Perceived self-care ability among patients with stroke: Concept analysis

N. Jafari-Golestan, M. Hosseini, A. Dalvandi, M. Fallahi-khoshknab, M. Rahgozar, N. Sharifi, S. Sidani
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Abstract

Purpose: PSCA (Perceived Self-Care Ability) is an important factor in the management of chronic diseases. However, there is no clear consensus over the definition of this concept among patients with stroke. The aim of this study was to analyze the concept of PSCA among patients with stroke and provide a clear definition for it. Methods: This concept analysis was conducted using Walker and Avant’s eight-step approach. Relevant articles, theses, and books published in English or Persian between 1987 and 2021 were reviewed. Findings: PSCA is a subjective and dynamic multidimensional concept with self-care agency, self-care ability, self-management, and fluctuating over time. Attributes which is affected by Perceptual and cognitive stability, psychosocial factors, health literacy, and sociocultural and economic contexts. The consequences include effective coping, satisfaction with life, prevention of adverse complications, continuity of care, and reduced healthcare costs. Conclusions: Defining the PSCA in stroke survivors makes them more likely to live a better and more independent life. With an increasing prevalence of chronic diseases worldwide, defining the concept of PSCA in stroke patients is essential to design appropriate interventions aimed to promote patients’ active role in managing chronic diseases. Nurses’ adequate knowledge about PSCA helps them develop more effective nursing interventions, discharge plans, and rehabilitation programs. The results of this concept analysis can be a basis for designing a tool to measure perceived self-care ability of stroke patients in the chronic stage of the disease.
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脑卒中患者自我护理能力感知:概念分析
目的:感知自我护理能力(PSCA)是慢性疾病管理的一个重要因素。然而,中风患者对这一概念的定义并没有明确的共识。本研究的目的是分析脑卒中患者的PSCA概念,并为其提供一个明确的定义。方法:采用Walker和Avant的八步法进行概念分析。回顾了1987年至2021年间以英语或波斯语出版的相关文章、论文和书籍。研究发现:PSCA是一个主观的、动态的多维概念,具有自我保健能动性、自我保健能力、自我管理能力,并随时间波动。受知觉和认知稳定性、心理社会因素、健康素养以及社会文化和经济背景影响的属性。其结果包括有效应对、对生活满意、预防不良并发症、护理的连续性和降低医疗保健成本。结论:明确脑卒中幸存者的PSCA使他们更有可能过上更好、更独立的生活。随着慢性疾病在世界范围内的流行,明确脑卒中患者PSCA的概念对于设计适当的干预措施以促进患者在慢性疾病管理中的积极作用至关重要。护士对PSCA的充分了解有助于他们制定更有效的护理干预、出院计划和康复计划。概念分析的结果可作为设计一种工具来测量脑卒中慢性期患者感知自我照顾能力的基础。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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