Impact of applying the theory of human becoming and self-care deficit theory of nursing on insomnia in after stroke urinary incontinence patients  

作　　者：Heltty Heltty Ratna Sitorus Haryanto Haryanto 

机构地区：[1]Medical Surgical Nursing Department,Faculty of Health Science,Universitas Mandala Waluya,Kendari,Sulawesi Tenggara 93121,Indonesia [2]Medical Surgical Nursing Department,Nursing Faculty,Universitas Indonesia,Depok,Jawa Barat 16424,Indonesia [3]Medical Surgical Nursing and Wound Management Department,Nursing Faculty,West Kalimantan Muhammadiyah Institute of Technology and Health,Kalimantan Barat 78122,Indonesia

出　　处：《Frontiers of Nursing》2024年第3期259-266,共8页护理前沿（英文）

摘　　要：Objective:To determine the impact of applying the theory of human becoming and self-care deficit theory of nursing in overcoming insomnia in patients of urinary incontinence(UI)after stroke.Insomnia is a sleep disorder experienced by UI patients after stroke which can exacerbate problems related to brain damage and can complicate the recovery process.Methods:This study was a quasi-experimental conducted in 4 hospitals.Fifty-six patients were selected by convenience sampling and divided into 2 groups(the intervention and control group).Participants in the intervention group received“applying the theory of Human becoming and self-care deficit theory of nursing,”starting when the patient is about to go home from the hospital and continuing at the house.Measurement of insomnia is done using the Pittsburgh Sleep Quality Index(PSQI).Results:The mean insomnia scores of participants from both groups increased in the first and third measurements.The second and third insomnia measurements found a significant difference(P<0.001).This intervention decreased the average score of insomnia by 4.11 times in the second measurement and 5.82 times in the third measurement.The most important item that decreased in the third measurement of insomnia was sleep efficiency.Conclusions:Applying the theory of human becoming and self-care deficit theory of nursing in this study significantly decreased the insomnia score of post-stroke UI patients.It can be used as a guide for nurses,patients,and families in managing insomnia.In addition,the application of nursing theory in nursing practice can systematize nursing care plans and organize the knowledge of professionals into a conceptual framework,as well as provide effective guidance for nurses on what to do.

关 键 词：human becoming theory INSOMNIA self-care deficit theory STROKE urinary incontinence 

分 类 号：R473.74[医药卫生—护理学]