title: Role of self-care in sickle cell disease.
abstract: Self-care is an important aspect of managing a chronic disease. In sickle cell disease (SCD), home self-care contributes to individual pain management and thus pain crisis prevention. A better understanding of self-care can help health care providers equip patients with the resources and skills necessary to participate in their disease management. The aim of this study was to examine factors that influence self-care among young adults with SCD. A descriptive, cross-sectional study was conducted using secondary data analysis. Participants were recruited from two SCD clinics in the southeastern United States. The sample consisted of 103 young adults, ages 18 to 30 years, with SCD. Bivariate correlations and regression analyses were used to evaluate the relationships among SCD self-efficacy, social support, sociodemographics, self-care, and hospital visits for pain crises. Study participants were primarily women (61.2%), unemployed or disabled (68%), lived with family (73.8%), and had an annual average of three hospital visits for pain crises. Participants, on average, had 12 years of education, an annual household income of $35,724, and were 24 years old. Social support (p = .001), SCD self-efficacy (p = .002), and years of education (p = .043) were significantly related to self-care. Of the hypothesized variables, only income was significantly associated with hospital visits for pain crises (r = -0.219, p = .05). Individuals with SCD may benefit from self-care interventions that enhance social support, SCD self-efficacy, and access to education. To inform intervention development, further investigation is needed regarding daily self-care behaviors used by young adults with SCD.
authors.affiliation: University of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, North Carolina. Electronic address: nmatthie@email.unc.edu.
authors.forename: Nadine
authors.initials: N
authors.lastname: Matthie
authors.affiliation: University of North Carolina at Chapel Hill, School of Nursing, Chapel Hill, North Carolina.
authors.forename: Coretta
authors.initials: C
authors.lastname: Jenerette
authors.affiliation: University of South Florida, College of Nursing, Tampa, Florida.
authors.forename: Susan
authors.initials: S
authors.lastname: McMillan
mesh_terms: D000293:Adolescent; D000328:Adult; D001741:Black or African American; D000755:Anemia, Sickle Cell / Q000628:therapy*; D003430:Cross-Sectional Studies; D005260:Female; D006699:Home Care Services; D006760:Hospitalization / Q000706:statistics & numerical data; D006801:Humans; D008297:Male; D010146:Pain / Q000517:prevention & control*; D059408:Pain Management / Q000379:methods; D010342:Patient Acceptance of Health Care / Q000706:statistics & numerical data; D012648:Self Care; D020377:Self Efficacy; D012944:Social Support; D055815:Young Adult