Relation of socio-economic status to the independent application of self-care in older persons of South Africa

Health SA Gesondheid

 
 
Field Value
 
Title Relation of socio-economic status to the independent application of self-care in older persons of South Africa
 
Creator Rabie, Tinda Klopper, Hester C. Watson, Martha J.
 
Subject — Older person; Self-care; Socio-economic status
Description Background: Many older persons in South Africa (SA) are affected by a poor socio-economic status, leading to an increase in the use of the public healthcare sector. However, the public healthcare sector is burdened by high volumes of patients and long waiting periods. As a result, professional nurses in primary healthcare (PHC) facilities are not able to spend enough time on proper physical examinations and assessment of needs, including health education and support to older persons to help them apply independent self-care.Aim: To determine if the socio-economic status of older persons affects their ability to apply self-care independently without support from professional nurses in the PHC facility.Design: Quantitative, descriptive research design.Methods: Older persons (N = 198; n = 192 respondents) were asked to complete the Appraisal of Self-care Agency (ASA-A) and Exercise of Self-care Agency (ESCA) questionnaires. Seven self-care deficits were identified through deductive logic after analysis of the two questionnaires. These seven self-care deficits were compared to the socio economic status of the same sample.Results: Seven self-care deficits were identified after analysis of the ASA-A and ESCA questionnaires. One self-care deficit was found to have a relationship with the socioeconomic status of the older persons.Conclusions: Low literacy levels of older persons with a low socio-economic status affect their ability to apply self-care independently without the support from a professional nurse in the PHC facility. Data analysis of the ASA-A and ESCA revealed that these older persons suffer from a “lack of knowledge and ability to acquire knowledge with regard to self-care” which had a relationship with the socio-economic status of older persons with specific reference to low literacy levels and poverty. Implications for practice: More attention should be given to older persons with a low socioeconomic status as their ability to apply self-care independently without the support from a professional nurse is limited. This would lead to less frequent visits to PHC facilities by older persons for minor ailments, decrease healthcare costs, relieve overcrowding in PHC facilities and prevent possible unintentional self-neglect.
 
Publisher AOSIS Publishing
 
Contributor
Date 2016-10-11
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — —
Format application/pdf
Identifier 10.4102/hsag.v21i0.946
 
Source Health SA Gesondheid; Vol 21 (2016); 155-161 2071-9736 1025-9848
 
Language eng
 
Relation
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https://hsag.co.za/index.php/hsag/article/view/946/1140
 
Coverage — — —
Rights Copyright (c) 2016 Tinda Rabie, Hester C. Klopper, Martha J. Watson https://creativecommons.org/licenses/by/4.0
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