Perceived Therapeutic Self-Care Ability of Patients in Surgical Units: A Multisite Survey

Clin Nurs Res. 2023 Feb;32(2):414-422. doi: 10.1177/10547738221078901. Epub 2022 Feb 24.

Abstract

Assessing patients' therapeutic self-care ability allows nurses to initialize care and implement interventions to enhance their self-care abilities. However, sociocultural beliefs and determinants can affect patients' self-care practices. This study determined perceived therapeutic self-care ability of patients in surgical units in Pakistan. A survey was conducted using a purposive sample 511 patients admitted to surgical units for at least 24 hours. Data were collected using the Urdu version of Therapeutic Self-Care Measure. The mean self-care ability score was 20.05 ± 4.3. Patients felt more prepared to take their medications, but less prepared to respond to any unforeseeable physical changes. Significant difference was found between self-care ability of male (20.68 ± 4.15) and female (19.18 ± 4.27) (p < .001) patients. A weak negative correlation was found between patient age and self-care ability (r = -0.15, p = .001). Self-care ability assessment should be included in routine discharge planning, and nurses should provide more tailored self-care discharge education to surgical patients.

Keywords: nursing; nursing care; patient experiences; self-care ability; self-management; surgical nursing.

MeSH terms

  • Emotions
  • Female
  • Hospitalization
  • Humans
  • Male
  • Patient Discharge*
  • Self Care*
  • Surveys and Questionnaires