Dissertations / Theses: 'Self-care management'

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Burks, Kathryn J. "Self-management of osteoarthritis : an intervention study /." free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3012952.

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DeMartini, Mikaela. "Exploring Self Care Programs in Hospitals." Thesis, Mills College, 2019. http://pqdtopen.proquest.com/#viewpdf?dispub=13426861.

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Self care is more than a requirement for life. Working in a high stress hospital environment lends itself to having many personal and professional stressors that go beyond medical professionals job requirements. The purpose of this study was to explore how hospitals support medical staff through self care programs. Data was collected through semi-structured interviews of five medical professionals who work in various specialties. Results of this study indicated that self care was represented in various unstructured formats. Additionally, this study demonstrates the need for more support in the medical field to allow for more opportunities for self care to take place. Furthermore, this analysis of self care explains the importance of this practice to be implemented by medical professionals as it helps to reduce the high rates of burnout and compassion fatigue.

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Matthie, Nadine. "Sickle Cell Disease: The Role of Self-Care Management." Scholar Commons, 2013. http://scholarcommons.usf.edu/etd/4538.

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Abstract Sickle cell disease is the most common genetic disorder in the United States. Approximately 90% of the hospitalizations in this patient population occur due to the most common complication, pain crises. Prevention of these crises is therefore essential and requires the patient to assume an active role in his or her disease management. Studies suggest that further research is needed to examine the self-care management process and to identify factors influencing self-care behaviors. The relationships among these factors must be clearly defined before interventions to improve self-care management can be determined. The aims of the study were threefold. The first aim was to evaluate the relationships among psychosocial variables (SCD self-efficacy and social support) and socio-demographic variables (age, gender, education, employment status, income, and living situation) in understanding individual differences in self-care management variables (perceived self-care ability and self-care actions). It was hypothesized that higher SCD self-efficacy, greater social support, being employed, living with family or friends, increased age, more years of education, higher income, and being male are each associated with having higher perceived self-care ability and more frequent self-care actions. The second aim was to evaluate the relationships among psychosocial variables (SCD self-efficacy and social support), socio-demographic variables (age, gender, education, employment status, income, and living situation), and self-care management variables (perceived self-care ability and self-care actions) in understanding hospital visits for crises. It was hypothesized that higher perceived self-care ability and more frequent self-care actions are associated with fewer hospital visits for crises. The third aim was to evaluate the mediational role of perceived self-care ability and self-care actions in the relationships among psychosocial variables (SCD self-efficacy and social support), socio-demographic variables (age, gender, education, employment status, income, and living situation), and the number of hospital visits for crises. It was hypothesized that SCD self-efficacy, social support, and the socio-demographic variables have both a direct and an indirect relationship with the number of hospital visits for crises. In 103 young Black adults (ages 18-30) with sickle cell disease (SCD), an exploratory , correlational study was conducted, via secondary analysis of data, to examine the relationships among SCD self-efficacy, social support, socio-demographic variables, self-care management (self-care ability and self-care actions), and the number of hospital visits for crises. Bivariate correlations and regression analyses were conducted to evaluate the relationships among the variables and to examine the mediational role of self-care management. Sickle cell disease self-efficacy, social support, years of education, and income were significantly related to perceived self-care ability and self-care actions. Social support accounted for the majority of the variance in each self-care management variable. The hypothesis that higher SCD self-efficacy and greater social support are associated with higher perceived self-care ability and more frequent self-care actions was supported. Education was also associated with higher perceived self-care ability and self-care actions as hypothesized. The overall model with SCD self-efficacy, social support, years of education, income, perceived self-care ability, and self-care actions was not significant in predicting the number of hospital visits for crises. There were no significant associations noted among age, annual household income, living situation, employment status, and the self-care management variables. The hypothesis that higher perceived self-care ability and more frequent self-care actions are associated with fewer hospital visits for crises was not supported. Further, there was no adequate evidence to support a direct relationship between SCD self-efficacy, social support, years of education, and the number of hospital visits for crises. The indirect relationship, through self-care management, among the variables was also non-significant. There was however a significant direct relationship noted between income and the number of hospital visits for crises. The outcomes of the study may be important for clinical care, patient education, and health outcomes in the SCD population. Findings may be used to conduct larger confirmatory studies and to develop interventions that may be used to supplement therapy in the clinical setting and to enhance patient self-care management at home. Additional studies are needed, however, to clarify what additional variables may affect the number of hospital visits for crises and to identify specific pain prevention and management strategies used by SCD patients.

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Sarkadi, Anna. "The borderland between care and self-care." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis : Univ.-bibl. [distributör], 2001. http://publications.uu.se/theses/91-554-4901-8/.

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Ashford, Dimitri Shabree. "BELIEFS ABOUT SELF-CARE AMONG ONCOLOGY PROVIDERS." CSUSB ScholarWorks, 2014. https://scholarworks.lib.csusb.edu/etd/54.

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The research question in this project explores self-care practices that oncology providers utilize to manage stress, burnout, and compassion fatigue in their work environment. As an exploratory study, this research project examines self-care practices among the oncology providers and how self-care relates to the quality of patient care. The survey provided to the participants focused on the individual well-being such as spiritual, social support, physical, and emotional support. Findings from this study indicated that oncologist utilize spiritual self-care more than any other medical professional. The older adults utilize their social support systems more than the younger adults. Individuals with three or more children are better at utilizing their social support, physical self-care, and emotional support systems than individuals with two or less children.

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Saenz, Mia Nicole, and Mia Nicole Saenz. "Home Care Nurse Practitioner Knowledge of Self-Care Management in Patients with Heart Failure." Diss., The University of Arizona, 2016. http://hdl.handle.net/10150/622940.

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Objective: The purpose of this project is to explore the depth of HF self-care management knowledge of home care NPs that will help improve patient HF management in New Mexico. Methods: A quantitative descriptive study design was used. Home care NPs (n=6) were recruited from the New Mexico Nurse Practitioner Council to participate in a 22-item survey on HF self-care management topics administered to participants via email. Results: Home care NPs' scores demonstrated at 74% knowledge base in overall heart failure self-care management education topics. NPs scored the lowest (0% answered correctly) in recognition of signs and symptoms of a worsening condition, sodium restrictions (50% answered correctly), weight gain (50% answered correctly), and hospital follow-up (50% answered correctly). Limitations of the study include a small sample size with inability to generalize results. Conclusions: Findings suggest that home care NPs may not be sufficiently knowledgeable in evidence-based HF self-care management education topics. Development of educational programs may be warranted to aid in the management of HF patients ultimately resulting in quality education for the patient. Further research is warranted to identify specific deficits and whether educational programs would enhance and maintain home care NPs knowledge of HF self-care management education.

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Krouse, Robert S., Marcia Grant, Ruth McCorkle, Christopher S. Wendel, Martha D. Cobb, Nancy J. Tallman, Elizabeth Ercolano, Virginia Sun, Judith H. Hibbard, and Mark C. Hornbrook. "A chronic care ostomy self-management program for cancer survivors." WILEY-BLACKWELL, 2016. http://hdl.handle.net/10150/615618.

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Individuals with ostomies experience extensive changes in health-related quality of life (HRQOL) and daily routine. Patients and families are typically forced to use trial and error to improve self-management.

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Kennedy, Michael G. "Relapse in Schizophrenia : the relationships among insight, symptom recognition, symptom self-management, and perceived effectiveness of symptom self-management at the time of hospitalization /." Thesis, Connect to this title online; UW restricted, 1994. http://hdl.handle.net/1773/7372.

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Buford, Terry A. "Transfer of responsibility for asthma self-management from parents to their school-age children /." free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3036810.

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So'Brien, van Putten Juliette M. "Diabetes self-management (DSM) education within managed care organizations in Ohio /." The Ohio State University, 1998. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487949508369574.

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Konstantinos, Kevin. "Self-Care Management of African American Men with Type 2 Diabetes." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4930.

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African American men are disproportionately affected by type 2 diabetes and have a 3 times higher rate of 3 serious complications of diabetes, including blindness, amputations, and end-stage renal disease, compared to other groups. The purpose of this project was to address the gap-in-practice disparity that exists in care of African American men with diabetes by providing one-on-one self-care management education in an outpatient clinic setting. The behavior change theories that supported the project intervention were Orem's self-care theory and Bandura's self-efficacy theory. Employing a quasi-experimental design, 33 participants between the ages of 40 and 65 were divided into an intervention group (n = 18) and a comparison group (n = 15) by self-selection. Only participants in the intervention group received the diabetes self-care education program. Both groups completed pretest and the posttest questionnaires that collected demographic data and data from the Summary of Diabetes Self-Care Activities, the Diabetes Knowledge Test, and the Self-Efficacy for Diabetes tool. Statistically significant differences between the groups were found in the posttest scores of self-care activities, diabetes knowledge, and self-efficacy. The differences can most likely be attributed to the diabetes education intervention. This project demonstrated that diabetes self-care management education can be provided effectively in the clinic office setting, making diabetes education more available to and accessible for patients who need it most. Integrating diabetes self-care education into primary care providers' offices has the potential to address the gap-in-practice that exists for African American men with type 2 diabetes and contribute to social change by preventing disease progression.

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Onyegwu, Chidinma. "Patient's Compliance with Diabetes Self-Management in the Primary Care Setting." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6733.

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Diabetes is a chronic disease that can be self-managed to control the disease and its adverse consequence. The purpose of this systematic literature review was to examine the barriers to patients' successful adherence to the self-management plan and to examine strategies used to improve patients' compliance with self-care behaviors. Three practice-focused questions focused on the personal characteristics or factors influencing patients' compliance with self-management, the barriers to patient compliance regarding diabetes self-management, and the effective strategies used to improve patients' compliance with diabetes self-management at primary care clinics. The literature review used the preferred reporting items for systematic reviews and meta-analyses model and the Johns Hopkins nursing evidence-based practice models. Findings showed that implementation of strategies using technology messages and texts can significantly decrease hemoglobin A1c levels, reduce complications of people with diabetes, and bring about social change by minimizing the prevalence of diabetes in the United States. The implementation of the project's outcomes can improve proper self-management practices among patients with diabetes, decrease the diabetes incidence among adults, and minimize health-related complications.

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Fowora, Muinah Adenike. "Adherence to Self-Care Management of Sickle Cell Disease Among Caregivers." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2257.

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The self-care management of sickle cell disease (SCD) improves mortality rate; however, compliance with SCD self-care management remains a problem. The purpose of this study was to examine the knowledge and factors that influence compliance with SCD self-care management recommendations among caregivers of children with SCD. The health belief model was used as the theoretical foundation of this study, theorizing that caregivers' perceived susceptibility, severity, and benefits of SCD self-care management will influence compliance. The study used a quantitative research design. A cross-sectional survey was administered to 100 caregivers of children with SCD attending sickle cell clinics in Lagos, Nigeria using convenience sampling. Information was obtained from participants using a structured interviewer-administered questionnaire, and data were analyzed using descriptive statistics, bivariate correlations, and binary logistic regression techniques. Findings confirmed a high adherence rate but low knowledge of SCD self-care management among the caregivers of children with SCD. There was no significant correlation between knowledge of SCD self-care management and adherence. However, the findings from the multivariate analysis identified knowledge as a predictor of adherence and religiosity and total number of barriers as barriers to adherence. Parental health beliefs did not influence adherence to SCD self-care management. These findings have social change implications by guiding the work of health educators, health care providers, and public health practitioners to incorporate group counseling on SCD self-care management at every sickle cell clinic.

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Moore-Jervis, Sharnee. "Improving Nursing Knowledge of African American Heart Failure Self-Care Management." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7703.

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Heart failure is a complex chronic disease affecting 6.6 million people in the United States, with an annual cost of $39.2 billion per year. African Americans are at an especially high risk for poor outcomes and readmissions from heart failure complications, as they are 2.5 times more likely to develop heart failure than other ethnic groups. This disease requires a high level of patient self-care management, and evidence suggests that African Americans do not always receive culturally sensitive education, which can lead to suboptimal self-care practices. The practice-focused question for this educational program asked whether nurses of African American patients with heart failure could use a culturally sensitive health education toolkit to improve patients’ knowledge of self-care management. The purpose of this doctoral project was to determine if a culturally sensitive toolkit could increase nursing knowledge. The population focus was nurses caring for African American heart failure patients with frequent readmissions from a high-risk heart failure clinic in New Jersey. The use of Hofstede’s cultural dimensions and an exhaustive literature review guided this doctoral project. The tool used to assess participants’ pre- and post-knowledge was the cultural awareness and sensitivity tool. There were 11 participants comprised of nurses, nurse case managers, and advanced practice nurses; they exhibited a 1.92% improvement in knowledge after the education session. This outcome shows that this educational program was effective and has the potential to contribute to social change by educating nurses on providing effective, culturally sensitive self-care education to African American heart failure patients to increase their adherence to self-care practices.

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Alderman, Keith Christopher. "Pastoral self-care as ministerial imperative." Theological Research Exchange Network (TREN), 1998. http://www.tren.com.

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Harris, Adelaide N. "Diabetes Self-Management Education Provision by an InterprofessionalCollaborative Practice Team: A Quality Improvement Project." Xavier University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1512645367935855.

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Xin, Chen. "Communicating Emotion Management: Improving Mental Health Self-care for Chinese Emerging Adults." University of Cincinnati / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1595499387373559.

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18

Buford, Terry A. Hall. "Transfer of responsibility for asthma self-management from parents to their school-age children." free to MU campus, to others for purchase, 2001. http://wwwlib.umi.com/cr/mo/fullcit?p3036810.

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Hanafi, Nik Sherina. "Self-management and health care utilisation in primary care for minor ailments among working adults in Malaysia." Thesis, University of Manchester, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.503007.

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Bordelon, Lori D. "Follow-Up Phone Calls Improving Self-Care Efficacy in Heart Failure Patients." Thesis, University of Louisiana at Lafayette, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10163307.

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The goal of the project was to implement best-practice guidelines for adults with heart failure (HF) receiving home care. Heart failure is incurable, but can be managed when healthcare providers use evidence-based treatment guidelines and patients comply with routine follow-up and practice a healthy lifestyle. Providing access to care for the elderly in the form of a structured telephone call program to monitor self-care efficacy related to adherence to medication and other treatments and therapies is associated with reduced HF symptoms and improved quality of life. This project implemented a phone call follow-up program to evaluate and improve self-care efficacy in adults with heart failure by monitoring compliance, providing education, and focusing on key indicators of HF symptom exacerbation. The Self-Care of Heart Failure Index (SCHFI) was used in weekly phone calls for a total of 10 weeks. Using the SCHFI tool provided structure and included key best practice content areas with scripting to enhance consistency. The project participants were adults age > 65 year old patients receiving care through a home health care team in central Louisiana who had an established diagnosis of heart failure.

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Schapansky, Lisa M. "Impact of a community pharmacists' care on self-management in type 2 diabetes." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0012/MQ60184.pdf.

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Sather, Linda Strube. "Patient focused care : the path to empowered self-management a grounded theory approach /." Access Digital Full Text version, 1992. http://pocketknowledge.tc.columbia.edu/home.php/bybib/11063890.

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Thesis (Ed.D.)--Teachers College, Columbia University, 1992.
Typescript; issued also on microfilm. Sponsor: Elizabeth Maloney. Dissertation Committee: Jane Monroe, . Includes bibliographical references (leaves 85-90).

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Adkins, Jessica. "Using Diabetes Self-Management Education to Enhance Adolescent Transition." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5152.

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Type 1 diabetes is a long-term diagnosis, the prognosis of which is directly related to the patient's ability to self-manage the disorder. Adolescents are not currently taught how to manage diabetes; instead, parents and educators expect self-management to be more of a learned behavior from their parents. The purpose of this project was to create a quality improvement plan which the regional pediatric diabetes center study site could implement to improve adolescent glycemic control. Orem's self-care theory was used as theoretical framework for the design and evaluation of the project. The practice-focused question for this doctoral project was: Can a quality improvement plan focused on diabetes self-management education support better control of the glycemic ranges of Type 1 diabetes in adolescents during the transition of self-management from parent to child? The design of the project included creation of curriculum for classes as well as streamlining blood glucose reporting within the center. The quality improvement plan outcomes provided an improvement on hemoglobin A1c of 0.3% for those utilizing the reporting systems and an improvement of 0.4% for those who had attended the education classes. Of the 11 patients who routinely sent in blood glucose over the 4-month time period, 10 met the goal of checking glucose as directed. These outcomes indicate the potential need for more concise direction within nursing practice to provide individual ages within the pediatric population with specific education plans to improve health outcomes. Improving the glycemic control of adolescents living with diabetes allows for a better transition into adulthood with a decreased risk of long-term complications, significantly contributing to positive social change.

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Chiaranai, Chantira. "Self-Care and Quality of Life in Patients with Heart Failure." VCU Scholars Compass, 2007. http://hdl.handle.net/10156/2077.

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Askratni, Josette. "A Chronic Obstructive Pulmonary Disease Self-Management Packet to Reduce 30-Day Readmissions." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4709.

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Chronic obstructive pulmonary disease (COPD) signifies a significant public health challenge that is both avoidable and treatable. There was no standardized education offered to the COPD population at the practice location. The scope of the project encompassed standardizing education by developing a self-management packet for the COPD patients. The goal of this project was to examine how the development of a standardized COPD self-management packet enhances the quality of care and strategizes reducing 30-day readmissions compared to nonstandardized delivery of education. Orem's self-care theory and Bandura's self-efficacy concept were used to explain the principle of self-management, while Rosswurm and Larrabee's evidence-based practice model was used to guide practice change. The U.S. Prevention Service Task Force's level of evidence hierarchy was chosen to categorize the strengths and weaknesses of the evidence referenced for this project. Postdevelopment surveys using the Likert scale were distributed to the facility's COPD committee, and a 70% response rate of strongly agreed to all questions was achieved. There were no adverse responses, and the packet was approved unanimously. Based on the positive responses, the packet will be easily adapted and beneficial in practice. The recommendation is to pilot the packet on the medical-surgical unit and follow-up postdischarge with phone calls to ascertain patients' perspective of the packet. Utilization of the education packet will lead to positive social change by affording the stakeholders self-management awareness and positive outcome measures including reducing the COPD 30-day readmission rate, curtailing economic strains, and promoting positive patient-centered relationships.

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Young, Ping, and 葉萍. "A self-management programme for older adults with age-related macular degeneration (AMD)." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48339556.

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Age-related macular degeneration (AMD) causes vision impairment which is not recoverable under existing treatment options. It has been a major leading cause of blindness in the aged population. To ameliorate the self-care ability for AMD patients, educational interventions to mediate negative impacts of the disease on quality of life have become a research interest. Current practice in the proposed Hong Kong setting, Elderly Health Centre A and Elderly Health Centre B, depends on nurses giving general advice which is lack of scientific support and non-specific to AMD. Purpose of this dissertation is to translate the best evidence to practice for improving the care of older adults with AMD in the proposed setting. Evidences showed that self-management education programmes were effective in improving emotional distress and self-efficacy. Electronic searches located 9 relevant RCTs of high level and methodologically strong evidences. Data was extracted into tables of evidence. Data summary and synthesis was presented. Assessment on the implementation potential indicated that the SEP was worth to try in the local setting. Twelve recommendations for the practice guidelines of SEP were presented and a communication process to facilitate the change in a top-down approach was introduced. A pilot study plan in Centre A followed by a main study in Centre A and Centre B was presented. A total of 98 elderly patients with AMD will be recruited as 10 SEP groups. Approximately 1.8 years will be used to finish the main study. Outcomes will be measured at the 6th week follow-up. ‘Emotional distress’ will be measured as primary outcome and ‘self-efficacy’ will be measured as secondary outcome. ‘Client satisfaction’, ‘staff satisfaction’ and the ‘utilization rate of the innovation’ will also be assessed in evaluation. A two-tailed paired (one-sample) t-test will be adopted for analysis, with a 95% confidence interval. The basis for effectiveness for the outcome measurements and basis for adoption of the clinical guidelines were stated. Adoption of the developed guidelines in the local setting will optimistically improve the substantial clinical outcomes for AMD patients, mediating the negative impacts of vision impairment or vision loss on their quality of life.
published_or_final_version
Nursing Studies
Master
Master of Nursing

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Morris, Rebecca. "Evolving 'self'-management : a qualitative study of the role of social networks for chronic illness management in primary care." Thesis, University of Manchester, 2011. https://www.research.manchester.ac.uk/portal/en/theses/evolving-selfmanagement-a-qualitative-study-of-the-role-of-social-networks-for-chronic-illness-management-in-primary-care(4cb673aa-009c-4962-af1b-05f909482221).html.

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Background: Much social network analysis in health related research has focused on the impact of social networks in the genesis of long term conditions and associated inequalities. However, there has been little research on the role of social networks in the management of such conditions. This is significant at a time when increasing policy emphasis is placed on individual self-care and assumptions are often made about social support, and familial support in particular. The management of chronic illness is complex involving the interplay of personal and contextual factors and comprised of a number of daily activities which include the ongoing negotiation of management into existing roles and the degree of individual engagement with self-management. Little is known about how these aspects interact to shape and influence management, what constitutes a social network for individuals with long term conditions and whether this changes over time.Methods: This study was embedded within the Whole Systems Informing Self-management Engagement (WISE) randomised control trial. It used a longitudinal qualitative design with initial face to face in-depth interviews, telephone follow-ups over a year and final face-to-face interviews where sociograms were also used to elicit network structure.Results: The findings suggest that who is in the social network, and the types of relationships which are present, influence how management practices are framed and the extent to which they are engaged with. Resources available to an individual through the network support, or undermine, engagement and changed over time. Networks included family, friends, GP, nurses and companion animals. The amalgamation of the different types of relationships that constitute the social networks are characterised by three typologies; the family focused network, the friend focused network and the health care professional focused network. These network types reflected where support was sought in times of crisis. In the absence of 'typical' sources accounts highlighted the substitutability of network members which was often narrowly sought from key individuals. Changes in illness management, either positive or negative, were framed around critical moments as they challenged existing norms of practice and involved significant network members. Further, co-morbid conditions placed an additional complexity to management and priorities were shaped by the recursive relationship with health services which seemingly influences patients' orientation in becoming either active assessors of health care or less engaged through being overwhelmed. Conclusions: This thesis challenges the notion of 'self'-management as an individual construct as many of the practices of illness management involved the support and/or negotiation of roles with others. Critical moments are a key point where normalised management practices are challenged and have particular relevance for future interventions which could foster these critical points to facilitate such changes in routines. Interventions and education need to reflect this wider setting in which chronic illness management occurs for the practices of management to become normalised into everyday routines.

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Ip, Sik-yung, and 葉式容. "An evidence-based self-management education program for Chinese older adults with osteoarthritis of knee." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193030.

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With ageing population in Hong Kong, the prevalence of osteoarthritis is expected to be increasing. The most common type of osteoarthritis is osteoarthritis of knee. Osteoarthritis adversely affects physical activities, social activities and quality of life. It causes socioeconomic burdens and has become a more prominent public health issue in Hong Kong. Self-management of this irreversible health problem in the daily living is crucial to those elders suffering from osteoarthritis. However, no evidence-based guidelines on self-management education for elders with knee osteoarthritis have been formed. The objectives of this paper are to review literatures on the effectiveness of self-management program and to formulate evidence-based guidelines on self-management education for Chinese older adults with knee osteoarthritis. The literature review showed that self-management program was an effective measure to improve self-efficacy for self-management and to reduce pain among the elders with knee osteoarthritis. The assessment on the implementation potential of the self-management program showed that self-management program could be transferred to the community-dwelling Chinese elders with knee osteoarthritis and was found to be feasible for implementation in Elderly Health Centers in Hong Kong. The benefits of self-management program outweigh the costs for the implementation of such a program. The proposed self-management program would mainly provide the elders with the self-management skills, osteoarthritis related information and exercise practice in group sessions. There would also be follow-up telephone coaching. Guidelines for implementing the proposed self-management program are shown in this thesis. Implementation plan was formulated to propose communication strategies to initiate and sustain the implementation of the proposed self-management program. Pilot test was designed to test the feasibility of the program. Evaluation plan was developed to evaluate the effectiveness of the program in improving self-efficacy for self-management and reducing osteoarthritis pain for Chinese older adults with knee osteoarthritis. In sum, self-management program was found to be effective in improving self-efficacy for self-management and reducing pain among the elders with knee osteoarthritis. The guidelines on the proposed self-management program could support the evidence-based self-management education for Chinese older adults with knee osteoarthritis in Hong Kong.
published_or_final_version
Nursing Studies
Master
Master of Nursing

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Willis, Erin. "The perceived role of personal social identity in the promotion of arthritis self-management programs." Diss., Columbia, Mo. : University of Missouri-Columbia, 2008. http://hdl.handle.net/10355/5714.

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Thesis (M.A.)--University of Missouri-Columbia, 2008.
The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file (viewed on August 19, 2009) Includes bibliographical references.

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Boren, S. A. "Educational content and patient competence in chronic care /." free to MU campus, to others for purchase, 2004. http://wwwlib.umi.com/cr/mo/fullcit?p3144402.

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Gustavsson, Catharina. "Self-management of Persistent Neck Pain : A Multi-component Group Intervention in Primary Health Care." Doctoral thesis, Uppsala universitet, Institutionen för folkhälso- och vårdvetenskap, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-134522.

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The overall aim of this thesis was to evaluate effects of a multi-component pain and stress self-management group intervention (PASS) and to explore plausible predictors associated with short-term and long-term treatment effects among patients with persistent tension-type neck pain in primary health care (PHC). Study I was a pilot study in order to explore feasibility of the study design and methods. It included 37 participants randomly assigned to the intervention (n=18) or treatment-as-usual (n=19). Study II-III was a pragmatic randomized controlled trial that compared effects of the PASS and individually administered physiotherapy (IAPT) on patients with persistent tension-type neck pain in PHC. Study II evaluated short-term effects over a 20-week follow-up. Study III evaluated long-term effects on maintenance over a follow-up period of 2 years. Studies included 156 participants randomly assigned to PASS (n=77) or IAPT (n=79). Study IV explored predictive factors for favorable outcome in disability regarding participants assigned to PASS. The results showed that PASS had better effects than IAPT regarding coping with pain, in terms of patients’ ability to control pain, self-efficacy regarding activities interfered with by pain, disability and catastrophizing, over the 20-week follow-up, and treatment effects were largely maintained over a 2-year follow-up. Post-treatment scores in disability, self-efficacy and pain intensity were associated with long-term outcome in pain-related disability 2 years post-treatment following PASS. Pre-treatment characteristics explained only a minor proportion of variance in disability, and were assumed weakly associated with treatment success and long-term outcome. Key components for enhancement of long-term efficacy in pain self-management coping efforts were adequately targeted by PASS. It is suggested important to strengthen self-efficacy beliefs in regard to pain coping, to reduce disability and enhance pain self-management in the treatment of persistent neck pain, and to induce long-term maintenance of treatment gains on disability following a pain self-management intervention.

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Gustafsson, Mikaela, and Noora Ali. "Faktorer som påverkar egenvården hos personer som lever med hjärtsvikt." Thesis, Hälsohögskolan, Högskolan i Jönköping, HHJ, Avd. för omvårdnad, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-27997.

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Hjärtvikt är en vanligt förekommande kronisk sjukdom i Sverige som ger symtomen trötthet, andfåddhet och ben svullnader. Personers förmåga att utöva en god egenvård är en mycket viktig del, och kan öka livskvalitén och överlevnaden vid hjärtsvikt. Litteraturgenomgången tyder på att det hos vissa personer med hjärtsvikt finns en bristande förmåga att utöva egenvård. Syfte: Att beskriva och identifiera vilka faktorer som påverkar personers egenvård vid hjärtsvikt. Metod: En litteraturöversikt med kvalitativ ansats utfördes. Totalt 10 studier granskades och analyserades med hjälp av Fribergs femstegsmodell. Resultat: Ur granskningen och analysen kom fem subteman fram som sedan delades in i två huvudteman. Huvudteman blev sociala faktorer och hälsofaktorer. Resultatets underteman blev miljöfaktorer, erfarenhet och kunskap, relationer och stöd, emotionella uttryck samt fysiologiska faktorer. Några av de faktorer som redovisades i resultatets olika underteman var ålder, tillgänglighet, nedstämdhet och bristfällig kunskap, de faktorerna påverkade egenvården hos personer. Slutsats: Det är viktigt att som sjuksköterska vara medveten om att olika faktorer kan ha olika betydelse för personens egenvårds hantering, vikten av personcentrerad omvårdnad är tydlig Nyckelord: hjärtsvikt, omvårdnad, egenvård, egenvårdshantering
Heart failure is a common chronic disease occurring in Sweden. Symptom that can arise is fatigue, shortness of breath and edema. The ability to practice a good self-care is a really important part and can increase the quality of life and the survival with heart failure. A review of previous studies suggests that some person’s with heart failure have a lacking ability to practice an adequate self-care. Purpose: The purpose of the study is to describe and identify the factors that influence a person’s self-care in heart failure. Method: A literature review with a qualitative approach was carried out. A total of 10 studies was reviewed and analyzed with the use of the five step-model created by Friberg. Result: Out of the survey and the analysis, five subthemes were found which later were divided into two themes. The themes that were created were social factors, and health factors. The subthemes of the result were factors in the environment, experience and knowledge, relations and support, emotional expression and physiological factors. Some of the factors that will be found in the subthemes are, age, availability, depression and lack of knowledge, which was factors that gave an impact to the self-care of a person. Conclusion: It is important as a nurse to be aware of the fact that different factors could have various meanings for a person’s self-care management, the importance of person-centered-care is very clear. Keywords: heart failure, self-care, nursing, self-care management

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Cochran, Jane Ellen. "Meta-analysis of quality of life outcomes following diabetes self-management training." Diss., Columbia, Mo. : University of Missouri-Columbia, 2007. http://hdl.handle.net/10355/4808.

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Thesis (Ph. D.)--University of Missouri-Columbia, 2007.
"December 2007" The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Vita. Includes bibliographical references.

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Davis, Jo Ann. "The relationship between self-efficacy of diabetes management and health-promoting behaviors." Virtual Press, 1997. http://liblink.bsu.edu/uhtbin/catkey/1041919.

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Diabetes Mellitus is a chronic disorder that requires daily adherence to complex regimens for glucose control. The purpose of this study was to examine the relationship between the capability for self-management of diabetes and the practices of health-promoting behaviors. Instruments used were the Health Promotion Lifestyle Profile to measure health-promoting behaviors, the Insulin Management Diabetes Self-Efficacy Scale to measure self-efficacy in diabetes management, and a demographic questionnaire.Fifty participants from the outpatients of a midwestern veterans hospital responded to the questionnaires. Results showed a moderately positive significant correlation between self-efficacy in diabetes management and health-promoting behaviors (r=.52, p<001).The findings of this study point the importance of higher levels of self-efficacy and participation in health-promoting behaviors for more effective management of diabetes and improved health and well-being.
School of Nursing

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Dinh, Thi Thuy Ha. "A Self-management program for people with heart failure in Hanoi, Vietnam : a cluster randomised controlled trial." Thesis, Queensland University of Technology, 2016. https://eprints.qut.edu.au/101527/1/Thi%20Thuy%20Ha_Dinh_Thesis.pdf.

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This project examined teaching of heart failure self-management to both nurses and patients in Vietnam. The main study was an evidence-based clinical trial, revealing that a short individual self-care education intervention improved patients’ knowledge and adherence to recommended self-care behaviours. The thesis also highlighted that people often struggle to understand health information. It demonstrated that the teach-back method should be a priority strategy in delivering health education to those with low health literacy.

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Ghafouryan, Gomish Bashi Nazli. "Evaluating a web-based self-management intervention in patients with heart failure: A pilot study." Thesis, Queensland University of Technology, 2015. https://eprints.qut.edu.au/82285/1/Nazli_Ghafouryan%20Gomish%20Bashi_Thesis.pdf.

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This pilot study aimed to evaluate the feasibility of a web-based self-management intervention in patients with heart failure. The study consisted of two phases including developing the web-based application and examining its feasibility in a group of heart failure patients. The results of this study were consistent with the current literature which has failed to show the benefits of web-based interventions for chronic disease self-management. In the current thesis, therefore, issues influencing the effectiveness of the web-based interventions were analysed. Recommendations for improving effectiveness of the web-based applications were also provided.

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Pouladi, Fatemah Ali RN. "Diabets Knowledge, Self-Effecacy, Social Support, and Diabetes Self-management Affecting Type II Diabetes Outcomes In Qataris." Case Western Reserve University School of Graduate Studies / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=case151512792425253.

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Doyle, Sarah. "Intricacies of professional learning in health care : the case of supporting self-management in paediatric diabetes." Thesis, University of Stirling, 2016. http://hdl.handle.net/1893/23993.

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This thesis offers a rethinking of the role for education as critical workplace pedagogy in complex problems of health care. Taking the case of paediatric diabetes, the study explored how health-care professionals learn the work of supporting children, and their parents, to self-manage the condition. By reconceptualising work problems as sociomaterial learning struggles, this research contributes new understandings of informal professional learning in everyday health-care provision. Data were generated through fieldwork in an outpatient clinic. Particular challenges of supporting self-management in this case were the difficulties of balancing policy aspirations for empowerment with biomedical knowledge about risks to immediate and long-term health. Tracing the materialisation of learning as it unfolded in moments of health-care practice showed professionals handling multiple and contradictory flows of information. Particular challenges were posed by insulin-pump technologies, which have specific implications for professional roles and responsibilities, and introduce new risks. A key insight is that professionals were concerned primarily with the highly complicated perpetual discernment of safe parameters within which children and their parents might reasonably be allowed to contribute to self-management. Such discernment does not readily correspond to the notion of empowerment circulating in the policies and guidelines intended to enable professionals to accomplish this work. As a result, this thesis argues that the work of discernment is obscured. Learning strategies evolve, but could be supported and extended by explicit recognition of the important work of learning as it unfolds in everyday practices of supporting self-management in paediatric diabetes. Most importantly, workplace pedagogies could be developed in ways that attune to the profound challenges and uncertainties that are at stake in these practices.

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Cohen, Adrienne Lynn. "Support Networks of Rural Older Adults with Self-Care Challenges." Miami University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=miami1302028258.

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Shackelford, Judy Ann. "A comparison of an individually tailored and a standardized asthma self-management education program." St. Louis, Mo. : University of Missouri--St. Louis, 2007. http://etd.umsl.edu/r2461.

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Collier, Samuel. "Diabetes Management for Low-Income Patients: Within-Case Analyses in Primary Care." Antioch University / OhioLINK, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1545175642997094.

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Jutterström, Lena. "Illness integration, self-management and patient-centred support in type 2 diabetes." Doctoral thesis, Umeå universitet, Institutionen för omvårdnad, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-67847.

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Background: Type 2 diabetes is a serious disease that is increasing globally. The focus of diabetes care has been to prevent diabetes related complications and thereby reduce mortality. An older population, the disease progression and decreased ability to perform self-management activities increases the risk for complications. Group education and patient-centred care are recommended to improve self-management through increased patient empowerment. Despite these recommendations, professionals have been reluctant to adopt these methods referring to lack of knowledge, time and tools to deliver patient-centred care in diabetes. Focusing on the patient’s illness integration process has in the literature been suggested to improve self-management and metabolic balance. Aim: The overall aim of the thesis was to describe the experiences of illness integration, self-management and support in type 2 diabetes and to evaluate the metabolic effects of a nurse-led patient-centred model for self-management support. Methods: The study setting was primary health care in Västerbotten County, Sweden. In total, 21 diabetes nurses (Study I) and 257 patients (Studies II-IV) participated in the four studies (Study II, n=44; Study III, n= 18; Study IV, n= 195). Data consisted of focus group interviews (Study I), individual semi-structured interviews (Studies II-III) and laboratory measurements (Study IV). Methods for analyses were qualitative content analysis (Studies I-III) and statistics (Study IV). Results: Study I revealed that diabetes nurses found the ideal diabetes care complex to achieve. Conflicting paradigms, power relations and departmentalisation of work were described. Study II describes a process whereby illness integration and self-management in type 2 diabetes develop simultaneously. When a turning-point occurs, people view self-management as both necessary and feasible. In study III, turning points in self-management are illuminated. Turning-point transitions include existential and emotional aspects that increase inner motivation and power for lifestyle change. Study IV evaluates the effects of a nurse-led intervention in which haemoglobin A1c (HbA1c) was significantly decreased at 12 months’ follow-up. Group intervention and individual intervention were both effective compared to traditional diabetes care. Conclusions: There is a potential for improvement of type 2 diabetes care. Increased patient-centredness is important to support patients towards illness integration and self-management. Focusing on the patients’ illness experiences, including the existential and emotional aspects of having and managing type 2 diabetes, in counselling can lead to improved self-management and glycaemic control. Patients’ experiences of illness are central to their inner motives for change, and patient-centred self-management support and patient education preferably emanate from this perspective.
Bakgrund: Typ 2 diabetes är en allvarlig sjukdom som ökar globalt. Fokus i diabetesvården har varit att förebygga diabetesrelaterade komplikationer och därmed minska dödligheten. En åldrande befolkning, progression av sjukdomen samt en begränsad förmåga att utföra egenvårdsaktiviteter ökar risken för komplikationer. Grupputbildning och patientcentrerad vård rekommenderas för att förbättra egenvården genom ökad empowerment. Trots dessa rekommendationer har läkare och sjuksköterskor rapporterats vara tveksamma till dessa metoder och hänvisat till bristande kunskap, tidsbrist och avsaknad av verktyg. Att fokusera på patienters sjukdomsintegrationsprocess har i litteraturen föreslagits förbättra såväl egenvård som metabol balans. Syfte: Avhandlingens övergripande syfte var att beskriva erfarenheter av sjukdomsintegration, sjukdomshantering och support vid typ 2 diabetes samt att utvärdera effekter av en sjuksköterskeledd patientcentrerad modell för egenvårdssupport. Metod: Studierna genomfördes inom primärvården i Västerbottens läns landsting. Totalt deltog 21 diabetessjuksköterskor (Studie I) och 257 patienter (Studie II-IV), i de fyra studierna (Studie II, n=44; Studie III, n= 18; Studie IV, n= 195). Data bestod av fokusgruppsintervjuer (Studie I), individuella halvstrukturerade intervjuer (Studie II-III) och laboratoriemätningar (Studie IV). Analysmetoderna var kvalitativ innehållsanalys (Studie I-III) och statistik (Studie IV). Resultat: Studie I visade att en ideal diabetesvård är svår att uppnå enligt diabetessjuksköterskorna. Paradigmkrockar, maktrelationer och splittrade arbetsuppgifter beskrevs. Studie II beskriver en modell där sjukdomsintegration och sjukdomshantering utvecklas samtidigt. När en ”turning point” nåddes såg patienterna sjukdomshanteringen som både nödvändig och möjlig att genomföra. I studie III belystes ”turning points” och som omfattar både existentiella och emotionella aspekter som kan öka inre motivation och egenkraft att utföra livsstilsförändringar. Studie IV utvärderade 12-månaderseffekterna av en sjuksköterskeledd intervention och HbA1c sänktes signifikant. Gruppintervention och individuell intervention visades vara effektiva metoder i jämförelse med traditionell diabetesvård. Slutsatser: Det finns en förbättringspotential inom diabetesvården och ökad patientcentrering är viktig för att stödja patienter att integrera sjukdom och egenvård i livet. Att i diabetesvården fokusera på patienters sjukdomsupplevelser inklusive de existentiella och emotionella aspekterna av att leva med och hantera en sjukdom kan innebära förbättrad sjukdomshantering och metabol balans. Patienters sjukdomsupplevelser är centrala för deras inre motiv till förändring och patientcentrerad egenvårdssupport och patientutbildning bör utgå från detta perspektiv.

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Assefa, Metasebia. "Evaluating the Effectiveness of Registered Nurse-led Chronic Pain Self-Management Program within a Primary Care Facility." Thesis, Université d'Ottawa / University of Ottawa, 2019. http://hdl.handle.net/10393/39074.

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Self-management support (SMS) is considered an effective approach to chronic pain (CP) management. However, the provision of SMS for chronic pain patients faces challenges within primary care facilities in Ontario. An innovative SMS program led by a Registered Nurse (RN) at the Bruyère Family Health Team in Ottawa has been created for chronic pain patients. The goal of this program is to improve the current chronic pain management using SMS in an outpatient facility by harnessing the skills of primary health care team members. The hope would be that this program could be spread and scaled across other programs in the region. This thesis exists in two parts: 1. Evaluate the RN-led chronic pain self-management program to determine its effectiveness in terms of self-reported pain scales and Morphine Equivalence Quotient (MEQ) 2. Understand the perspectives of health care practitioners, administrators and patients within the RN-led chronic pain self-management program Patients meet with the RN for initial face-to-face visit for an hour, for SMS and then for at least one follow up visit. The primary outcome variables of interest were their self-reported pain evaluated using validated pain scales. Opioid use was also assessed before and after the porgram based on the MEQ. Results were analyzed using SPSSversion20. An online questionnair was distributed to team members. All responses were conceptually arranged into a SWOT analysis, which will be directed toward the ongoing management needs of the clinic. Between January 2016 and August 2018, 125 patients were seen of these 58 patients (12 males and 46 females) had at least one follow up appointment with the RN. In 46.2% of the population there was a decrease in their total opioid dose from their first to their last appointment and of these 4 patients (15.4%) had a daily MEQ of 0 by their last appointment. There was a significant average difference between patient’s daily MEQs at their first and last appointment (t20= 2.245, p<0.05). On average patients came into their first appointment with a daily MEQ of 23.88 higher than at their last visit (95% CI [1.69, 46.07]). Staff and patients who participated in the online survey identified the following strengths: multidisciplinary approach, increased accessibility for patients, cost effectiveness, better patient engagement, and no refills of opioids Canada needs a better strategy to manage the CP epidemic. This chronic pain self-management program led by an RN focuses on a multidisciplinary approach that is readily accessible to patients and integrated within primary care to best meet and prioritize the needs of chronic pain patients.

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Mitchell, K. "The effectiveness of a Self-management Programme of Activity Coping and Education - SPACE FOR COPD - in Primary Care." Thesis, Coventry University, 2013. http://curve.coventry.ac.uk/open/items/6c81b0ca-bac5-4499-9b42-208db13cb468/1.

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Introduction: COPD is a progressive disease, characterised by symptoms of dyspnoea, fatigue, exercise intolerance and reduced physical activity, resulting in impaired quality of life. Furthermore, the disease poses a significant burden on healthcare systems around the world. SPACE FOR COPD is a new self-management programme which aims to support individuals in acquiring the knowledge and skills required to optimise their emotional and medical well-being. Methods: This thesis describes a randomised controlled trial which aims to establish the effectiveness of a SPACE FOR COPD compared with usual care alone. 184 people with COPD were recruited from primary care. Individuals were randomly allocated to receive either the SPACE FOR COPD intervention or to continue with their usual care. The primary outcome was a measure of health-related quality of life (HRQoL), the Chronic Respiratory Questionnaire – Self Report (CRQ-SR) dyspnoea domain. Secondary measures included exercise performance, anxiety, depression, knowledge, self-efficacy and physical activity. Outcome measures were recorded at baseline, six weeks and six months. Results: There was no significant between-group difference in the change in dyspnoea at six months, therefore our hypothesis was rejected. In secondary outcomes, there were significant gains in HRQoL, exercise, performance, anxiety, knowledge and steps at six weeks, and at six months changes in exercise performance and anxiety remained statistically significant. Correction for multiple comparisons, however, had not been made. Conclusions: SPACE FOR COPD did not result in improved dyspnoea, over and above usual care at six months. The programme may confer significant benefits in HRQoL, exercise performance, anxiety, knowledge and physical activity over and above usual care in the short-term, and gains in anxiety and exercise performance maintained at six months. Although these patients were relatively early within the course of their disease, physical activity was low, highlighting the need for a lifestyle intervention in this group of patients. Exploration of the potential benefit of additional on-going support, and delivery within group settings may of value in order to support the maintenance of these benefits in the medium- and longer-term.

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Bradley, Nicole L. "The conceptualization of self-care and integration of self-care education in the Council for Accreditation of Counseling and related educational programs accredited Clinical Mental Health Counseling curriculum| A multiple case study." Thesis, Kent State University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=3618918.

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The purpose of this research was to explore how CACREP accredited Clinical Mental Health Counseling programs conceptualize self-care and integrate self-care education into counseling curriculum. Counselor educators in CACREP accredited Clinical Mental Health Counseling programs served as representatives to their programs and were invited to share how their counseling programs conceptualize self-care and integrate self-care education into the curriculum. In addition, the counselor educators identified a faculty member teaching a course in which the CACREP standard is met. This faculty member completed a questionnaire regarding their experiences teaching the course. The questions guiding the research were:

1. How do Clinical Mental Health Counseling programs accredited by CACREP conceptualize self-care?

2. How is self-care education integrated into counseling curriculum?

Participants included three counselor educators teaching in a Clinical Mental Health Counseling program accredited under the 2009 CACREP standards and two faculty members teaching a course in which the CACREP standard was met.

In response to the first question of how self-care is conceptualized in the program, two common themes emerged between the three individual cases: ambiguity of self-care conceptualization and an emphasis on prevention and early intervention. In response to question two which explored how the programs are integrating self-care education into the curriculum, two common themes emerged between the three cases: specific course integration and infusion throughout the program, and faculty involvement and demonstration of importance. The results and interpretations are explained; contributions to the current literature, implications, and limitations are discussed; and recommendations for future research are provided.

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Lee, Kyoung Suk. "SYMPTOM ASSESSMENT AND MANAGEMENT IN PATIENTS WITH HEART FAILURE." UKnowledge, 2012. http://uknowledge.uky.edu/nursing_etds/2.

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Patients with heart failure (HF) must monitor and recognize escalating symptoms to manage worsening HF in a timely manner. However, routine symptom monitoring is not commonly performed by this population. Providing a symptom diary along with an education and counseling session may help HF patients promote symptom monitoring and interpretation. The accumulated information about changes in daily symptoms will allow patients to easily compare current symptom status to the past without depending on memory and can rapidly capture worsening HF. To date, few studies have tested the effect of a daily symptom diary. The purpose of this dissertation was to develop and test a symptom diary intervention to improve outcomes in HF patients. Prior to testing the intervention, preliminary work included: (1) determining the impact of symptom clusters on cardiac event-free survival; (2) evaluating the quality of existing symptom measures designed for HF patients; (3) evaluating the effect of physical symptom items that were often included in a depressive symptom instrument on cardiac event-free survival; and (4) evaluating the association between symptom monitoring and self-care management. Based on this information, a randomized, controlled pilot study was conducted to test the effect of a symptom diary with an education and counseling intervention on prognosis, healthrelated quality of life (HRQOL), and self-care maintenance at 3 months follow-up. A total of 44 hospitalized patients with HF were randomly assigned to either usual care or intervention providing a daily symptom diary with education and counseling. There were trends toward fewer HF events and improved self-care maintenance in the intervention group compared to the usual care group. However, there was no difference in HRQOL between the two groups. The results of this dissertation suggest the importance of assessing symptom clusters and further studies to improve the quality of existing HF symptom measures. Results from this dissertation also provided the evidence of the advantages of regular symptom monitoring to facilitate early identification of worsening HF and initiation of timely responses. However, further studies are needed to provide additional evidence of the positive impact of a use of daily symptom diary in patients with HF.

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Wembenyui, Colette F. "Examining knowledge and self-management of chronic kidney disease in a primary health care setting: Validation of two instruments." Thesis, Queensland University of Technology, 2017. https://eprints.qut.edu.au/114078/1/Colette_Wembenyui_Thesis.pdf.

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Chronic kidney disease is a major health problem in Australia. Research shows that effective self-management behaviours can slow its progression and improve health outcomes. Knowledge of this disease is an important factor in self-management. This study, conducted at Inala Primary Care, evaluated the validity and reliability of instruments designed to measure kidney knowledge and self-management. This study found that while people with chronic kidney disease engage in some self-management, their knowledge was unexpectedly low. These instruments will be useful for clinicians to use in the real world so that educational support can be targeted to patient needs.

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Ziegler, Katie L. "Does Frequency of Clinic Attendance Impact Self-Care Knowledge in Adolescents and Young Adults with Spina Bifida?" University of Cincinnati / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1148308916.

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Horton, Jeryl Yvette. "Improving Self-Management in Patients With Chronic Conditions." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2489.

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Care Coordination Home Telehealth (CCHT) maintains a positive impact on the delivery of patient care in the primary care clinic at the Department of Veterans Administration Medical Center (VAMC). This quality improvement initiative targets patients with chronic conditions such as diabetes, hypertension, heart failure, and chronic obstructive pulmonary disease. These patient are frequently seen in the emergency room, and are often admitted to the hospital, where they saturate the outpatient clinics' waiting room with multiple walk-ins. CCHT has, to some extent, reduced walk-ins, emergency room visits, and hospitalization while minimizing the strain on access to care at the VAMC. Sustaining self-management skills of veterans with chronic conditions at the VAMC continues to impose challenges. In this project, retrospective data from 95 randomly selected charts reviewed during a 2-year period were used to compare hospitalizations, emergency room visits, and primary care visits. The findings of the study indicate veterans enrolled in Home Telehealth show positive social change. The social change is evidenced by change in behavior patterns, such as maintaining a healthy diet, performing daily physical activity, and compliance with medication administration. Enrolled veterans had better outcomes regarding hospitalization, emergency room visits, and primary care visits. The data highlighted the need for incorporating disease-specific protocols guiding care coordinators at first point of contact with the veteran patient. Following these protocols may enhance communication style that matches the patient's stage of behavioral change with interventions.

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Chafin, Ashley. "The Role of Impression Management in Differential Health Reporting." Cleveland State University / OhioLINK, 2014. http://rave.ohiolink.edu/etdc/view?acc_num=csu1421159770.

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Dissertations / Theses on the topic 'Self-care management'

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