Self-care of men with priapism and sickle cell disease

Abstract

Objective: To identify self-care demands of men with sickle cell disease and priapism and describe self-care measures in light of Orem's Self-Care Theory. Method: This is a descriptive exploratory study with qualitative approach conducted with nine men with a history of sickle cell disease and priapism. Data were analyzed using Orem's Self-Care Theory. Results: Some demands were identified: from universal self-care - difficulty in social interaction and solitude, changes in self-image, self-esteem and sexual activity; from development - the experience with priapism and little knowledge about the pathophysiology of the disease; regarding health deviations - pain crises. Conclusion: Orem's theory allowed to identify self-care demands, which are essential for the nursing care provided for men with priapism. Nursing has an essential role in the measures for the different demands presented.

Internalização do cuidado: um estudo qualitativo com escolares que convivem com a doença falciforme

“…Dehydration is a factor that precipitates flares in children with sickle cell disease, as they have more body water than adults and require more water to eliminate water-soluble waste through the kidney. 7,13 Body hydration is very important, as red blood cells become sickle-shaped when they lose water, increasing the risk of vaso-occlusion, causing pain, stroke and damage to organs. 14 The maintenance of body hydration by schoolchildren with sickle cell disease is usually achieved by means of various liquids, as evidenced in this study.…”

Men’s health care: construction and validation of a tool for nursing consultation

“…Regarding the use of Orem's model, it has applicability in many contexts, since it provides the active participation of the user client in their self-care, improving health outcomes and therefore the person's well-being and quality of life (11)(12) . Thus, the identification of universal requirements, developmental requirements, possible health deviations and self-care deficit, associated with the classification of the person within the nursing systems, will assist in the elaboration of nursing diagnoses and interventions related to self-control care teaching.…”

“…SCT is one of three theories that make up the Self-Care Deficit Theory (10)(11) . In PHC, where prevention and self-care are paramount, this is a widely used theory (12) . SCT starts from the hypothesis that individuals are able to take care of themselves and, in episodes where there is a deficit, they are encouraged to increase self-care practices in order to provide personal well-being (11)(12) .…”

“…SCT indicates specific requirements that must be exercised by individuals: universal ones, such as food intake, prevention of dangers to human life, balance between loneliness and social interaction; developmental ones, encompassing facts and processes that negatively influence healthy individuation; and those of health deviations, which can hinder the self-care aptitude of individuals, being confirmed when there is presence of diseases. When these requirements are not met and self-care deficits are identified, the determinant data for the development of Systems Theory in Nursing are constituted (12) .…”

Percepção do autocuidado por homens com derivações urinárias permanentes: desafios para a prática de enfermagem

“…O processo de adaptação desse homem à nova condição é contínuo e exige ajustes frequentes, sendo necessário estimular/treinar suas competências e habilidades para o autocuidado com a derivação urinária permanente. Torna-se imprescindível, então, que a enfermagem participe desse processo, compreendendo as necessidades dos clientes e desenvolva estratégias para adaptação pelo estímulo do conhecimento de si e das ações a serem desenvolvidas 18,19 .…”