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Self-care Concept Analysis in Cancer Patients: An Evolutionary Concept Analysis
1Department of Medical-surgical Nursing, Nursing and Midwifery Palliative Care Research Center, Shahrekord University of Medical Sciences, Shahrekord, Iran.
This study identified four core attributes of self-care in cancer patients: education, interaction, self-control, and self-reliance. These findings enhance nursing knowledge and patient support for chronic disease management.
Area of Science:
- Nursing Science
- Oncology Nursing
- Health Psychology
Background:
- Self-care is a foundational concept in nursing theory and practice, particularly relevant for patients with chronic conditions.
- Dorothea Orem's nursing theory emphasizes self-care as a crucial element for patient well-being.
- Understanding self-care is vital for effective patient management in oncology.
Purpose of the Study:
- To identify and define the core attributes of the self-care concept specifically within the context of cancer patients.
- To analyze the evolution and components of self-care in individuals undergoing cancer treatment.
Main Methods:
- Utilized Rodgers' evolutionary method of concept analysis for a comprehensive review.
- Analyzed 85 articles, one MSc thesis, and one PhD thesis published between 1980 and 2015.
- In-depth examination and expert review ensured the rigor of the analysis.
Main Results:
- Identified four key attributes of self-care: education, interaction, self-control, and self-reliance.
- Determined three types of antecedents influencing self-care: client-related (self-efficacy, self-esteem), system-related (resources, social networks, culture), and healthcare professional-related (participation).
Conclusions:
- The concept of self-care has significantly evolved for cancer patients over 35 years.
- Nurses' understanding and application of self-care principles have improved, enhancing their role in patient management.
- Nurses are increasingly equipped to lead self-care initiatives within healthcare teams.
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