Impact of applying the theory of human becoming and self-care deficit theory of nursing on insomnia in after stroke urinary incontinence patients

Abstract

Objective To determine the impact of applying the theory of human becoming and self-care deficit theory of nursing in overcoming insomnia in patients of urinary incontinence (UI) after stroke. Insomnia is a sleep disorder experienced by UI patients after stroke which can exacerbate problems related to brain damage and can complicate the recovery process. Methods This study was a quasi-experimental conducted in 4 hospitals. Fifty-six patients were selected by convenience sampling and divided into 2 groups (the intervention and control group). Participants in the intervention group received “applying the theory of Human becoming and self-care deficit theory of nursing,” starting when the patient is about to go home from the hospital and continuing at the house. Measurement of insomnia is done using the Pittsburgh Sleep Quality Index (PSQI). Results The mean insomnia scores of participants from both groups increased in the first and third measurements. The second and third insomnia measurements found a significant difference (P < 0.001). This intervention decreased the average score of insomnia by 4.11 times in the second measurement and 5.82 times in the third measurement. The most important item that decreased in the third measurement of insomnia was sleep efficiency. Conclusions Applying the theory of human becoming and self-care deficit theory of nursing in this study significantly decreased the insomnia score of post-stroke UI patients. It can be used as a guide for nurses, patients, and families in managing insomnia. In addition, the application of nursing theory in nursing practice can systematize nursing care plans and organize the knowledge of professionals into a conceptual framework, as well as provide effective guidance for nurses on what to do.