Disease relevance of Self Care

• Thirteen patients were instructed in a technique of self-management of insulin-dependent diabetes mellitus, using multiple home-monitored blood glucose determinations and multiple injections of regular insulin in conjunction with once-daily Ultra Lente insulin [1].
• In chronic obstructive pulmonary disease (COPD) the value of self-management education is not clear [2].
• Participants in this study (103 patients having rheumatoid arthritis and 74 patients having osteoarthritis) completed a stages-of-change measure specific to adoption of a self-management approach to their arthritis [3].
• We performed a randomized controlled trial in predialysis patients with chronic kidney disease (CKD) (GFR <30 mL/min) to determine the impact of a patient-centered educational intervention on patients' intention to initiate dialysis with self-care dialysis [4].
• BACKGROUND: Because of their tolerance and safety, low doses of H2-receptor antagonists are now increasingly used in some countries for self-care medication of gastro-oesophageal reflux symptoms [5].

Psychiatry related information on Self Care

• RESEARCH DESIGN AND METHODS: We review behavioral science contributions to diabetes in self-management and patient empowerment, interventions with children and adolescents, and special problems including blood glucose awareness training and complications such as depression [6].
• The relationship of depressive symptoms to symptom reporting, self-care and glucose control in diabetes [7].
• Item scores are summarized into 6 Dimension scores (memory, instrumental activities of daily life, self-care, mood, social behavior, and disturbing behavior) which are clinically relevant in dementia, depression, and other psychiatric disorders of old age [8].
• While no differential effects were noted between risperidone and haloperidol in ADLS, these self-care skills significantly improved as subjects spent longer times on the behavior therapy unit [9].
• Psychopathology and illness beliefs influence COPD self-management [10].

High impact information on Self Care

• Depression has been shown to be associated with poor self-management (adherence to diet, exercise, checking blood glucose levels) and high hemoglobin A1c (HbA1c) levels in patients with diabetes [11].
• However, these patients were likely to be incontinent (90%), incapable of any self-care (80%), and have low Glasgow Coma Scale scores (mean, 9.4) [12].
• Use of self-management behaviors to cope with rheumatoid arthritis stressors [13].
• We evaluated the effect of a continuum of self-management, specific to COPD, on the use of hospital services and health status among patients with moderate to severe disease [14].
• Weekly management of OAT with long-acting phenprocoumon has to be preferred at anticoagulation clinics or, where possible, through patient self-management [15].

Chemical compound and disease context of Self Care

• The effect of degree of refractive error on hydrogel contact lens-induced complications and patient self-management behaviors [16].
• In practice, mechanical debridement combined with subgingival povidone-iodine application in the dental office and sodium hypochlorite irrigation for patient self-care are valuable antimicrobial remedies in the treatment of virtually all types of periodontal disease [17].
• Eight male smokers with chronic pulmonary and/or cardiac disease participated in a 9-week treatment program that consisted of gradual nicotine withdrawal, self-management techniques, and relapse prevention strategies [18].
• When the groups were compared on self-care ADLs and self-esteem at the end of the study, subjects in Condition 1 did significantly more self-care and had significantly higher self-esteem than those in Condition 2 [19].
• The authors evaluated the effectiveness of two self-care approaches to prophylaxis of VC among HIV-infected women, weekly intravaginal application of Lactobacillus acidophilus or weekly intravaginal application of clotrimazole tablets, in a randomized, double-blind, placebo-controlled trial [20].

Biological context of Self Care

• PURPOSE: The authors evaluated the ability of a brief educational program to enhance patients' self-care behavior and their familiarity with the meaning and utility of 5 of the major clinical tests in diabetes (A1C, blood pressure, low-density lipoprotein [LDL] cholesterol, microalbumin, and the dilated eye examination) [21].
• The predictive validity of the proposed instrument was assessed by correlating scores on the Telemedicine Satisfaction Questionnaire (TSQ) with haemoglobin A(1c) levels and adherence to self-management activities among 38 patients with type 2 diabetes, after they had completed a four-session interactive diabetes tele-education programme [22].
• Only four of the 41 variables tested were found to be significantly and independently associated with the GDS: pre-event functional state (beta=-0.311, p<0.001), the self-care component of the FIM scale on admission to the hospital (beta=-0.267, p<0.001), living alone (beta=0.149, p=0.015) and impaired visual acuity (beta=0.137, p=0.026) [23].
• The impact of a new emotional self-management program on stress, emotions, heart rate variability, DHEA and cortisol [24].
• The treatment of group 1 consisted of short-term nonsteroidal anti-inflammatory drugs and self-care instructions (palliative care group); group 2, nonsteroidal anti-inflammatory drugs, self-care instructions, and occlusal appliance and mobilization therapy (physical medicine group); and group 3, no treatment (control group) [25].

Anatomical context of Self Care

• The main outcome measurements included the Modified Ashworth Scale, the upper limb Physician's Rating Scale, the Bruininks-Oseretsky Test of Motor Proficiency, and the self-care domain of the Pediatric Evaluation of Disability Inventory [26].

Associations of Self Care with chemical compounds

• Given the slow onset of warfarin's effect, the assessment of the PT on a weekly or biweekly basis, and the ability to refine dosage guidelines, these errors were not felt to represent a serious drawback to the concept of warfarin self-management [27].
• Both responded well to treatment with the beta blocking agent, propranolol, improving motor control in school and self-care tasks [28].
• This study suggests that it may not be possible to identify patients for whom the Sleep Sentry would be a reliable addition to their self-management regimen and that physicians should exercise caution in recommending its use [29].
• Six (17%) patients improved on moods and self-care with risperidone [30].
• RESULTS: Factor analysis showed four robust and meaningful symptom clusters: factor 1-stereotypic and eating behaviour; factor 2-executive dysfunction and self care; factor 3-mood changes; factor 4-loss of social awareness [31].

Gene context of Self Care

• Frequency of self-management especially relates to HbA1c% in DM1 [32].
• Notwithstanding the more advanced stages of the disease the AS patients were more efficient functionally: 61.2% of them remained in their original employment (while the RA patients only in 45.5% of the cases) and 2.9% of them were entirely dependent upon help of others in self-care (among the RA patients it was in 9.5%) [33].
• This review was undertaken to clarify the effectiveness of self-management programmes in COPD [2].
• The effects of self-management in general education classrooms on the organizational skills of adolescents with ADHD [34].
• Life skills training (LST) is a school-based approach designed to prevent ATOD use among youth by influencing their knowledge and attitudes about ATODs, by teaching skills for resisting social pressures to use ATODs, and by helping students develop personal self-management and social skills [35].

Analytical, diagnostic and therapeutic context of Self Care

• RESEARCH DESIGN AND METHODS: In this cross-sectional study, IDDM self-care autonomy of 100 youth was assessed using two well-validated measures [36].
• The evaluable patients constituted an unusually favorable group for a Phase II study in a chemotherapy-sensitive tumor; although all have received prior chemotherapy, eight had had treatment with only a single alkylating agent and the median performance status of the study population was two (ambulatory, capable of self-care) [37].
• Medical nutrition therapy with appropriate food allergen substitution(s) provides the tools necessary giving the food-allergic patient the specific focus needed for improved nutrition self-care and food allergen avoidance [38].
• Although knowledge improved during hospitalization and knowledge and skills were maintained at follow-up, there was not a significant relationship between fasting serum glucose levels and knowledge or self-care skills or %IBW [39].
• The intervention involved 8 weeks of educational sessions with instruction on nutrition, blood glucose self-monitoring, exercise, and other diabetes self-management topics, and provided group support [40].

References