جستجوی مقالات مرتبط با کلیدواژه « Self- Care » در نشریات گروه « پزشکی »

The coronavirus disease 19 (COVID-19) is one of the most important public health issues, and the evaluation and improvement of COVID-19 health literacy and self-care can be effective in preventing its spread. This study was conducted to investigate the health literacy of COVID-19 and its relationship with self-care among the health ambassadors of Urmia in 2021.

In this descriptive-analytical study, 400 health ambassadors of Urmia were selected using the cluster random sampling method. The data-gathering tool was a questionnaire, including questions about self-care, COVID-19 health literacy, and demographic information. The data were analyzed by SPSS 19 using analysis of variance and regression tests.

COVID-19-related health literacy was reported to be at a good level (63.5%) in most health ambassadors. In addition, it had a statistically significant relationship with the level of education and economic status. Similarly, there was a significant relationship between self-care and demographic characteristics such as age, gender, level of education, occupation, and economic status (P>0.05). On the other hand, according to data analysis results, with an increase in health literacy related to COVID-19, regression modeling could predict 22% of self-care behaviors in the participants of the present study.

Overall, there is a need for interventions by healthcare professionals for training to increase health literacy related to COVID-19 that results in self-care and adoption of health behaviors in health ambassadors, given the significance of COVID-19-related health literacy and its effects on self-care in these ambassadors.

The findings of this study can be presented to the Deputy of Health and healthcare providers so that actions can be taken to promote health literacy and self-care and prevent similar epidemics.

Nowadays, diabetes mellitus is considered one of the most common diseases affecting the quality of life in the elderly. Therefore, this study was conducted to investigate the effect of self-care training program on health-related quality of life among elderly women with type 2 diabetes mellitus (T2DM).

In this clinical trial, 99 elderly women with T2DM were selected using random cluster sampling and randomly divided into test and control groups in Tehran from 2022 to 2023. The test group received seven sessions of 30-60 minutes of self-care training specific for patients suffering from T2DM, while the control group received the same training in four intensive sessions after the post-test. Data collection tools included a two-part questionnaire on demographic information and quality of life (LEIPAD). Data analysis was performed using SPSS software version 26 software and descriptive and analytical statistical tests.

In this study, 69.7% (69) of the participants were in the age group of 60-69 years. After the intervention, a significant difference was observed in the quality of life scores between the two groups (p<0.001). Within-group analysis also showed a significant difference in the quality of life scores before and after the intervention, with a positive change in the test group and a negative change in the control group (p=0.001).

Self-care education can improve the quality of life of elderly women with T2DM. Therefore, implementing such educational interventions is a suitable option for enhancing the quality of life of elderly women with T2DM.

Multiple sclerosis (MS) is a chronic and progressive disease of the central nervous system, since MS does not have a definitive cure, it is necessary for those suffering from it to adapt and find harmony with their chronic disease in order to be able to fulfill their duties and responsibilities. The first step in helping patients to better care and manage their disease is to perform self-care behaviors. In this study, our aim is to evaluate the effectiveness of self-care interventions in increasing preventive behaviors of disease progression in MS patients.

The literature search was done using four databases (PubMed, Scopus, Google Scholar and Web of Science). The current review of all studies from the beginning to 2022/02/19 in national and international journals on the topic of self-care in MS patients was published, includes The search strategy was carried out using the medical title thesaurus (MeSH) and related keywords including multiple sclerosis, self-care.

A total of 13 studies including the data of 802 patients met the inclusion criteria. We found that the Orum model is the most commonly used model for the delivery of self-care interventions.

The results of this study show that the design and implementation of educational programs focusing on self-care skills can improve patients' sense of independence and competence and their ability to cope with problems related to the disease, their adaptability skills, especially when interacting with others. Increase.

To determine the effectiveness of theory-based education on self-care behaviors among the elderly in Ilam, Iran.

The study was conducted in two descriptive and semi-experimental phases among elderly. The samples were selected randomly. In the descriptive phase, 200 and in the semi-experimental phase, 140 eldrly participated in the study The educational intervention was conducted virtually during a month. The intervention data was collected in two stages using valid and reliable questionnaire and telephone interview method and analyzed using SPSS version 25 software.

The results of the descriptive stage showed that perceived benefits and self-efficacy are the strongest predictors of self-care behavior among the elderly. The results of the experimental stage showed that before the intervention, there was no significant difference between the test and control groups in the constructs of the health belief model and behavior. After the educational intervention, there was a significant difference in all variables in the test group compared to the control group and compared to before the intervention.

It seems that the health belief model can predict self-care behavior among elderly. Therefore, it is recommended to design educational interventions using the health belief model to promote self-care of the elderly.

Bipolar disorder is a chronic condition that necessitates lifelong medication, therapeutic interventions, and self-care. People with bipolar disorder and their families may have varied experiences regarding sleep management, stress, interpersonal relationships, and anger, which are frequently overlooked. In the current study, the knowledge acquired by patients with bipolar disorder and their families was evaluated. Then, an appropriate model for managing self-care knowledge among individuals with bipolar disorder was proposed.

The current mixed-methods study was conducted in four stages. The first stage involved a systematic review and meta-synthesis study in the field of knowledge management in the healthcare system. The second stage involved assessing the self-care experiences of patients with bipolar disorder. In the third stage, the codes obtained from the previous stages were prioritized by experts using Delphi techniques. In the fourth stage, a researcher prepared, validated, and distributed a questionnaire among mental health service providers stages. Finally, the personal knowledge management model of self-care and experience in individuals with bipolar disorder and their families was presented.

Almost half of patients with bipolar disorder do not adhere to their long-term treatment. Also, this disease requires patients to perform self-care activities in addition to drug therapy. So, the design and implementation of a knowledge management model for self-care and experience in people with bipolar disorder can be effective in improving their self-care behaviors and quality of life.

Management of symptoms and disease progression in nephrotic syndrome requires self-care. Self-care is closely related to self-efficacy. Individuals with higher self-efficacy believe they are more successful in self-care, thus engage more in treatment activities and ultimately achieve better outcomes. This study aimed to determine the effect of self-care education based on Orem's theory on self-efficacy of children with nephrotic syndrome.

In this experimental study, 72 children aged 7-18 years with nephrotic syndrome who referred to Mofid Hospital were consecutively selected and then randomly assigned to two groups: intervention and control. Data collection tools included a demographic information questionnaire and the Self-Efficacy for Children Questionnaire (SEQ-C). The intervention consisted of self-care education based on Orem's self-care model, which was conducted in two 60-minute face-to-face training sessions. The control group received routine care and did not receive any new intervention. Data were collected at the beginning of the study and one month after the end of the intervention. The results were entered into SPSS software version 23. Finally, the data were analyzed using descriptive and inferential statistical tests including mean, standard deviation, percentage, frequency, Chi-square, Mann-Whitney, independent t-test, and Wilcoxon.

At the end of the study, data of 60 participants were analyzed. The two groups were homogeneous in terms of demographic variables (P>0.05). The mean self-efficacy score in the intervention and control groups before the intervention was 64.50 ± 18.42 and 64.76 ± 19.02, respectively, and there was no significant difference between the two groups (P>0.05). One month after the intervention, the mean self-efficacy score in the intervention group increased to 76.10 ± 14.67 and in the control group to 65.06 ± 17.04, and the mean self-efficacy between the two groups showed a significant difference (P<0.05).

Self-care education based on Orem's model is effective in promoting self-efficacy in children with nephrotic syndrome. It is recommended that healthcare providers use Orem's model in self-care education for children with chronic diseases

Nowadays, the continuous follow-up of individuals with chronic diseases has become one of the most critical challenges for healthcare systems. One potential solution is the implementation of a follow-up nurse plan. This study aimed to determine the impact of the follow-up nurse plan on the self-care and health anxiety of pregnant women with diabetes attending Bint-ul-Hadi Bajnour Medical Center.

This was a pre-post quasi-experimental study with a comparison group conducted on 70 pregnant women with gestational diabetes attending Bint-ul-Hadi Bajnour Hospital in 2023. The participants were selected using convenience sampling. Data collection tools included the Demographic Information Questionnaire, the Standard Summary of Diabetes Self-Care Activities (SDSCA), and the Salkovskis et al. Health Anxiety Inventory. The intervention group underwent a 12-week follow-up nursing plan. Data were analyzed using paired t-tests, Chi-square, Mann-Whitney statistical tests, and SPSS version 23.0.

The results showed that the mean age of participants in the intervention and control groups was 28.74±7.17 years and 29.46±5.61 years, respectively. The mean total self-care score in the intervention group was 76.60±36.60 before and 73.63±7.16 after the intervention. In the control group, it was 34.54±8.48 before the intervention and 29.26 ± 7.02 after the intervention. The mean total health anxiety score in the control group was 31.43 ± 5.80 before the intervention and 48 ± 6.18 after the intervention. In the intervention group, it was34.43±15.61 before and 22.17±12.572 after the intervention, which was statistically significant (p= 0.000).

The follow-up nurse plan can be an effective method of promoting self-care and reducing health anxiety in pregnant women with diabetes. Therefore, health system managers and policymakers are recommended to use this method in planning the care of these patients.

Diabetes is a significant health problem that can lead to death and serious complications. To prevent these outcomes, patients need to adopt specific self-care behaviors. Patients' knowledge about the disease and self-care methods is crucial for achieving desired treatment outcomes. Therefore, this study aimed to determine the state of awareness and self-care performance in patients with type II diabetes.

This cross-sectional study included 299 patients with type 2 diabetes referred to the diabetes clinic of Dezful City in 2022, selected through convenience sampling. Data were collected using a questionnaire related to self-care knowledge and practice and analyzed using SPSS 16 software with a 95% confidence level.

The results showed that 88.6% of participants were under 60 years old, 67.2% were male, 57.9% lived in urban areas, 54.2% were single, 56.2% were illiterate, and 34.1% had been diagnosed with diabetes for 1 to 5 years. It was found that 93% and 99.3% of participants did not achieve high self-care knowledge and performance scores, respectively. The highest average score was for knowledge about diabetes (3.87 ± 1.35), while the lowest average score was for foot care practice (12.70 ± 3.6).

This study showed that patients with type 2 diabetes have low self-care knowledge and performance. Therefore, it is necessary to modify and improve the self-care programs for these patients.

Falling can have significant negative consequences on the health and quality of life of older adults. This study aims to assess the effect of online self-care education on the knowledge, attitude and practice of older adults in preventing falls at home.

This is a quasi-experimental study with a pre-test/post-test/follow-up design that was conducted on 120 people aged ≥65 years referring to comprehensive health centers in the south of Tehran, Iran, in 2021. A researcher-made questionnaire was completed by the participants before, immediately after, and three months after the intervention. The intervention was a virtual self-care educational program for fall prevention at home. Data analysis was done in SPSS software, version 26 using descriptive statistics (such as Mean±SD) and analytical tests including independent t-test, Mann-Whitney U test, and chi-square test.

About 22% of the elderly had a history of falling in the past year. Immediately after the intervention, the mean scores of knowledge, attitude, and practice were 18.39±2.86, 14.99±2.51, and 13.76±3.1, respectively, which were significantly higher than the pre-test scores (P<0.001). Three months after the intervention, the mean scores of knowledge, attitude, and practice were 18.18±1.14, 14.91±1.57, and 9.06±2.78, respectively, which were significantly higher than the pre-test scores (P<0.001).

Online self-care education for fall prevention at home can significantly increase the knowledge, attitude, and practice of the elderly and reduce the risk of falling.

Many rare diseases are genetic disorders that, even if their symptoms do not appear early on, will be present throughout an individual's life. The importance of self-care in rare diseases lies in learning to live better, maintain self-esteem, and self-acceptance, which can contribute to mental well-being. The purpose of this article is to review the significance of self-care for individuals with rare diseases.

This review study conducted searches in Persian language databases including: Scientific information database (SID), Magiran, and English language databases PubMed, and Google Scholar without time constraints. Combinations of Persian keywords for self-care, rare diseases, rare diagnosis and their English equivalents were used for searches. 43 articles were found through a database search. Based on the inclusion criteria for the study, ultimately 10 articles (7 quantitative studies, 2 qualitative studies, and 1 mixed-methods study) were selected and reviewed.

Evidence indicates that individuals with rare diseases encounter unique self-care challenges, including “limited knowledge, unpredictable symptoms, and isolation”. Despite these hurdles, self-care is crucial for those with rare diseases, resulting in "enhanced quality of life, reduced stress and anxiety, increased adaptability and resilience, and forward momentum."

Although medical research primarily concentrates on treating rare diseases, the significance of self-care for individuals coping with these conditions is frequently disregarded, resulting in a notable gap in their overall well-being. Given the time-consuming and challenging nature of diagnosing, treating, and recovering from many rare diseases, nurse-led self-care education can alleviate burdens for patients and their families, exerting a substantial influence on this journey. Additional research on self-care in individuals with rare diseases is imperative.

Physiologic edema in the feet can cause discomfort such as pain, muscle cramps and fatigue in the feet when walking and as a result lack of movement and increased probability of thromboembolism in pregnant women. Many non-pharmaceutical methods have been used to improve physiologic edema in pregnancy. None of these methods have been studied in a self-care context. Therefore, the present study was performed with aim to determine and compare the effects of self-care education with effleurage massage, hydrotherapy, and leg elevation on physiologic edema in pregnancy.

The randomized controlled clinical trial study was conducted in 2022 on 129 primigravid women who visited the Mahdieh Tehran Health Center. The samples were randomly divided to four groups: hydrotherapy, massage therapy, leg elevation, and control. The data collection tools included a demographic and obstetric questionnaire, investigation of complications and satisfaction from the intervention, observation checklist and examination before and after the intervention, and a non-elastic meter. After collecting information, data analysis was done using SPSS statistical software (version 24) and parametric and non-parametric statistical tests. P<0.05 was considered statistically significant.

In the intragroup comparison, leg edema decreased significantly after the intervention compared to before the intervention (p<0.001). The results of the analysis of covariance indicated a significant difference in the mean size of foot circumferences after the intervention among the groups (p<0.001). In a side-by-side comparison of the groups after the intervention, leg elevation had the greatest effect among other interventions (p<0.001).

Self-care with effleurage massage, hydrotherapy, and leg elevation were effective in improving physiologic edema in the legs during pregnancy. Furthermore, leg elevation was found to be more effective in reducing degree of leg edema compared to other self-care interventions, and effleurage massage had the least effect in improving physiologic edema.