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INTRODUCCIÓN: La Insuficiencia Cardiaca se ha descrito como un síndrome de proporciones epidémicas, con una prevalencia de un 1-3% de la población adulta mundial menor de 60 años. Las conductas de autocuidado constituyen una estrategia clave en la elaboración de intervenciones exitosas que disminuyan la re-hospitalización, mortalidad y mejoren la calidad de vida. OBJETIVO: Adaptar y validar la Escala Revisada de Comportamientos de Autocuidado en Falla Cardiaca (Revised Heart Failure Self Care Behavior Scale) en personas con insuficiencia cardíaca, que se encuentran en seguimiento ambulatorio, en dos Hospitales Públicos chilenos. METODOLOGÍA: Estudio transversal de adaptación y análisis psicométrico del instrumento de medición Escala de Valoración de Comportamientos de Autocuidado en personas con Insuficiencia Cardíaca diseñada por Nancy Artinian. Emplazamiento: Unidades ambulatorias de seguimiento en Hospitales Públicos chilenos. Participantes: Usuarios con Insuficiencia Cardíaca que asistieron a dos Policlínicos de seguimiento de Insuficiencia Cardiaca de dos Centros de Salud de nivel secundario de dos comunas de Santiago en Chile. Método: Se realizó juicio de expertos para la adaptación cultural del instrumento, se aplicó el análisis factorial exploratorio con rotación oblicua. RESULTADOS: Escala Chilena de Valoración Comportamientos de Automanejo en Insuficiencia Cardiaca presentó una adecuada adaptación cultural, pruebas sicométricas que garantizan su validez de constructo y fiabilidad adecuada, con Alfa de Cronbach del Instrumento de 0,84 IC [0,80-0,88]. CONCLUSIONES: Se proporciona un instrumento que permite conocer conductas de autocuidado de los pacientes con IC, esto le permite ser utilizado por los profesionales que atienden a personas que padecen de IC en Chile.
INTRODUCTION: Heart failure (HF) has been described as a syndrome of epidemic proportions, with a prevalence of 1-3% amongst the global adult population under 60 years of age. Self-care behaviors are a key strategy in the development of successful interventions that reduce re-hospitalization, mortality and improve quality of life. OBJECTIVE: To adapt and validate the Revised Heart Failure Self-Care Behavior Scale in people with heart failure, who are in outpatient follow-up, in two Chilean public hospitals. DESIGN: Cross-sectional study of adaptation and psychometric analysis of the measuring instrument Scale of Assessment of Self-Care Behavior in Persons with Heart Failure, designed by Nancy Artinian. Location: Outpatient follow-up units in Chilean public hospitals. Participants: Patients with Heart Failure who attended two heart failure outpatient follow-up clinics within two secondary healthcare centers located in two districts of Santiago, Chile. Method: Expert judgments were made for the cultural adaptation of the instrument, followed by exploratory factor analysis with oblique rotation. RESULTS: The Chilean Scale of Assessment of Self-Management Behaviors in Heart Failure presented adequate cultural adaptation, psychometric tests that guarantee its validity in terms of its construction and adequate reliability. Cronbach's Alpha of the Instrument was 0,84 IC [0,80-0,88] CONCLUSIONS: The study provides a tool that allows us to ascertain the self-care behaviors of patients with HF, allowing it to be used by professionals who care for people with HF in Chile.
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Objective To describe the status of resilience and self-care behaviors in chronic heart failure patients and to explore the relationship between resilience and self-care behaviors. Methods It was a cross-sectional survey. The Connor-Davidson Resilience Scale, the self-care behaviors with heart failure questionnaire and the demographic scale were delivered to 150 chronic heart failure patients in Shanghai Changhai Hospital. Results The score of self-care behaviors was (2.63 ± 2.01) points for chronic heart failure patients. The resilience score was (57.56 ± 8.51) points. The resilience was significantly related to the self-care behaviors(r=0.427, P<0.01), and which explained 32.4%of the total variation. Conclusions The chronic heart failure patients have poor self-care behaviors and resilience. More attention should be paid and more action be taken to improve the resilience, then improve the self-care behaviors of patients.
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Background: Self-care behaviors are the most important way to prevent frequent hospitalization, improve the quality of life, and reduce mortality in patients suffering from heart failure. Aims: To assess the preventive self-care behaviors and its associated factors in heart failure patients in Kerman teaching hospitals. Place and Duration of Study: South-East of Iran, Cardiology Clinics of Kerman teaching hospitals from August 2014 to January 2015. Methodology: This cross-sectional study evaluated preventive self-care behaviors in 150 patients suffering from heart failure by a valid and reliable questionnaire and checklist. Subjects were selected by simple random sampling among patients with heart failure from Cardiology Clinics of Kerman teaching hospitals. The Data was analyzed by using of SPSS, version 20. Results: Most (68.5%) of the subjects were moderate at complying with medication regimen (mean=54.41±8.41) and 78.3% were poor at non-medication regimen (mean=61.04±7.21). Control pulse was poor in the majority of them (91.5%). There was a significant relationship between total mean self-care score and age (p=0.05), marital status (p= 0.03), education (p=0.009), the number of hospitalization (p= 0.02), NYHA functional class (p= 0.002) and monthly income (p= 0.003). Conclusion: Due to poor self-care in patients suffering from heart failure and its relationship with some personal factors, it is better to plan for training these patients based on their needs.
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En este artículo se describe el examen psicométrico de la Escala de Conductas de Autocuidado para psicólogos clínicos (EAP; Guerra, Rodríguez, Morales & Betta, 2008). Este instrumento fue diseñado para medir la frecuencia de emisión de conductas de autocuidado en psicólogos que trabajan realizando psicoterapia. Una muestra de 159 psicólogos clínicos chilenos respondió la EAP y una serie de instrumentos destinados a evaluar la validez convergente de la escala. La EAP reveló ser un instrumento confiable y válido. En particular, esta escala obtuvo adecuados índices de consistencia interna y adoptó una estructura unifactorial coherente con la teoría que la sustenta. Además, la escala mostró adecuados índices de validez convergente, al correlacionar del modo esperado las tres dimensiones del síndrome de burnout, con los niveles de ansiedad y con una puntuación general de la calidad de vida de los participantes. Finalmente se discuten las implicancias de estos resultados.
This study describes the psychometric examination of the Self-Care Behaviors Scale for Clinical Psychologists (EAP; Guerra, Rodríguez, Morales & Betta, 2008) a scale designed to measure the frequency of self-care behaviors in psychologists dedicated to treat patients. A sample of 159 clinical psychologists from Chile completed the EAP and a series of instruments destined to evaluate the convergent validity of the scale. The EAP showed to be a reliable and valid instrument. In particular, the scale showed adequate indexes of internal consistency and adopted a unifactorial configuration coherent with the theory. In addition the scale showed convergent validity when correlating, as expected, with the levels of three dimensions of the burnout, with the levels of anxiety, with the levels of secondary traumatic stress and with a general score of the quality of life of the participants. Finally the consequences of these results are discussed.
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En la presente investigación se evalúa la efectividad de un taller de autocuidado de orientación cognitivo conductual diseñado para ser aplicado a psicólogos clínicos con altos niveles de estrés traumático secundario. El objetivo del taller es aumentar la frecuencia de emisión de conductas de autocuidado y disminuir los niveles de estrés traumático secundario en los psicólogos. Mediante un diseño cuasi-experimental se evalúan los efectos del taller. Los resultados indican que, después de las 5 sesiones que dura el taller, los psicólogos que participaron en él (n=9) aumentaron significativamente sus conductas de autocuidado y disminuyeron significativamente sus niveles de desgaste. En cambio, los psicólogos que no participaron del taller (n=12) no variaron en la frecuencia del autocuidado y aumentaron el estrés traumático secundario. En virtud de estos resultados se concluye que el taller es efectivo y se constituye como una alternativa para prevenir y tratar el desgaste laboral en psicólogos clínicos.
In the present investigation, we evaluate the effectiveness of a group therapy program for self-care with cognitive-behavioral orientation, designed to be used on clinical psychologists with high levels of secondary traumatic stress. The object of this group therapy program is to increase the frequency of emissions of self-care behaviors and decrease the levels of secondary traumatic stress in psychologists. By a quasi-experimental design, we evaluate the group therapy program effects. The results indicate that, after 5 sessions that lasts the group therapy program, the psychologists that participated in it (n = 9) increased significantly their self-care behaviors and decreased significantly their secondary traumatic stress levels. Instead, the psychologists that did not participate in the group therapy program (n = 12) did not show variation on self-care frequency and they increased secondary traumatic stress. These results are conclusive that the group therapy program is effective and it represents an alternative to prevent and treat work related burnout in clinical psychologists.
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Humans , Male , Female , Adult , Middle Aged , Self Care , Psychology , Cognitive Behavioral Therapy/methods , Stress Disorders, Traumatic/psychology , Stress Disorders, Traumatic/therapy , Burnout, Professional/prevention & control , Burnout, Professional/psychology , Case-Control Studies , PsychometricsABSTRACT
OBJECTIVES: We examined the effects of diabetes mellitus (DM) case management program developed by National Health Insurance Corporation in Korea. METHODS: One trained nurse performed the case management for 30 DM patients recruited through the reimbursement information of National Health Insurance in a rural community. The case manager had four home visits and two telephone calls for 12 weeks. We evaluated the effectiveness of the program in terms of self-efficacy, self-care behaviors and glyco-metabolic control. RESULTS: The self-efficacy score was significantly increased from 70.0 of pre-intervention to 80.5 of post-intervention (p<0.001). The self-care score was also significantly increased from 2.86 to 3.60 (p<0.001). The scores of its components such as nutritional care, self-test of sugar level, foot care, oral care, and aerobic exercise were significantly improved (p<0.001). However, the improvement of score in medication management was statistically marginal (p=0.071). The fasting blood sugar level and HbA1c level was significantly decreased from 128.6 mg/dl to 114.5 mg/dl (p<0.001) and from 6.78 % to 6.54 % (p<0.001) respectively. CONCLUSIONS: The case management program was effective to improve the self-efficacy and self-care behaviors, and to control blood sugar level in DM patients.
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Humans , Blood Glucose , Case Management , Diabetes Mellitus , Exercise , Fasting , Foot , House Calls , National Health Programs , Rural Population , Self Care , TelephoneABSTRACT
Objective To investigate the level of self-care behaviors and self-efficacy among adult type 2 diabetes patients in community and discuss current problems.Methods A convenient sample of 85 patients with type 2 diabetes in Haiyuncang community was interviewed,using diabetes self-care scale and diabetes self-efficacy scale.Totally 85 questionnaires were got and underwent analysis.Results The index score of self-care behaviors and self-efficacy among adult type 2 diabetes patients in community were 66.98% and 69.02%.There were no significant difference in self-care behaviors of patients whether they attended diabetes lectures or not.Self-efficacy correlated significantly with self-care behaviors.Conclusions The self-care behaviors and self-efficacy of diabetes patients need to be improved,and diabetes education in community should be emphasized and carried out effectively.
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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.
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Female , Humans , Data Collection , Hope , Nursing , Research Personnel , Self Care , Seoul , Weights and Measures , Child Health , Surveys and QuestionnairesABSTRACT
This study aims to follow up the perceived self-efficacy and self-care behavior of diabetic control in diabetic children after attending a diabetic camp. The study involved twenty type-I diabetic children and adolescents age 10-19 years old. The data were collected using a questionnaire and analyzed in percentage, mean, standard deviation and comparing the mean scores of perceived self-efficacy and self-care behavior behavior by using paired t-test and ANOVA. The results demonstrated that the children’s perceived self-efficacy of control of their diabetes before attending the camp, on the last day of self-efficacy in insulin injection was significantly different (P < .05). The children’s self-care behavior before attending the camp, on the lest day of the camp, and three months following the camp, were not different (P > .05), but it was found that self-care behavior in sugar control in daily life and in various special occasions were significantly different (P < .05 and P < .001 respectively). The diabetic control indicators HbA1C, triglyceride and HDL-cholesterol were better three months after attending the camp ; these improvements were statistically significant (P< .05, P < .01 and P < .01 respectively). It is recommended that diabetic children be encouraged to attend diabetic camp in order to develop self-efficacy, a crucial factor enabling diabetic children to practice appropriate self-care, in order to control their diseases and prevent complications.