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At least 19 recordsLinked to original sources
PubMed1991

The effects of habilitative hospital admission on self-care, self-esteem, and frequency of physical care.

The effects of a habilitative hospital admission for the multidisciplinary teaching of activities of daily living were investigated with 3 children with spina bifida and 1 child with juvenile arthritis. Specific evaluation tools included analysis of individualized goals, the Klein-Bell Activity of Daily Living Scale (Klein & Bell, 1979), the Physical Child Care Record (Johnson & Dietz, 1985), and the Piers-Harris Children's Self-Concept Scale (Piers & Harris, 1967). The children were evaluated on hospital admission, at discharge, and 3 months after discharge. The results show that hospital admission can be an effective means of increasing independence and decreasing frequency of physical care by parents. Some changes in self-esteem occurred in both directions; however, these changes may be attributed to variables other than hospitalization or changes in self-care status.

Activities of Daily Living↗
PubMed1989

Mothers' benefit of a self-care booklet and a self-care educational session at child health centres.

Mothers' benefit of a mass-distributed self-care booklet and a self-care educational session about young children's minor illnesses were investigated. The following questions were studied: (1) Do mothers of infants read and benefit from a self-care booklet? (2) Is the mothers' knowledge about self-care improved more if the booklet is supplemented by a self-care educational session? 265 (92%) of 288 randomly sampled Swedish mothers whose first child was 6-12 months of age were interviewed regarding their knowledge about self-care. Shortly thereafter a self-care booklet was mailed to all households in Uppsala county and 6.5 months later a new group of 572 mothers was randomly sampled. Among the 572 mothers, 332 (58%) were randomized to a self-care session organized at child health centres and 240 (42%) were not invited to a session. Of the 572 mothers, 530 (93%) were later interviewed about the booklet, the session and their knowledge about self-care. 69% participated among the mothers randomized to the session. Among these mothers, 99% recalled the booklet and 96% had read the child care section. Among the mothers not invited to the session, 68% recalled the booklet and 60% had read the child care section. The mothers who had read the child care section would follow the recommendations about when to seek (and not to seek) medical care significantly better than those who had not read it (P less than 0.003).(ABSTRACT TRUNCATED AT 250 WORDS)

Child Health Services↗
PubMed1989

Self-care within a model for demand for medical care.

Self-care is interpreted from a health economic point of view. Various approaches are presented. It is stressed that the decision-oriented approach used by other health service researchers is an integral part of the economic approach to the topic as is the idea of a continuum of care, from self-care to professional care. A new approach is taken to the modeling of self-care, in that self-care becomes part of a four-part demand for care model. This makes it possible to model the demand for care for three different groups separately: 1--persons with zero episodes; 2--persons with pure illness episodes and illness episodes with self-care; 3--persons with episodes involving professional care or professional care combined with self-care. Another contribution is due to the so-called episodic approach to the demand for care. The natural counting units are illness and treatment episodes, i.e. instead of counting for instance number of times a general practitioner is consulted we ought to count the number of episodes involving professional care, self-care or both types of care. The episodic approach seems to be well suited for work with self-care. The empirical part is based on a unique Danish panel study using health diaries returned weekly. Data from 27 of the 52 reporting weeks are used, involving more than 14,000 episodes distributed across about 2800 persons belonging to about 1000 households. The use of health diaries seems to be very well suited to the study of self-care in that less salient events and activities than professional care are picked up far better in prospective health diary studies than in retrospective questionnaire based surveys. Descriptive and regression (logistic and ordinary) results are presented.

Choice Behavior↗
PubMed1992

A strategy for staff development: self-care and self-esteem as necessary partners.

Using an inservice education approach, the clinical nurse specialist can play an important role in the development of nursing staff. This article presents 10 self-care strategies (valuing strategies) that, if integrated into a nurse's personal and professional life, can increase self-esteem and healthy self-care practices. Self-care and self-esteem are described as "necessary partners." These self-care strategies can be presented to a variety of nursing groups. Utilizing experimental group exercises can enhance the learning for such lifestyle changes.

Adaptation, Psychological↗
PubMed1986

Self-care attitude changes of nursing students enrolled in a self-care curriculum--a longitudinal study.

The purpose of this 3-year longitudinal study was to determine if nursing students' self-care attitudes change after being socialized through a curriculum based on Orem's Self-Care Deficit Theory. The sample consisted of 40 baccalaureate nursing students and 71 general university students who served as a control group. Pretest-posttest design was used employing the Linn-Lewis Self-Care Attitude Scale. On initial testing, nursing students had more positive attitudes toward self-care than the general university students, but the results were not significant. At the completion of the nursing curriculum, analysis of covariance on posttest mean scores indicated nursing students had significantly higher self-care scores (p less than .001).

Adolescent↗
PubMedDate not supplied

Linking primary health care and self-care through case management.

Primary health care (PHC) strategies have heightened health care providers' awareness of the need to understand their communities and provided knowledge on how to mobilize communities for health. Orem, a nurse theorist, has developed a similar philosophical position on mobilizing individuals for self-care, which complements PHC theory at the community level. This article links the philosophies and strategies of PHC with self-are and proposes a delivery model of case management, drawing on examples from the HIV/AIDS pandemic and the aging population to illustrate the type of coordinating activities required of case managers in the 21st century.

Aging↗
PubMed1987

Self-care and self-medication. An evaluation of individuals' health care decisions.

A panel of six experienced general practitioners evaluated the actions taken by 340 respondents who had experienced a minor symptom or condition in the 2 weeks prior to interview. In only 2% of cases were the actions taken assessed as inappropriate and potentially harmful. The use of leftover prescription medicines was most often disapproved of by the panel. The panel did not agree about the use of home remedies and over-the-counter medicines. Discriminant analysis was used to describe the profile of respondents whose actions the panel considered either appropriate or inappropriate.

Adolescent↗
PubMed1990

Common illnesses and self-care.

Self-care has become a topic of widespread interest in recent years. However, few studies of the content and methods of self-care are available to inform health education program design. The present study identified common illnesses that were reported by 258 western university students and how those illnesses were typically cared for. Illness reporting differed significantly by gender, marital status, and perceived health status. Illness treatment differed only for perceived health status. Results suggest that treatment of an illness once self-diagnosed does not differ across groups but that labeling of illnesses does. The suggestion is made that educational programs may need to place greater emphasis on appropriate diagnosis of illness.

Adult↗
PubMed1990

[The extended self-care concept. Use of practitioners of alternative medicine and layman control of health services regarded as self-care].

Research and discussions on self-care have been concentrated mainly on what happens before the patient decides to see a doctor. Attention could just as well be given to the forms of self-care used while the patient is under medical treatment, and perhaps even more to what self-care is used after the treatment has ended. Data from the Health Survey of 1985 indicate that patients who have seen a practitioner who practises alternative medicine are more likely to use a suitable form of self-care afterwards. This is supported by an interview survey of 150 patients who had visited such practitioners. The patients' attempts to influence the health system have to be regarded as a form of self-care. Many patients' organizations also function as centers which provide information about the quality of the practitioners. The extended health concept gives more authority to health personnel, the extended self-care concept gives more authority to the patients.

Attitude↗