Protocolo de admisión del paciente diabetico. Un enfoque desde los factores básicos condicionantes y la agencia de autocuidado / Diabetic patient admission protocol. An approach from the basic conditioning factors and the self-care agency

El Consejo Internacional de Enfermeras (CIE) define a la Enfermería como los cuidados, autónomos y en colaboración, que se prestan a las personas de todas las edades, familias, grupos y comunidades, enfermos o sanos, en todos los contextos. Incluye la promoción de la salud, la prevención de la enfermedad y los cuidados de los enfermos, discapacitados y personas moribundas. A su vez Berbiglia y Banfield citan a Orem, ésta plantea que la práctica de la Enfermería en relación con los individuos se institucionaliza alrededor del proceso de una persona, la/el enfermera/o, que proporciona ayuda directa a otra persona, cuando ésta persona es total o parcialmente incapaz de ayudarse a sí misma en el cumplimiento de los cuidados diarios relacionados con la salud, a causa de la situación de salud existente. La misma autora define al estado de salud que indica la necesidad de asistencia enfermera como "la incapacidad de las personas de proporcionarse por sí mismas y continuamente el autocuidado (AC) de calidad y cantidad necesarios según las situaciones de la salud personal". Expresa también que los factores básicos condicionantes son "los factores internos o externos a los individuos que afectan sus habilidades para involucrarse en el autocuidado o afectan el tipo y cantidad de autocuidado requeridos". El objetivo, Sistematizar y acordar las intervenciones y cuidados de enfermería en la admisión del paciente con diabetes, con un enfoque desde los factores básicos condicionantes del autocuidado y la capacidad de la agencia de Autocuidado, que ingresan al servicio de urgencias de adultos, de un Hospital público, 2020. En este sentido el profesional de Enfermería cumple un rol fundamental dentro del equipo de salud para identificar el déficit de autocuidado y promover, gestionar e impulsar diversas estrategias para la promoción de la salud, la prevención de la enfermedad y su tratamiento[AU]

O Conselho Internacional de Enfermeiras (ICN) define Enfermagem como cuidado autônomo e colaborativo, prestado a pessoas de todas as idades, famílias, grupos e comunidades, doentes ou saudáveis, em todos os contextos. Inclui a promoção da saúde, a prevenção de doenças e o atendimento de doentes, deficientes e moribundos. Berbiglia e Banfield, por sua vez, citam Orem, que afirma que a prática de enfermagem em relação aos indivíduos é institucionalizada em torno do processo de uma pessoa, a enfermeira, que fornece ajuda direta a outra pessoa, quando essa pessoa é total ou parcialmente incapaz de ajudar a si mesma na realização dos cuidados diários relacionados à saúde, devido à situação de saúde existente. O mesmo autor define o estado de saúde que indica a necessidade de assistência de enfermagem como "a incapacidade das pessoas de proverem a si mesmas e continuamente o autocuidado (CA) de qualidade e quantidade necessárias de acordo com as situações de saúde pessoal". Também expressa que os fatores condicionantes básicos são "fatores internos ou externos aos indivíduos que afetam suas habilidades para se envolver em autocuidado ou afetam o tipo e a quantidade de autocuidado necessária". O objetivo sistematizar e acordar intervenções e cuidados de enfermagem na admissão do paciente com diabetes, com foco nos fatores condicionantes básicos do autocuidado e na capacidade da agência de Autocuidado, que entra no pronto-socorro de adultos, de um hospital público, 2020. Nesse sentido, o profissional de enfermagem desempenha papel fundamental dentro da equipe de saúde para identificar o déficit de autocuidado e promover, gerenciar e promover diversas estratégias de promoção da saúde, prevenção e tratamento de doenças[AU]

The International Nurses Council (INC ­ 2015) defines Nursery as the independent and accompanied care given to people of all ages, ethnicity, gender, rather family, group and communities, ill or heathy in all sort of contexts. Including Heath`s promotion, sickness prevention and different cares of patients, disable and dying people. In turn, Berbiglia and Banfield cite Orem, which states that the practice Nursing practice as the relationship individuals, which is institutionalized around the process of one person the Nurse, the one who helps directly to the other person, when this one is not fully or partially capable on their own means to help themselves to take charge of their daily health care, caused by the actual health situation remaining. The same author defines the state of health that indicates the Nurses assistance as "The non-capacity of people to assure by themselves the continued self-care, nor in quality and quantity necessary according to the situation of personal health". On the other hand, the author, also states that the basic conditioning factors are "internal or external factors handled by individuals who affect their abilities to engage in self-care or affect the type and amount of self-care required ". The objective is to systematize and agree on interventions and nursing care in the admission of the patient with diabetes, with an approach from the basic conditioning factors of self-care and the capacity of the Self-care agency, who enter the emergency department of adults, of a public hospital, 2020 In this sense, the nursing professional plays a fundamental role within the health team to identify the deficit of self-care and promote, manage and promote various strategies for health promotion, disease prevention and treatment[AU]

Change of the Self-care Agency and Quality of Life after Craniotomy among Patients with Brain tumor according to time

PURPOSE: The purpose of this study was to identify the self-care agency and quality of life (QOL) among patients with brain tumors after craniotomy. METHODS: A sample of 96 patients was recruited from a university hospital in Seoul. Data were collected through a structured questionnaire from August 2017 to December 2018. Data were analyzed with descriptive statistics, t-tests, ANOVA, Pearson correlations and multiple regression analyses with SPSS 24.0, IBM. RESULTS: The mean scores of the 1st and 2nd stages in the self-care agency increased from 4.75 to 5.15, and in the quality of life rose from 67.94 to 78.60. The score of the second stage was higher than the first in all sub-scales of the self-care agency and the quality. Physical function was the only sub-scale of the self-care agency that affected quality of life in both stages (1st: β=.71, p<.001, 2nd : β=.77, p<.001). CONCLUSION: Based on the result, to improve QOL with brain tumor after craniotomy, it is important to assess physical function of patients and provide appropriate interventions.

Relación agencia de autocuidado y calidad de vida en personas con insuficiencia cardiaca / Relationship between self-care agency and quality of life in people with heart failure

El presente estudio, de tipo cuantitativo correlacional, tiene como objetivo determinar la relación existente entre la capacidad de agencia de autocuidado y la calidad de vida relacionada con la salud en las personas con insuficiencia cardiaca que son atendidos en el programa multidisciplinario de insuficiencia cardiaca de una institución de salud de cuarto nivel en la ciudad de Bogotá, Colombia. La muestra correspondió a 107 pacientes. Las variables se midieron a través de los instrumentos Appraisal of self-care agency scale y el Cuestionario de cardiomiopatía de Kansas City. Resultados: La media de la edad fue 59.9 años, el 66.3% se encontró en la categoría de 51 a 75 años. El sexo masculino predominó con un 67.3%. La ocupación independiente obtuvo el mayor porcentaje. El nivel educativo fue 17.8% en bachillerato completo y universitario. La etiología más común fue isquémica con 40.18%. La clase funcional NYHA estuvo en clase I y II con 27.10% y 61.68% respectivamente. La FEVI fue <40% en el 84.11%. La capacidad de agencia de autocuidado se encontró en categorías alto con 63.55% y muy alto con 34.57%. La calidad de vida relacionada con la salud se encontró preservada, con un puntaje general de 73.33. La relación existente entre las dos variables (coeficiente de correlación de Spearman) fue 0.316 con un p=0.002, relación débil pero significativa. Los resultados del estudio ratifican la necesidad de generar propuestas de intervención de enfermería que evalúen estas variables y contribuyan a la atención integral de las personas con insuficiencia cardiaca.

The objective of this study, which is of a correlational quantitative, is to determine the relationship between self-care agency capacity and the quality of life related to health in people with heart failure who are treated in the multidisciplinary heart failure program of a fourth level health institution in the city of Bogotá, Colombia. The sample corresponded to 107 patients. The variables were measured through the Appraisal of self-care agency scale instruments and the Cardiomyopathy Questionnaire of Kansas City. Results: The mean age was 59.9 years, 66.3% was found in the category of 51 to 75 years. Male sex predominated with 67.3%. Independent occupation obtained the highest percentage. The educational level was 17.8% in high school and university. The most common etiology was ischemic with 40.18%. The NYHA functional class was in class I and II with 27.10% and 61.68% respectively. LVEF was < 40% in 84.11%. The self-care agency capacity was found in high categories with 63.55% and very high with 34.57%. The quality of life related to health was slightly affected with a general score of 73.33. The relationship between the two variables (Spearman correlation coefficient) was 0.316 with p = 0.002, a weak but significant relationship. The results of the study confirm the need to generate nursing intervention proposals that evaluate these variables and contribute to the comprehensive care of people with heart failure.

The effect of self-care agency on self-perceived burden of patients with permanent bladder fistula / 中国实用护理杂志

Objective To explore the effect of self-care agency on the self-perceived burden of patients with permanent bladder fistula. Methods From January 2016 to January 2017,the general data questionnaire,the Self-Perceived Burden Scale(SPBS),the Exercise of Self-Care Agency Scale(ESCA)was used to investigate 388 cases of permanent bladder fistula in 2 hospitals in Lanzhou, Baiyin and Dingxi city, and the results were statistically analyzed. Results The total score of SPBS was (36.01 ± 1.34) points,which was in the middle level.The total score of ESCA was(51.05±10.23)points,which was in low level.The total score of SPBS was negatively correlated with the total score of ESCA and each dimension (r =-0.496--0.168, P<0.01 or 0.05). Stratified regression analysis showed that self-care skills, self-responsibility, self-concept and health knowledge level in self-care ability were important influencing factors (P<0.05). Conclusions Nursing staff can improve the self-care ability, reduce the self-perceived burden,and improve the quality of life of patients.

Investigation of self-care ability and influencing factors of rectal cancer patients with temporary ileum stoma / 中国实用护理杂志

Objective To describe self-care agency and its influence factors of the patients with temporary ileum stoma. Methods The descriptive statistics of non-experimental study was performed in the study. The convenience sample consisted of 144 patients from 3 hospitals in Shanghai. The self-care agency was measured by the Colostomy Self-care Agency Scale. Results 144 cases of colorectal cancer temporary ileum stoma patients′ self-care ability scored an average of 57.02 ± 7.00, including self- care willingness (37.19 ± 4.04) points, self-care knowledge 17 points, self-care skills 3 points. The multiple stepwise regression analysis showed that seven factors were statistically significant including age, gender, culture level, living area, postoperative months, presence of complications, whether to accept professional nursing training or education. Conclusions Temporary ileum stoma in patients of rectal cancer with medium self-care ability, but self-care skill level is relatively not high and should be strengthen attention in patients with rectal cancer undergoing ileum stoma. Targeted nursing intervention should be carried out to improve the self-care ability and improve the quality of life of patients with stoma.

Efectividad de seguimiento telefónico- mensajes de texto: agencia de autocuidado en pacientes con Hipertensión arterial / Efectividad de seguimiento telefónico- mensajes de texto: agencia de autocuidado en pacientes con Hipertensión arterial

Propósito:El objetivo de esta investigación fue determinar la efectividad de una estrategia de seguimiento telefónico asociado a mensajes de texto en la capacidad de agencia de autocuidado en pacientes con hipertensión arterial. Metodología:Se desarrolló un estudio clínico aleatorizado en 119 usuarios de la Fundación Oftalmológica de Santander-FOSCAL. En el diseño se conformaron dos grupos, un grupo intervención y un grupo control que fueron equivalentes en los procedimientos durante el estudio y se realizó la clasificación de manera aleatoria mediante Excel realizado por una persona externa al staff del estudio, con el siguiente esquema:Grupo intervención y Grupo control, en el cual se le aplicó la pre y post prueba (medición de la capacidad de agencia de autocuidado mediante el instrumento antes y después del seguimiento y el contacto telefónico y mensajería de texto al grupo intervenidocon un periodo de 2 meses. El instrumento que se utilizó fue Capacidad de agencia de autocuidado en pacientes hipertensos. Los datos fueron analizados Por el Software Stata Versión 11.0, para su respectivo análisis. Resultados:La capacidad de agencia de autocuidado de los pacientes hipertensos en el estudio posterior a la intervención de contacto telefónico y mensajería de texto demostró significancia con cambios importantes en las variables clínicas, cambios en los estadios de la hipertensión, mayor conocimiento de la enfermedad, actividad física, búsqueda en la orientación por el profesional de salud, alimentación saludable, mayor apoyo familiar.

Purpose: The objective of this research is to compare the effectiveness of followup telephone and text messages strategy against the conventional self-care in hypertension patients over self-care agency. Methodology: We conducted a randomized clinical study at the FundaciónOftalmológica de Santander-FOSCAL. 119 patients were randomly assigned in two equivalent groups to receive intervention of follow-up telephone and text messages strategy group against conventional care (control group). A pre and posttest of self-care agency were assessed (Using a descriptive instrument at the baseline and two months after). The instrument was used in hypertensive patients. The data were analyzed in Stata Software Version 11.0. Results: An intervention of follow-up telephone and text messages strategy in hypertensive patients showed significance with changes in clinical variables, changes in the stages of hypertension, increased knowledge of the disease, physical activity, guidance from the health professional, healthy eating, increased family support.

Correlations between self-efficacy and self-care agency of the empty nest elderly with chronic ;disease in the community / 中国实用护理杂志

Objective To determine the status of self-efficacy and self-care agency of the empty nest elderly patients in the community,and analyze their correlation. Methods A total of 320 empty nest elderly with chronic disease in Fushun, Liaoning Province. The General Information Questionnaire, Exercise of Self-Care Agency scale (ESCA) and the Chronic Disease Self-efficacy Scale were used to investigate the empty nest elderly with chronic disease in the community and analyze the present situation level of the self-care agency and the self-efficacy and the correlation between them. Results General data showed no significant difference between solitary empty-nest elderly and connubial empty-nest elderly (P>0.05). Solitary empty-nest elderly got (93.36 ± 13.49) points and (5.22 ± 0.62) points in ESCA and the Chronic Disease Self-efficacy Scale,which were lower than (98.10±11.34) points and (5.32±0.30) points of connubial empty-nest elderly, the difference was statistically significant (t=-0.866,-0.467, P<0.05). There was significantly positive correlation between self-efficacy and self-care agency (r=0.318, P<0.01). Conclusions There is positive correlation between self-efficacy and self-care agency. It is suggested to implement community-based nursing interventions to enhance their self-efficacy and to promote their self-care agency,there by to improve their quality of life .

Efectos de una intervención educativa en la Capacidad de Agencia de Autocuidado y Resultado de Adherencia en el paciente con stent coronario / Effects of an educational intervention on the Self-Care Agency Capacity and Adherence Outcome in patients with coronary stents

Propósito: Determinar los efectos de una intervención educativa de enfermería en la capacidad de agencia de autocuidado y resultado de adherencia al régimen terapéutico en el paciente posterior al implante de stent coronario. Metodología: Estudio preexperimental con un solo grupo, en donde a través del instrumento ASA (por sus siglas en inglés, que corresponden a Appraisal of Self-care Agency Scale) y el cuestionario CRART-CV (Cuestionario Resultado de Adherencia al régimen terapéutico de Correa ­ Vargas) se evalúa el efecto de la intervención educativa "agendas de la salud" en tres tiempos (una preprueba y dos pospruebas). Resultados: Se evidenció un efecto positivo de la intervención educativa "agendas de la salud" sobre la capacidad de agencia de autocuidado y resultado de adherencia al régimen terapéutico.

Purpose: To determine the effects of an educational intervention on nursing ability of self-care agency and result of adherence to the therapeutic regimen in the post coronary stent implant patient. Methodology: pre-experimental study with a group, where the instrument through ASA (Appraisal of Self-care Agency Scale) and CRART-CV (Outcome Questionnaire questionnaire Adherence to the therapeutic regimen Correa-Vargas) the effect of the educational intervention "health agendas" three times (one pretest and two post-tests) were evaluated. Results: A positive effect of educational intervention "agendas of health" on the ability of self-care agency and outcome of adherence to the therapeutic regimen was demonstrated.

Asociación de los factores básicos condicionantes del autocuidado y la capacidad de agencia de autocuidado de adultos con síndrome coronario agudo hospitalizados en el Hospital Universitario Clínica San Rafael, Bogotá 2012 / Association of the basic conditioning factors of self-care and the capacity of self-care agency of adults with acute coronary syndrome hospitalized in the Hospital Universitario Clínica San Rafael, Bogotá 2012

El objetivo del presente trabajo de investigación fue determinar la asociación entre los factores básicos condicionantes: edad, género, factores socioculturales y sistema familiar propuestos por Dorothea Orem con la capacidad de agencia de autocuidado de las personas que se encontraban hospitalizadas en el Hospital Universitario Clínica San Rafael de Bogotá, en el tercer trimestre de 2012, con un diagnóstico de síndrome coronario agudo en las presentaciones de infarto agudo de miocardio con o sin elevación del segmento ST o Angina Inestable. El diseño planteado fue de tipo descriptivo, de asociación y de corte transversal, el cual permitió obtener información sobre las características fundamentales de la población objeto de estudio. La muestra estuvo conformada por 83 personas, quienes cumplían con los criterios de inclusión propuestos en la investigación; además se abordaron teniendo en cuenta las consideraciones éticas correspondientes para la investigación con seres humanos. Se aplicó el instrumento Escala de Agencia de Autocuidado ASA para evaluar la capacidad de agencia de autocuidado de los participantes; de igual forma, se construyó y se empleó una ficha que valoraba los factores básicos condicionantes mencionados anteriormente. A través del programa estadístico SPSS versión 15.0 se realizó el análisis de los resultados obtenidos con los instrumentos descritos, y por medio del análisis de varianza ANOVA, la prueba no paramétrica de Kruskal-Wallis y el factor de correlación de Pearson y Spearman se concluyó que los factores básicos condicionantes adoptados en el estudio no tienen influencia directa en la capacidad de agencia de autocuidado de los sujetos de investigación, es decir, no se evidenció una asociación significativa entre estas dos variables. Se establecieron las siguientes recomendaciones: a) incluir los restantes factores básicos condicionantes propuestos por Orem en esta población objeto de estudio, con el fin de identificar si influyen o no en la capacidad de agencia de autocuidado en estos sujetos; b) determinar esta asociación con tamaños muestrales mayores que favorezca el proceso de análisis y por lo tanto las conclusiones se puedan aplicar a diversas poblaciones, y; c) construir y desarrollar instrumentos específicos que permitan evaluar los factores básicos condicionantes, unificando criterios y conceptos en los mismos.

The aim of the present research was to determine the association between basic conditioning factors such as age, gender, socio-cultural factors and family system proposed by Dorothea Orem with the capacity of self-care agency of the people who were hospitalized in the "Clínica San Rafael" University Hospital of Bogota, in the third quarter of 2012, with a diagnosis of acute coronary syndrome in the presentations of acute myocardial infarction with or without ST-segment elevation or unstable angina. The proposed design was descriptive, of association-type and cross-sectional which allowed it to obtain information about the fundamental traits of the population under study. The sample consisted of 83 people who met the inclusion criteria proposed in the research; they was approached taking into account the ethical considerations relevant to the research with human beings. The instrument implemented was the Self-care Agency Scale (ASA) to assess the ability of self-care agency of the participants; similarly, a record card was drawn up and used which appraised the basic conditioning factors mentioned above. The analysis of the results obtained with the instruments described was conducted through the statistical package SPSS version 15.0, and by means of the analysis of variance ANOVA, the Kruskal-Wallis non-parametric test and the correlation factor of Pearson and Spearman it was concluded that the basic conditioning factors adopted in the study do not have direct influence over the ability of self-care agency of the researched subjects, i.e., it is not showed a significant association between these two variables. The following recommendations were established: a) to include the basic conditioning factors remaining proposed by Orem in this study population in order to identify whether they influence in the capacity of self-care agency or not in these subjects; b) to identify this partnership with sample sizes greater which encourages the process of analysis and this way the conclusions can be applied to various populations, and c) to draw up and develop specific instruments which let to assess the basic conditioning factors, unifying criteria and concepts in the same ones.

Capacidad de agencia de autocuidado y calidad de vida de las personas que tienen dispositivos cardiacos implantables / Self-care agency capacity and quality of life of people with implantable cardiac devices

El objetivo de este estudio fue describir la relación que existe entre la capacidad de agencia de autocuidado y la calidad de vida relacionada con la salud de las personas que tienen dispositivos cardiacos implantables en la ciudad de Bogotá. Este estudio es cuantitativo correlacional, de corte transversal. El Autocuidado se midió con la escala "Capacidad de Agencia de Autocuidado" diseñada por Isemberg, Evers y Otros; y la calidad de vida con el cuestionario de salud SF-36 desarrollado por Ware y Sherbourne, ambos cuentan con validez y confiabilidad para el contexto colombiano. Fueron aplicados a 125 personas, quienes voluntariamente accedieron a participar. Se encontró una relación débil positiva (r=0,34, p< 0,01) entre autocuidado y calidad de vida. Existen asociaciones estadísticamente significativas entre las dimensiones. Desde el autocuidado, el bienestar personal, actividad y reposo y promoción del funcionamiento y desarrollo personal, se relacionó con todas las dimensiones de calidad de vida. La promoción del funcionamiento y desarrollo personal es la dimensión que mostró mejor asociación con la calidad de vida, específicamente con el desempeño físico. Análisis adicionales del estudio, determinaron que la calidad de vida se relaciona de manera significativa con el género y el estado civil. Estadísticamente, no existen diferencias significativas entre la calidad de vida y el autocuidado según el tiempo de convivencia con el dispositivo cardiaco y el tipo de terapia. Se reporta un alfa de Cronbach de 0,78 para la escala que mide la Capacidad de Agencia de Autocuidado y 0,93 para el cuestionario de salud SF-36.

The objective of this study was to determine the existing relation between the capacity of self-care agency and the quality of life related to the health of people that have implantable cardiac devices in the city of Bogotá. This quantitative study is corelational and cross-sectional. Self-care was measured with a scale titled "Self-care Agency Capacity", designed by Isemberg, Evers second version in Spanish; quality of life was measured with the SF-36 Health Questionnaire, developed by Ware y Sherbourne. Both measurements are reliable and valid within the Colombian context. These were applied to 125 people, which volunteered to participate. A weak, positive co-relation was found (r=0.34, p< 0.01) between self-care and quality of life. Some statistically significant associations exist between these dimensions. Personal healthcare, physical activity and rest, and promotion regarding personal development and functions have all been related to all the dimensions of quality of life, all derived from selfcare. The promotion of personal development and functions is the most co-related dimension in regards to quality of life, especially in terms of physical performance. Additional analysis from the study determined that quality of life has a significant corelation with gender and civil status. Statistically, there is no significant difference between quality of life and self-care, according to time spent with the cardiac device and the type of therapy. The alfa Chronbach's reliability coefficient was applied to the "Self-care Agency Capacity" scale and a value of 0,78 was obtained, and a value of 0,93 was obtained for SF-36 Health Questionnaire.

Effects of Empowerment Education Program for Hemodialysis Patients on Self-efficacy, Self-care Agency, Self-care Activities and Physiologic Parameters / 재활간호학회지

PURPOSE: The purpose of this study was to determine the effects of empowerment education program on self-efficacy, self-care agency, self-care activities and physiologic parameters among hemodialysis patients. METHOD: Nonequivalent control group pretest-posttest design was used. There were 36 subjects in the experimental group and 35 subjects in the control group. The empowerment education program was administered for 4 weeks (1 time per week). Data were collected pre-treatment and post treatment. The chi2-test or Fisher's exact test, ANCOVA, t-test and paired t-test were performed to determine the group differences, using SPSS 14.0 version. RESULTS: Self-efficacy, self-care agency, self-care activities and weight variation significantly improved after the empowerment education program in hemodialysis patients. CONCLUSION: The empowerment education program for hemodialysis patients was effective to improve the degree of self-efficacy, self-care activities and self-care agency and to decrease interdialytic weight variation.

Efecto de una intervención educativa de enfermería en el fortalecimiento de la capacidad de agencia de autocuidado del adulto mayor hipertenso ambulatorio de Tunja-Boyacá, Colombia / Effect of an educational nursing intervention in strengthening the self-care agency capacity of the outpatient hypertensive elderly in Tunja-Boyacá, Colombia

Objetivo. Determinar el efecto de una intervención educativa de enfermería en el fortalecimiento de la capacidad de agencia de autocuidado del adulto mayor hipertenso de Tunja-Boyacá, Colombia. Materiales y métodos. Investigación cuantitativa, de diseño descriptivo, cuasiexperimental, con preprueba y posprueba, la muestra de 240 adultos mayores hipertensos conformó el grupo experimental y el de control. Fue usada la escala para valorar la agencia de autocuidado (ASA). Se diseñó, aplicó y evalúo una intervención educativa de enfermería, con un trabajo sistemático único, orientada por el marco conceptual de la teoría de Orem. El efecto de la intervención educativa se determinó mediante la media de cambio de la escala ASA, usando ANOVA entre la posprueba y la preprueba. Se aplicaron las pruebas psicométricas a la escala ASA. Resultados. Se obtuvo cuatro videos y cuatro folletos, como ayudas didácticas a la intervención educativa, sensibles al contexto sociocultural de los adultos mayores de Tunja, Colombia. La ganancia neta de la escala ASA entre la posprueba y la preprueba fue de 24.3 puntos, a los 15 días de la intervención. 9 factores fueron extraídos por el análisis factorial representando el 65.87% de la varianza total; la consistencia interna osciló entre 0.74 a 0.95. Conclusiones. La ganancia obtenida entre la posprueba y la preprueba determinó el valor y la significancia clínica de la intervención educativa de enfermería "Yo sí puedo cuidarme" en el efecto sobre el fortalecimiento de la capacidad de agencia de autocuidado del adulto mayor hipertenso de Tunja, Colombia. La escala ASA es un instrumento válido y confiable.

Aim. To assess the effect of a nursing educational intervention in strengthening the ability of self-care agency for the hypertensive elderly of Tunja-Boyacá, Colombia. Materials and methods. Quantitative research, of descriptive, quasiexperimental design, with pretest and postest, the sample of 240 hypertensive elderly shaped the experimental group and that of control. The Appraisal of Self-care Agency Scale (ASA) was used. It was designed, applied and I evaluate an educational intervention of nursing, with the systematic only work, orientated by the conceptual frame of Orem's theory. The effect of the educational intervention decided by means of the average of change of the scale ASA, using ANOVA between the postest and the pretest. The tests psychometrics was applied to the scale ASA. Results. Four videos and four leaflets were obtained, as didactic helps to the educational intervention, sensitive to the sociocultural context of the elderly of Tunja, Colombia. The net profit of the scale ASA between the postest and the pretest was 24.3 points, to 15 days of the intervention. Nine factors were extracted from the factor analysis representing 65.87% of total variance; the internal consistency range between 0.74-0.95. Conclusions. The profit obtained between the postest and the pretest determined the value and the clinical significant of nursing educational intervention "I yes can take care" in the effect on the strengthening the ability of self-care agency for the hypertensive elderly of Tunja, Colombia. The scale ASA is a valid and reliable instrument

Factors Affecting the Self Care Behavior of Korean High School Students / 아동간호학회지

PURPOSE: The purpose of this study was to analyze the factors affecting Self Care Behavior in Korean high school students. METHOD: Data were collected from November 9 to December 28, 2003. The participants in this study were 293 students(134 boys, 159 girls), recruited from two High School located in Seoul. Data collection was conducted through the use of Questionnaire that was modified by the investigator. The data were analyzed with descriptive statistics, Pearson Correlation coefficients and stepwise multiple regression. The SPSS win 10.0 program was used. RESULTS: The mean of total item score the Self Care Behaviors scales was 3.37, which was slightly low. There was a significant correlation between Self Care Behavior, Hope, Social Support, and Self Care Agency(gamma= .30 ~ .65, p<.001). Stepwise multiple regression analysis showed that Self Care Agency was a predictor of Self Care Behavior and accounted for 28% of the variance. Self Care Agency account for 31% of the variance in Self Care Behavior in the high school girls. Self Care Agency and Hope accounted for 27% of the variance in Self Care Behavior in High school boys. CONCLUSION: Self Care Agency accounted for variance in Self Care Behavior in these high school students. Therefore it is necessary to develop nursing interventions to increase Self Care Agency in high school students in order to increase the Self Care Behavior.

Relationship of Activity of Daily Living and Self-Care Agency in Patients with Spinal Cord Injuries / 기본간호학회지

PURPOSE: This study examined the relationship between level of activity of daily living (ADL) and Self-Care Agency in patients who have had a spinal cord injury. METHOD: The participants in the study were 78 persons who had a spinal cord injury and were between 20 and 70 years of age. The data were collected from November 1, 2003 to January 30, 2004. The instruments used in this study were the ADL Check List and Self-Care Agency Scale. The data were analyzed using the SPSS program and included numbers, percentages, t-test and ANOVA, and Pearson correlation coefficients. RESULTS: The total mean score for activity of daily living was 44.21+/-16.63. The total mean score for Self-Care Agency was 107.45+/-15.71. There was a significant difference between scores for ADL and Self-Care Agency. CONCLUSION: In order to increase the level of ADL, rehabilitation nurses should ensure that these patients receive training in ADL. Also, it was identified that informational support is important, that is, nurses should help to provide these patients with Self-Care Agency training for ADL.

The Correlation Between Ability of Activity in Daily living and Self-care Agency Among Elderly in Chunchon Province / 성인간호학회지

The ratio of the elderly population is rapidly growing due to socio-economic development and better medical services. As the average life-span of the Korean elderly becomes longer, the proportion of the elderly is increasing. Therefore, the elderly need to sustain a high quality of life. However, all these factors, such as sensory loss, decreased endurance, mobility limitation, and a loss of independence, act to diminish the quality of life among the elderly. It is necessary for elders to adapt themselves to aging, to maintain their physical functions and especially, it is important to keep their independence in activity of daily living and self care. Therefore, this study was designed to identify the degree of activity in daily living and exercise of a self-care agency and to investigate the relationship between activity of daily living and self-care agency. Also, this research aimed to contribute to nursing interventions that maintain and promote quality of life of the elderly and to enable themselves to live independently. The subject of this study were 160 elders, over age 65, who were sampled in C city. Data were collected by observation and questionnaires from May,1999 to December, 1999. The measurement tools were Barthel Index(1979), Lawton & Brody(1969) for activity of daily living and Kearney & Fleischer(1979) for self-care agency. Data were analyzed by SAS PC+ package and included descriptive analysis, t-test, ANOVA, Pearson correlation coefficient, and Cronbach's alpha. The conclusions of this study are summarized as follows; 1. The mean of ADL and IADL was 96.09 and 16.38, respectively. The score described activity of daily living among the elders in C province as moderate. Particularly, in the items of IADL, the item of medication was the highest score. 2. The mean for exercise of self-care agency was 76.48, a moderate degree. 3. The degree of ADL and IADL according to demographic characteristics was significantly different statistically in pocket money, the presence of disease, perceived health status and in occupation, pocket money, family type, the presence of disease, and perceived health status, respectively. 4. The dagree of selt-care agency according to demographic characteristics was significantly different statistically in gender, education level, economic status, and pocket money. 5. There was a significant positive correlation between activity in daily living and self-care agency. Based on these results, further research is suggested to discover the variables influencing the activity of daily living and self-care agency to develop nursing strategies for improving self-care and activity of daily living among the elderly.