Zeb Hussan, Younas Ahtisham, Sundus Amara, Iqbal Mubashir, Ishaq Khurram
Swat College of Nursing, Swat, Pakistan.
Saidu Group of Teaching Hospital, Swat, Khyber Pakhtunkhwa, Pakistan.
Clin Nurs Res. 2023 Feb;32(2):414-422. doi: 10.1177/10547738221078901. Epub 2022 Feb 24.
Assessing patients' therapeutic self-care ability allows nurses to initialize care and implement interventions to enhance their self-care abilities. However, sociocultural beliefs and determinants can affect patients' self-care practices. This study determined perceived therapeutic self-care ability of patients in surgical units in Pakistan. A survey was conducted using a purposive sample 511 patients admitted to surgical units for at least 24 hours. Data were collected using the Urdu version of Therapeutic Self-Care Measure. The mean self-care ability score was 20.05 ± 4.3. Patients felt more prepared to take their medications, but less prepared to respond to any unforeseeable physical changes. Significant difference was found between self-care ability of male (20.68 ± 4.15) and female (19.18 ± 4.27) ( < .001) patients. A weak negative correlation was found between patient age and self-care ability ( = -0.15, = .001). Self-care ability assessment should be included in routine discharge planning, and nurses should provide more tailored self-care discharge education to surgical patients.
评估患者的治疗性自我护理能力可使护士开展护理工作并实施干预措施，以提高患者的自我护理能力。然而，社会文化信仰和决定因素会影响患者的自我护理行为。本研究确定了巴基斯坦外科病房患者的治疗性自我护理能力认知情况。采用目的抽样法对511名入住外科病房至少24小时的患者进行了调查。使用乌尔都语版的治疗性自我护理量表收集数据。自我护理能力平均得分为20.05±4.3。患者对服药准备更充分，但对应对任何不可预见的身体变化准备不足。男性（20.68±4.15）和女性（19.18±4.27）患者的自我护理能力存在显著差异（<0.001）。患者年龄与自我护理能力之间存在弱负相关（=-0.15，=0.001）。自我护理能力评估应纳入常规出院计划，护士应为外科患者提供更具针对性的自我护理出院教育。
