Self-Care Agency and Perceived Health Among Persons Using Advanced Medical Technology at Home
2012 (English)In: Journal of Advanced Nursing, ISSN 0309-2402, E-ISSN 1365-2648, Vol. 68, no 4, 806-815 p.Article in journal (Refereed) Published
Aim. This paper is a report of a study of self-care agency and perceived health in a group ofpersons using advanced medical technology at home.
Background. An increasing number of persons are using medical technology for self-care. Few studies describe daily life in this context at an overriding level, irrespective of the specific sort of technology. A connection between self-care, perceived health and sense of coherence has previous been implied.
Methods. A descriptive, comparative, cross-sectional quantitative design was used. Data were collected from a questionnaire in the winter 2009/2010. The questionnaire addressed perceiveed health and daily life with medical technology, and applied Swedish versions of the Appraisal of Self-care Agency scale and the 13-item version of Antonovsky’s sense of coherence scale.
Results. The questionnaire was answered by 180 adults performing self-care at home involving long-term oxygen, a ventilator, peritoneal or blood dialysis. Health-related and technology-related variables in daily life were rated as satisfactory to a high extent. Perceived health was rated significantly lower among participants using long-term oxygen. Sufficient sense of coherence and knowledge of how to use technology, close contacts with other persons, and not feeling helpless contributed positively as factors for self-care agency. Positive factors for perceived health were being satisfied with life, having an active life, and not feeling helpless, while age was a negative factor.
Conclusion. Daily life is manageable for persons using these types of technology. Long-term oxygen treatment and advanced age can be seen as risk factors for perceiving ill health.
Place, publisher, year, edition, pages
2012. Vol. 68, no 4, 806-815 p.
Appraisal of self-care agency scale, high-tech care; home ventilator; home dialysis; long-term oxygen; nursing; sense of coherence
Medical and Health Sciences
IdentifiersURN: urn:nbn:se:liu:diva-63741DOI: 10.1111/j.1365-2648.2011.05781.xISI: 000301426000009OAI: oai:DiVA.org:liu-63741DiVA: diva2:382683
Funding Agencies|Department of Nursing, Health and Culture, University West||Division of Nursing Science, Department of Medicine and Health Sciences, Faculty of Health Sciences, Linkoping University||University of Agder||University West, Sweden||University of Agder, Norway||2011-01-032011-01-032012-08-15Bibliographically approved