00000cam a22000004a 4500 UP-1685523046125428655 Buklod 20230503092606.0 a r |||| u| ta 060808s2000 xx |||| r |||| u| d (iLib)UPMNL-00000056073 LG 995 2000 N8 E74 Ereno, Gina Marie Pacho. Health education for first-ever stroke on sick role acceptance and performance of activities of daily living Gina Marie Pacho-Ereno. 138 leaves. Thesis (Master of Arts in Nursing)--University of the Philippines Manila. Sick role acceptance as a determinant to the acceptance of one's illness and determination to get well as studied among stroke patients. It is considered to be the cornerstone of healthy personality and psychological wellness in the course of a chronic illness such as stroke. It is a conviction that one is competent to live and worthy of living in spite of limitations and disabilities. Ability of the patients to perform activities of daily living efficiently and independently promotes quality of life as they go back to their respective homes and communities and care for themselves after hospitalization.This study utilized HEFES (Health Education for First-Ever Stroke) as an intervention. The study sought to achieve three (3) objectives: to determine the effect of HEFES on sick role acceptance and performance of activities of daily living; to determine the relationship between sick role acceptance and performance of activities of daily living among first-ever stroke patients; and to determine whether patient factors are related to sick role acceptance and performance of activities of daily living.This study utilized the post-test only control group design, wherein one group had undergone experimental treatment and post-test, while the other group had post-test only. Forty (40) first-ever stroke participated in this study. The data collection was done in two hospitals: Philippine General Hospital and Eas Avenue Medical Center. There were three (3) instruments used in this study.First, the Patient's Data, an original questionnaire on patient factors such as age, sex, civil status, education, family support and presence/absence of comorbid processes. Second, the SRA Profile, was adopted and modified from the ones formulated by Julia S. Brown and May E. Rawlinson. Finally, the third is the ADL Multidimensional Evaluation Checklist was modified for the study basing from the three standardized functional assessment tools: Katz Index of Activities of Daily Living; Barthel Index and the OARS MFAQ.HEFES is a health education program for first-ever stroke patients designed to promote positive sick role acceptance and performance of activities of daily living. It consists of a series of patient education that is interactive and personalizaed given individually to patients in the study group. It's main objective is to increase the knowledge and understanding of first-ever stroke patients regarding their illness. It also includes discussion about the psychological and emotional aspect of illness, which helped them adjust and accept their limitations and disabilities.The findings of the study revealed the following data. Majority of the patients (72.5) belonged to the middle age group. The mean age of the patients was 49.8 years (SD - 11.382). There were more males (n - 27) than females (n - 13). Generally, the patients were married (80). Majority (40) had reached college education. A large proportion of the patients had a very good family support. The forms of support were financial, emotional, social and physical support extended by family, relatives and friends. The characteristics feature of being close-knit, were observed in this group. Majority of the patients (67.5) had co-morbid processes.The co-morbid processes includes hypertension, heart disease, diabetes, kidney and respiratory problems, asthma and arthritis.To determine the difference between the control and study group regarding sick role acceptance and performance of activities of daily living after HEFES is given, X? Mann Whitney Test was utilized. Majority of the patients (90.0) assigned in the study group positively accepted their sick role. More than half of the patients (55.0) assigned in the control group showed negative view of sick role. There was a significant difference in the proportion of patients between the study and the control group based on the SRA score in test I (p-value = 0.000000) and in test II (p-v = 0.00000). The respondents in the study group who did receive HEFES had positive sick role acceptance. This significant difference between the two groups support the benefit of HEFES in effecting positive SRA (sick role acceptance).Performance of activities of daily living includes fifteen (15) activities. These are the following: feeding, bathing, washing, grooming, dressing, undressing, continence, perineal care, transfer. ambulation, use of telephone, housework, meal preparation, personal finances, and shopping. The total composite score of the checklist used to measure ADL is 45. Mean ADL score was 31.3 (SD - 8.455). Patients assigned in the control group have a mean score of 24 (SD - 6.142). Patients assigned in the study group have a mean score of 37.9 (SD - 3.900). There was a significant difference in the proportion of patients between the two groups in the performance of activities of daily living based on the ADL score obtained from them (p-value = 0.000001). Majority of the patients (85.0) in the study group were independent in their ADL, while most of the patients (75.0) in the control were dependent on their activities of daily living. Independence in the performance of activities of daily was shown among patients in the study group who had undergone the experimental treatment. To determine the relationship between sick role acceptance and performance of activities of daily living, Fisher Exact 2 - tailed Test was utilized. The study showed a significant association between sick role acceptance and performance of activities of daily living (p-value = 0.000119). All of the patients (100) who performed their activities of daily living independently viewed SRA positively. Majority of those patients (60.0) who were dependent in the performance of activities of daily living had negative views on SRA.To determine whether patient factors are related to sick role acceptance and performance of activities of daily living, Fisher Exact 2 -tailed Test was also utilized. Among the patient factors (age, sex, civil status, education, and presence/absence of co-morbid processes), only the presence of co-morbid processes is significantly related to performance of activities of daily living (p-value = 0.00275). Presence of co-morbid processes was noted for the majority of patients (86.7) who were dependent in the performance of activities of daily living. The more the patient had other co-existing diseases, the higher is the tendency to become dependent and immobilized.It is of prime importance that the advocate role of nurses in imparting health education be reinforced to uphold the wholeness of patients suffering from stroke. Health education given to patients who suffered stroke for the first time, support the beneficial outcome on patients' recovery both psychologically and physically. Having accepted one's sick role promotes self-esteem, improved sense of well-being and confidence in the performance of activities of daily living. Ability to perform ADL independently eases the burden on the family members and promotes patients' quality of life. Cerebrovascular disease Patients. Cerebrovascular disease Health education. UPMNL NURS LG 995 2000 N8 E74 Book