Exploring self-management in adult sickle cell disease patients' at a Teaching Hospital in Ghana.

Autor: Amertil NP; School of Nursing and Midwifery, Valley View University, Oyibi, Accra, Ghana., Ayitey EK; DPL Data Consult, Accra, Ghana., Kpongboe DG; School of Nursing and Midwifery, Valley View University, Oyibi, Accra, Ghana., Attafuah PYA; School of Nursing and Midwifery, Valley View University, Oyibi, Accra, Ghana.; School of Nursing and Midwifery, University of Ghana, Accra, Ghana.
Jazyk: angličtina
Zdroj: Nursing open [Nurs Open] 2021 May; Vol. 8 (3), pp. 1336-1344. Date of Electronic Publication: 2020 Dec 27.
DOI: 10.1002/nop2.750
Abstrakt: Aim: To evaluate the relationships among self-efficacy, uncertainty, self-management and emergency hospital visits yearly among adult sickle cell disease patients' and related demographics at a Teaching Hospital in Ghana.
Design: A quantitative cross-sectional design.
Method: A purposive and convenience sample of 85 adult clients from a sickle cell clinic in Ghana completed research instruments. Data collection occurred in March and April 2019. Instruments used were the self-efficacy scale, self-care agency scale, Mishel uncertainty scale and socio-demographic variables. Pearson correlation and regression techniques were used for analysis.
Findings: The correlation results showed a low positive and significant correlation between self-efficacy and self-management (r = 0.357, p < .01), a significant moderate negative relationship between self-efficacy and uncertainty (r = -0.459, p < .01) and a significant low negative relationship between self-management and uncertainty. For the regression, employment (p = .003) and marital status (p = .002) significantly predicted self-management among others.
Conclusion: Self-efficacy had positive and significant relationship with self-management. Similarly, patients with family support and employment experienced better self-management. Furthermore, patients with higher education and living with family had reduced illness uncertainty. Thus, the findings can improve self-care measures and mitigate illness uncertainty for better health outcomes.
(© 2020 The Authors. Nursing Open published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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