پديد آورندگان :
Ghasem، Abotalebidariasari PhD Student of Nursing - Department of Nursing - Faculty of Medical Sciences - Tarbiat Modares University, Tehran , Robabe، Memarian Assistant Professor - Department of Nursing - Faculty of Medical Sciences - Tarbiat Modares University, Tehran , Zohreh، Vanaki Associate Professor - Department of Nursing - Faculty of Medical Sciences - Tarbiat Modares University, Tehran , Anoshirvan، Kazemnejad Department of Biostatistics - Faculty of Medical Sciences - Tarbiat Modares University, Tehran , Nasim، Naderi Associate Professor Of Cardiology - Fellowship of Heart Failure and Transplantation - Rajaie Cardiovascular Medical and Research Center - Iran University of Medical Sciences, Tehran
چكيده لاتين :
Background: Self-care is a self-regulatory action, which necessitates self-care power.
Objectives: The current study aims at exploring self-care agency power components among patients with heart failure by the Orem
self-care theory.
Methods: The current qualitative study utilized content analysis approach based on the Orem self-care theory. Twenty-seven patients with heart failure and their family members were purposefully recruited from Shahid Rajaie cardiovascular center, Tehran,
Iran. The study data were collected from December 2014 to May 2015 through in-depth semi-structured interviews. Data collection
was continued until data saturation which was attained after the 24th interviews and hence, the last 3 interviews produced no new
data. Data analysis was carried out by the directed content analysis approach proposed in 2005 by Hsieh and Shannon.
Results: Data analysis yielded 79 primary codes, which represented the instances of self-care agency power components among
patients with heart failure. The main components of self-care agency power were ability to acquire self-care knowledge, ability to
identify factors aggravating heart failure, motivation for self-care, physical ability to engage in self-care activities, ability to adjust
physical activities in order to save energy, ability to monitor bodily functions, reasoning about the causes of related symptoms,
ability to decide on appropriate self-care measures, ability to understand the nature of the disease, ability to communicate with
others to use their capabilities for self-care, ability to organize self-care measures, and ability to adhere to self-care activities. The
most basic abilities are self-care knowledge, physical ability, and self-care motivation.
Conclusions: The findings of the study indicated that effective self-care among patients with heart failure requires a wide range of
self-care abilities. Nurses can use the findings to develop self-care plans for patients with heart failure.
