Self‐care as a health resource of elders: an integrative review of the concept

Høy, Bente; Wagner, Lis; Hall, Elisabeth O.C.

doi:10.1111/j.1471-6712.2006.00491.x

Cited by 74 publications

(73 citation statements)

References 84 publications

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“…Having a high SASE score indicates that people are in control of their own care and are responsible for making choices of their own. This indicates that people aged 65 years and above are able to learn how to set goals and organize resources and action strategies to care for themselves in their environmental situation 14,15…”

Section: Discussionmentioning

confidence: 99%

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Ability for self-care in urban living older people in southern Norway

Sundsli¹,

Söderhamn²,

Söderhamn³

2012

JMDH

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BackgroundThe number of older people living in urban environments throughout the world will increase in the coming years. There is a trend in most European countries towards improved health among older people, and increased life expectancy for both women and men. Norway has experienced less increase in life expectancy than some other European countries, and it is therefore important to investigate older urban Norwegian people’s health and ways of living in a self-care environment, with special regard to health promotion.AimThe aim of this study was to describe self-care ability among home-dwelling older (65+ years) individuals living in urban areas in southern Norway in relation to general living conditions, sense of coherence (SOC), screened nutritional state, physical activity, perceived self-reported health, mental health, and perceived life situation.MethodsIn 2010, a randomized sample of 1044 men and women aged 65+ years who were living in urban areas in southern Norway answered a postal questionnaire consisting of five instruments, some background variables, and 17 health-related questions. Univariate and multivariate statistical methods were used in the analyses of the data.ResultsThe mean age of the participants was 74.8 years (SD = 7.1). Eighty-three percent of the participants had higher abilities to care for themselves. Self-care agency, perceived good health, being active, being frequently active, good mental health, not being at risk of undernutrition, and satisfaction with life were all positively related to self-care ability. Negative factors were perceived helplessness, receiving home nursing, being anxious, and being at a more advanced age. People aged 85+ years had worse mental health, were less physically active, and more at risk of undernutrition.ConclusionHealth professionals should focus on the health-promoting factors that reinforce older people’s ability to care for themselves, and be aware of important symptoms and signs associated with a reduction in a person’s self-care ability. Politicians should assume responsibility for health care with a special regard to senior citizens.

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Section: Discussionmentioning

confidence: 99%

“…As a health resource, self-care is able to promote self-responsibility as a part of health care, and is an ability to care for oneself regardless of health condition. It is linked less to learning facts about specific health issues and more to learning how to set goals and organize resources and action strategies 14,15…”

Section: Introductionmentioning

confidence: 99%

Ability for self-care in urban living older people in southern Norway

Sundsli¹,

Söderhamn²,

Söderhamn³

2012

JMDH

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“…Self-care, any activity with the intention of improving health, treating or preventing diseases, provides a significant health resource for people with chronic conditions [31]. Some people with diabetes in our sample stated that they do not need any social support.…”

Section: Discussionmentioning

confidence: 99%

The importance of social support for people with type 2 diabetes – a qualitative study with general practitioners, practice nurses and patients

Goetz

Szécsényi

Campbell

et al. 2012

GMS Psycho-Social-Medicine; 9:Doc02; ISSN 1860-5214

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“…Reflected by the multidimensional practice of activities that patients initiate on their own to maintain health, self-management is seen as a context-dependent health resource depending on individual needs, goals, and priorities, as well as on medical recommendations (13,14). Previous cross-sectional studies predominantly identified factors that are associated with self-care activities, such as socioeconomic status, sex, and diabetes education, but rarely investigated associations between SMB and health outcomes (15)(16)(17).…”

mentioning

confidence: 99%

The Association Between Patient-Reported Self-management Behavior, Intermediate Clinical Outcomes, and Mortality in Patients With Type 2 Diabetes: Results From the KORA-A Study

et al. 2014

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OBJECTIVELittle is known about the impact of diabetes self-management behavior (SMB) on long-term outcomes. We aimed to examine the association among patientreported SMB, intermediate clinical outcomes, and mortality in patients with type 2 diabetes. RESEARCH DESIGN AND METHODSData were collected from 340 patients with type 2 diabetes of the KORA-A study (1997/1998) who were recruited from two previous population-based surveys (n = 161) and a myocardial infarction registry (n = 179) in southern Germany. Based on previous methodological work, a high level of SMB was defined as being compliant with at least four of six different self-care dimensions, comprising physical exercise, foot care, blood glucose self-monitoring, weight monitoring, having a diet plan, and keeping a diabetes diary. The vital status of the participants was observed until 2009. Multivariable linear, logistic, and Cox regression models were applied to assess the association with intermediate clinical outcomes at baseline and to predict mortality over the follow-up period, adjusted for sociodemographic, behavioral, and disease-related factors. RESULTSIn the cross-sectional perspective, a high level of SMB was weakly associated with a lower glycated hemoglobin A 1c level (20.44% [24.8 mmol/mol] [95% CI 20.88 to 0.00]), but not with low-density lipoprotein cholesterol, systolic blood pressure, or the presence of microalbuminuria, peripheral arterial disease, or polyneuropathy. During a mean follow-up time of 11.6 years, 189 patients died. SMB was a preventive factor for all-cause (hazard ratio 0.61 [95% CI 0.40-0.91]) and cardiovascular mortality (0.65 [95% CI 0.41-1.03]). CONCLUSIONSAlthough measuring SMB is difficult and the used operationalization might be limited, our results give some indication that a high level of SMB is associated with prolonged life expectancy in patients with type 2 diabetes and highlight the potential impact of the patients' active contribution on the long-term trajectory of the disease. We assume that the used proxy for SMB is associated with unmeasured, but important, dimensions of health behavior.

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Self‐care as a health resource of elders: an integrative review of the concept

Cited by 74 publications

References 84 publications

Ability for self-care in urban living older people in southern Norway

Ability for self-care in urban living older people in southern Norway

The importance of social support for people with type 2 diabetes – a qualitative study with general practitioners, practice nurses and patients

The Association Between Patient-Reported Self-management Behavior, Intermediate Clinical Outcomes, and Mortality in Patients With Type 2 Diabetes: Results From the KORA-A Study

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