Lee M B
McMaster University School of Nursing, 1200 Main Street West, Hamilton, Ontario L8 N 3Z5, Canada.
J Adv Nurs. 1999 Jul;30(1):248-59. doi: 10.1046/j.1365-2648.1999.01070.x.
This was a study of health in women living in urban squatter settlements in Karachi, Pakistan. The study grew out of the author's concern for the generally poor health status of Pakistani women. Orem's nursing theory was selected to examine health in these women. The purpose of the study was to examine relationships among basic conditioning factors, self-care agency (specifically, perception of power as a foundational capability of self-care agency and the enabling capabilities of self-care agency), self-care, and selected health outcomes of Pakistani women. Four hypotheses were developed and tested. They were that in a group of Pakistani women: (1) perception of power as a foundational capability and enabling capabilities of self-care agency and self-care will be related to selected basic conditioning factors; (2) perception of power, as a foundational capability of self-care agency, will be directly and positively related to enabling capabilities of self-care agency; (3) perception of power as a foundational capability and enabling capabilities of self-care agency will have a direct and positive relationship with self-care; and (4) self-care will be related to selected health outcomes. Hypotheses one, two and three were supported. Findings indicate that the basic conditioning factors, socioeconomic variables, ethnicity and roles, were predictive of perception of power, enabling capabilities of self-care agency, self-care and health. Hypothesis four was not supported; basic conditioning factors had more influence on health than self-care.
这是一项针对居住在巴基斯坦卡拉奇城市棚户区的女性健康状况的研究。该研究源于作者对巴基斯坦女性总体健康状况较差的担忧。选用奥瑞姆护理理论来研究这些女性的健康状况。本研究的目的是考察巴基斯坦女性的基本调节因素、自我护理能力（具体而言，作为自我护理能力基础的权力感知以及自我护理能力的促成因素）、自我护理与选定的健康结果之间的关系。研究提出并检验了四个假设。即对于一组巴基斯坦女性而言：（1）作为自我护理能力基础的权力感知以及促成因素与自我护理和选定的基本调节因素相关；（2）作为自我护理能力基础的权力感知与自我护理能力的促成因素直接正相关；（3）作为自我护理能力基础的权力感知以及促成因素与自我护理直接正相关；（4）自我护理与选定的健康结果相关。假设一、二和三得到了支持。研究结果表明，基本调节因素、社会经济变量、种族和角色能够预测权力感知、自我护理能力的促成因素、自我护理和健康状况。假设四未得到支持；基本调节因素对健康的影响大于自我护理。
