Self-care agency capacity among patients attending the Rehabilitation service of Universidad del Norte

Authors

  • Evelyn Celeste Giangreco Silvero Carrera de Fisioterapia y Kinesiología, Facultad de Ciencias de la Salud, Universidad del Norte, sede Asunción, Asunción, Paraguay Autor/a
  • Felipe Miguel Oviedo Frutos Carrera de Fisioterapia y Kinesiología, Facultad de Ciencias de la Salud, Universidad del Norte, sede Asunción, Asunción, Paraguay Autor/a

DOI:

https://doi.org/10.5281/zenodo.22755438

Keywords:

self care, agency, patients, physical therapy

Abstract

Introduction: Self-care agency—the capacity of a person to continually assess health needs and engage in self-care activities to promote and maintain well-being—is a central component of Dorothea Orem's theory, with direct relevance to rehabilitation. The aim was to analyze self-care agency capacity among patients attending the Rehabilitation service of Universidad del Norte, Asunción, during 2023.

Materials and methods: Quantitative, non-experimental, field descriptive study. Sample of 38 patients. Appraisal of Self-Care Agency (ASA) scale, Colombian validated version (5 dimensions, 24 items).

Results: Mean age 42.9 years; female 55%; Paraguayan nationality 95%; single 63%; workers 37%; university education 55%. Global self-care agency: high 74%, medium 16%, low 11%. By dimensions: high in social interaction (74%), personal well-being (97%), activity and rest (68%) and promotion of functioning (100%); food consumption predominantly moderate (74%).

Conclusions: Self-care agency capacity was mostly high, followed by moderate, with relatively lower performance in food consumption within an overall favorable profile.

References

Tanaka M. Orem's nursing self-care deficit theory: a theoretical analysis focusing on its philosophical and sociological foundation. Nurs Forum. 2022;57(3):480-5. https://doi.org/10.1111/nuf.12696

Hartweg DL, Metcalfe SA. Orem's Self-Care Deficit Nursing Theory: relevance and need for refinement. Nurs Sci Q. 2022;35(1):70-6. https://doi.org/10.1177/08943184211051369

Taylor SG, Geden E, Isaramalai S, Wongvatunyu S. Orem's self-care deficit nursing theory: its philosophic foundation and the state of the science. Nurs Sci Q. 2000;13(2):104-10. https://pubmed.ncbi.nlm.nih.gov/11847693/

Evers GC, Isenberg MA, Philipsen H, Senten M, Brouns G. Validity testing of the Dutch translation of the appraisal of the self-care agency A.S.A.-scale. Int J Nurs Stud. 1993;30(4):331-42. https://doi.org/10.1016/0020-7489(93)90105-4

van Achterberg T, Lorensen M, Isenberg MA, Evers GC, Levin E, Philipsen H. The Norwegian, Danish and Dutch version of the Appraisal of Self-care Agency Scale; comparing reliability aspects. Scand J Caring Sci. 1991;5(2):101-8. https://doi.org/10.1111/j.1471-6712.1991.tb00091.x

Lorensen M, Holter IM, Evers GC, Isenberg MA, van Achterberg T. Cross-cultural testing of the "appraisal of self-care agency: ASA scale" in Norway. Int J Nurs Stud. 1993;30(1):15-23. https://doi.org/10.1016/0020-7489(93)90089-d

Tok Yildiz F, Kaşikçi M. Impact of training based on Orem's theory on self-care agency and quality of life in patients with coronary artery disease. J Nurs Res. 2020;28(6):e125. https://doi.org/10.1097/JNR.0000000000000406

Khademian Z, Kazemi Ara F, Gholamzadeh S. The effect of self care education based on Orem's nursing theory on quality of life and self-efficacy in patients with hypertension: a quasi-experimental study. Int J Community Based Nurs Midwifery. 2020;8(2):140-9. https://doi.org/10.30476/IJCBNM.2020.81690.0

Kim JE, Dee V. Utilization of Orem's Self-Care Deficit Nursing Theory in self-care among older Korean immigrants with diabetes in the United States. Res Theory Nurs Pract. 2024;38(1):91-104. https://doi.org/10.1891/RTNP-2022-0144

Nasiri M, Jafari Z, Rakhshan M, Yarahmadi F, Zonoori S, Akbari F, et al. Application of Orem's theory-based caring programs among chronically ill adults: a systematic review and dose-response meta-analysis. Int Nurs Rev. 2023;70(1):59-77. https://doi.org/10.1111/inr.12808

Jack K, McLean SM, Moffett JK, Gardiner E. Barriers to treatment adherence in physiotherapy outpatient clinics: a systematic review. Man Ther. 2010;15(3):220-8. https://doi.org/10.1016/j.math.2009.12.004

Essery R, Geraghty AWA, Kirby S, Yardley L. Predictors of adherence to home-based physical therapies: a systematic review. Disabil Rehabil. 2017;39(6):519-34. https://doi.org/10.3109/09638288.2016.1153160

Wang J, Kuo WY, Chen MC, Chen CY. Impact of rehabilitation adherence and depressive symptoms on post-stroke self-care ability and quality of life: a longitudinal study. Top Stroke Rehabil. 2024;31(4):361-71. https://doi.org/10.1080/10749357.2023.2259652

Pérez-Maletzki J, Dominguez-Navarro F, Hernández-Guillen D, Roig-Casasús S, Blasco JM. Effectiveness of strategies to improve adherence to physical therapy in patients with knee and hip osteoarthritis: a systematic review and meta-analysis. Disabil Rehabil. 2024;46(21):4915-30. https://doi.org/10.1080/09638288.2023.2288678

Alemu FW, Yuan J, Kadish S, Son S, Khan SS, Nulla SM, et al. Social determinants of unmet need for primary care: a systematic review. Syst Rev. 2024;13(1):252. https://doi.org/10.1186/s13643-024-02647-5

Zheng L, Luo Z, Wang H, Liu S, Li X, Peng D, et al. Effectiveness of a nurse-led coaching of self-care agency intervention for elderly patients with total laryngectomy: study protocol for a randomised controlled trial. BMJ Open. 2022;12(8):e061238. https://doi.org/10.1136/bmjopen-2022-061238

Aktaş N, Baykara ZG. Determination of quality of life and self-care agency in patients who underwent colorectal cancer surgery: a prospective descriptive study. Wound Manag Prev. 2021;67(1):18-26. https://doi.org/10.25270/wmp.2021.1.1826

Ökten Ç, Özer Z. Orem's theory with educational telephone follow-ups: a randomized controlled trial. Nurs Sci Q. 2022;35(4):444-54. https://doi.org/10.1177/08943184221115126

Changsieng P, Pichayapinyo P, Lagampan S, Lapvongwatana P. Implementation of self-care deficits assessment and a nurse-led supportive education program in community hospitals for behavior change and HbA1c reduction: a cluster randomized controlled trial. J Prim Care Community Health. 2023;14:21501319231181106. https://doi.org/10.1177/21501319231181106

Published

2024-10-25

Issue

Section

Original Articles

How to Cite

Self-care agency capacity among patients attending the Rehabilitation service of Universidad del Norte. (2024). Revista UniNorte De Medicina Y Ciencias De La Salud, 13(3), 118–122. https://doi.org/10.5281/zenodo.22755438

Similar Articles

1-10 of 122

You may also start an advanced similarity search for this article.