at least one DMP will be included. The control group will receive DMP as usual. In the intervention group, GPs will conduct a spiritual needs assessment during the routinely planned DMP appointments and explore whether the patient has a need for more social contact or self-care. To enable GPs to react to such needs, several aids will be provided by the study: a) training of GPs in spiritual needs assessment and training of medical assistants in patient counseling regarding self-care and social activity; b) access to a summary of regional social offers for seniors; and c) information leaflets on nonpharmacological interventions (e.g., home remedies) to be applied by patients themselves to reduce frequent symptoms in old age. The primary outcome is health-related self-efficacy (using the Self-Efficacy for Managing Chronic Disease 6-Item Scale (SES-6G)). Secondary outcomes are general self-efficacy (using the General Self-Efficacy Scale (GSES)), physical and mental health (using the Short-Form Health Survey (SF-12)), patient activation (using the Patient Activation Measure (PAM)), medication adherence (using the Medication Adherence Report Scale (MARS)), beliefs in medicine (using the Beliefs About Medicines Questionnaire (BMQ)), satisfaction with GP care (using selected items of the European Project on Patient Evaluation of General Practice (EUROPEP)), social contacts (using the 6-item Lubben Social Network Scale (LSNS-6)), and loneliness (using the 11-item De-Jong-Gierveld Loneliness Scale (DJGS-11)). Interviews will be conducted to assess the mechanisms, feasibility, and acceptability of the interventions. Discussion If the interventions prove to be effective and feasible, large-scale implementation should be sought and evaluated by a confirmatory design. Trial registration ...

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“…As the self-care power increased in the previous studies, it was found that the quality of life increased statistically highly signifi cantly [12][13][14]. Therefore, it is recommended that EBT should be included during regular screening surveillance to avoid any delay in diagnosis and treatment.…”

Section: Introductionmentioning

confidence: 99%

Fibroadenoma of bilateral axillary ectopic breast tissue: A rare case report based on Orem’s Self Care theory

Pinar¹

2019

Arch Nursing Pract Care

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Introduction: Ectopic Breast Tissue (EBT) is still a condition seen as sporadic (2-5%), and it is often delayed and ignored due to lack of awareness, whereas it may be exposed to malignant diseases. it must be always kept in mind for differential diagnosis of an EBT. We think that this case report is important because EBT associated with fi bro-adenoma is a quiet rare condition. Method:A 41-year-old female who has just given birth presented in bilateral axillary EBT with fi broadenoma. In order to present the nursing management to our case during hospitalization, Orem's (2001) self-care defi cit theory and North American Nursing Diagnosis Association (NANDA) classifi cation system were used.Results: Both axillary nodules were swelling and painful during lactation, measuring 6 cm × 3 cm and of 4 cm × 3 cm in left and right axilla respectively. There was no nipple or areola over the both axillary nodules. However, we encountered a nipple without areola under the right breast. An excisional biopsy was performed under local anesthesia for the nipple and it revealed EBT. An EBT with fi bro-adenoma was detected in the cytopathology of fi ne needle biopsy performed in both axillary nodules. Mammograms of both breasts were normal, no carcinoma was found. Based on Orem's self-care theory, this problem which has occurred as acute, led to the patient experience discomfort, decrease in daily activities, aesthetic concern, self-care problem and anxiety related to breast health. A patient-specifi c nursing plan was applied using NANDA classifi cation system and each process of self-care needs was evaluated with patient data. Our case was discharged on the 7th day without any complications. After one week, her sutures were removed when she came for control examination. Conclusion:It was determined that our patient entered the normalization process, regained her selfconfi dence and self-care power.

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Self-care model application to improve self-care agency, self-care activities, and quality of life in patients with systemic lupus erythematosus

Cited by 18 publications

References 22 publications

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Holistic care program for elderly patients to integrate spiritual needs, social activity, and self-care into disease management in primary care (HoPES3): study protocol for a cluster-randomized trial

Fibroadenoma of bilateral axillary ectopic breast tissue: A rare case report based on Orem’s Self Care theory

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