Predictors of self-care in adolescents with cystic fibrosis: a test of Orem's theories of self-care and self-care deficit.
Pediatric nurses often struggle to find ways to encourage adolescents with cystic fibrosis (CF) to engage in self-care that is essential to their health and life. A study of predictors of self-care was conducted to provide a stronger evidence base for nursing practice with these youth. Orem's theories of self-care and self-care deficit were tested to explain and predict the universal and health deviation self-care of 123 adolescents with CF. Four dimensions of self-care agency emerged as predictors of universal self-care, two of which were also predictive of health deviation self-care. Seventy percent of the variance or change in universal self-care scores and 40% of health deviation self-care variance were explained. Clarification and extension of Orem's theories were also an important outcome. Development of nursing interventions designed to strengthen predictors of universal and health deviation-specific self-care identified in this research holds the potential to improve length and quality of life for adolescents with CF.
Baker
Lois K
LK
Cedarville University, Cedarville, OH 45314, USA. bakerl@cedarville.edu
Denyes
Mary J
MJ
D000293:Adolescent; D000294:Adolescent Behavior / Q000523:psychology; D000328:Adult; D001294:Attitude to Health; D002648:Child; D003550:Cystic Fibrosis / Q000517:prevention & control / Q000523:psychology; D005260:Female; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007360:Intelligence; D008297:Male; D008960:Models, Psychological; D015999:Multivariate Analysis; D009733:Nursing Diagnosis / Q000592:standards*; D015403:Nursing Evaluation Research; D009742:Nursing Theory; D010353:Patient Education as Topic; D010371:Pediatric Nursing; D011237:Predictive Value of Tests; D000297:Psychology, Adolescent; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy; D012720:Severity of Illness Index; D012959:Socioeconomic Factors