Self-care of older persons in the Potchefstroom district / Tinda Rabie
Quality of life
Self-care (self-care agency, self-care agent, self-care deficit)
Self-care support groups
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AbstractThesis (M.Cur.)--North-West University, Potchefstroom Campus, 2010.
The number of older persons is growing at a shocking rate. In spite of this reality, the South African health care sector does not prioritise older persons, causing their health to be poorly managed. Not only does poor health management affect the health of the older person, but also economic factors. This causes a high burden on the public health sector of South Africa, with specific reference to the Primary Health Care (PHC) clinics. PHC clinics in this country are not only overcrowded due to staff shortages, but also owing to the rapidly ageing population and the large number of younger persons affected by the high unemployment rate of South Africa. The above-mentioned factors keep the professional nurses in the clinic from spending time on proper physical examinations and provision of health education to older persons. This causes older persons to lack knowledge regarding self-care, potentially leading to unintentional self-neglect, which decreases their quality of life. Studies conducted on older persons concluded that the older person wants to be involved in health promotion, but needs the necessary knowledge to take care of him- or herself. Therefore, the researcher's overarching aim with this study was to develop guidelines to facilitate self-care amongst older persons. Such guidelines aim at constituting an indirect approach to promote the health of the older person. Health education on self-care should be conducted in self-care support groups, since community experience teaches that some older persons in the community do not apply self-care skills learned without some form of support. The aim with these guidelines is to decrease unintentional self-neglect by empowering the older person to make autonomous decisions regarding self-care, in order to increase quality of life. RESEARCH AIM AND OBJECTIVES In order to reach the overarching aim of this study, which comprises the development of guidelines to facilitate self-care amongst the older persons in the Potchefstroom district, the study firstly includes a literature review to understand self-care and related constructs from a theoretical perspective. Secondly, the Appraisal of self-care agency scale-A (ASA-A) and Exercise of self-care agency scale (ESCA) were used as questionnaires to assess the self-care of the selected older persons. Lastly, after determining the self-care of the older persons, the study investigates the relationship between these two questionnaires through correlational analysis. RESEARCH DESIGN A quantitative, descriptive, correlational and contextual design was used in this study to .reach the overarching aim and respective objectives. RESEARCH METHOD The researcher firstly conducted a literature review to understand self-care and related constructs. Thereafter the researcher employed two structured questionnaires, the ASA-A and ESCA, were employed to collect data. The questionnaires were developed to measure self-care (self-care is determined by measuring the self-care agency). These questionnaires were based on Dorothea OrenYs self-care deficit theory of nursing, the same theory that this research study is based on. Minor adaptations were made to both the questionnaires prior to administration to the predominantly Setswana-speaking older population. The study formed part of the larger Multinational Prospective Urban and Rural Epidemiological study (PURE-SA study - ethical approval number 04M10). All the older persons identified in the peri-urban population of the PURE-SA study living in the Potchefstroom district and who were willing to participate were included in the sample. Trained fieldworkers assisted the researcher in data collection. Of the 198 older persons, 192 participated, accumulating to a 98% response rate. Lastly the researcher correlated the ASA-A and ESCA to determine their relationship as an added benefit to this research study. RESULTS The findings indicate that although the studied older population was of a lower socio-economic status with a lower literacy level, their overall self-care was relatively good. Seven self-care deficits were identified namely time management skills affecting self-care, energy deficit affecting self-care, sleep deprivation, lack of knowledge and ability to acquire knowledge with regard to health and self-care, lack of a rest, exercise and self-care programme, self-care deficit caused by physical deterioration and, lastly, the lack of performance of activities to prevent/decrease self-care deficits. These identified self-care deficits supported the development of guidelines to facilitate self-care amongst older persons, together with Menon's psychological health empowerment model, as well as an in-depth literature review on self-care and related constructs to understand self-care from a theoretical perspective. Furthermore, the study compared the ASA-A and ESCA questionnaires to determine the relationship between these questionnaires. The two questionnaires had a very good correlation with each other, conclusion that either of these two questionnaires could be used to measure self-care of a population.
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Nursing students’ attitudes and practices of oral health self-careKerr, Jane; Singh, Shenuka (African Journal for Physical Activity and Health Sciences, 2018-08-22)Nurses are health role models, which includes oral health. A paucity of literature examining nurses’ attitudes and practices of their personal oral health status, which influences the oral care of patients exists. This study examined the attitudes to oral self-care practices among nursing students related to oral health promotion at the University of KwaZulu-Natal, South Africa. This study formed part of a larger project examining health science students’ attitudes and practices of oral health self-care at the University of KwaZulu-Natal. A cross sectional descriptive survey of 173 nursing students was conducted. Data were collected using a self-administered questionnaire adapted, with permission from the original authors, and analysed using the statistical software package for social sciences SPSS version 23.0 (IBM Corp., USA). Univariate descriptive statistics were employed including frequency and percentages for categorical data comparing responses by study year, using the Chi Square or Fisher’s exact test. Ethical approval was obtained (HSS/0139/016CA). Questionnaires were distributed to nursing students (n = 238), attaining a 73 per cent response rate (n = 173). Most respondents were female. Students perceived their own dental health to be good/excellent, but reported gum bleeds during dental flossing. Ninety nine per cent (n = 170) used toothpaste and a toothbrush, taking one to five minutes brushing twice daily, and replaced toothbrushes tri-monthly. The most used dental aid was toothpicks. More than half respondents had not visited a dentist in the preceding year and those that did, only did so when needed. The curriculum influenced respondents’ oral self-care practices. An awareness of the importance of oral health and its link to general health exists, as do inconsistencies in oral self-care practices. Guidelines for curriculum review needed to ensure oral disease prevention and health promotion are provided.Keywords: Oral self-care, oral self-care attitudes, oral self-care practices, oral health care role modelling
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