Self-care model application to improve self-care agency, self-care activities, and quality of life in people with systemic lupus erythematosus

Kusnanto and Ni Putu Wulan Purnama Sari and Harmayetty and Ferry Efendi and Joko Gunawan (2018) Self-care model application to improve self-care agency, self-care activities, and quality of life in people with systemic lupus erythematosus. Journal of Taibah University Medical Sciences, 13 (5). pp. 472-478. ISSN 1658-3612

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Abstract

Objectives: This study aimed to examine the effect of the application of a self-care model to improve self-care Agency (SCA), self-care operation, and quality of life (QoL) in patients with systemic lupus erythematosus (SLE). Methods: This study employed a pre-experimental design with one pretest-posttest group. Thirty-six respondents were selected through total sampling. The experimental group was provided self-care management training, followed by four weekly home visits. Self-care agency was measured with the self-care agency scale, the other variables through self-rated abilities on the health practices scale and Lupus quality inventory. Data were analysed using paired t-tests with a < 0.05. Results: SLE was common in actively working married women of childbearing age, most of whom had had SLE for 1e2 years (33.3%), with arthritis being the most common symptom (reported by 61.1%). The major flare trigger factor was physical stress (66.7%), resulting in fatigue. On average, the self-care model was able to improve SCA by 19.93%, self-care operation by 17.53%, and QoL by 12.19%. It was significantly effective in enhancing SCA, self-care operation, and QoL in patients with SLE (p < 0.001). Conclusions: The application of Orem’s self-care model is effective in improving SCA, self-care, and QoL, and this study provides evidence of the benefits of its use in the nursing care of patients with SLE in a community setting. Health care providers should incorporate Orem’s selfcare model in nursing care to enhance SCA, self-care, and QoL in patients with SLE.

Item Type: Article
Uncontrolled Keywords: Self-care; Self-care agency; Self-care model; Systemic lupus erythematosus; Quality of life
Subjects: R Medicine > RT Nursing > RT1-120 Nursing
Divisions: 13. Fakultas Keperawatan > Departemen Keperawatan Dasar, Kritis dan Medikal Bedah
Creators:
CreatorsNIM
KusnantoNIDN0029086803
Ni Putu Wulan Purnama SariUNSPECIFIED
HarmayettyNIDN0010047002
Ferry EfendiNIDN0018128201
Joko GunawanUNSPECIFIED
Depositing User: Mr Sodiqin Sodiq
Date Deposited: 02 Sep 2019 08:04
Last Modified: 13 Dec 2019 03:29
URI: http://repository.unair.ac.id/id/eprint/85644
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