The Implications for Nursing Care of Frail Elderly with
Limited Self-Management Abilities: A Cross-Sectional
Study in the Netherlandsc
Volume 3 - Issue 1
Petra Boersma, Anne Marie Vaalburg, Marjolein Albers, Carin JM de Boer, Robbert JJ Gobbens*
- Faculty of Health, Sports and Social Work, Inholland University of Applied Sciences, Amsterdam, The Netherlands
Received: April 12, 2021; Published: April 27, 2021
Corresponding author: Robbert JJ Gobbens, Zonnehuisgroep Amstelland, Amstelveen, The Netherlands
Department Family Medicine and Population Health, Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium
DOI: 10.32474/LOJNHC.2021.03.000153
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Abstract
Aim: To gain insight into the relationship between self-management abilities (taking initiatives, investment behaviour, variety,
multifunctionality, self-efficacy, positive frame of mind) and physical, psychological and social frailty.
Design: A cross-sectional study.
Methods: 145 community-dwelling older people receiving home care completed a questionnaire on sociodemographic factors,
the Self-Management-Ability-Scale and the Tilburg Frailty Indicator. After determining correlations, sequential multiple linear
regression analyses were executed.
Results: All self-management abilities are negatively associated with physical frailty; five (except multifunctionality) are
negatively associated with psychological frailty. Variety in resources and positive frame of mind are negatively associated with social
frailty. Sociodemographic characteristics, chronic diseases and self-management abilities together significantly explain participants’
physical (34.9%), psychological (21.4%) and social (43.9%) frailty. After controlling for sociodemographic characteristics and
chronic diseases, the self-management abilities together significantly explain 11 per cent of psychological and 6.8 per cent of social
frailty. Having a positive frame of mind significantly negatively influences social frailty.
Keywords:Nursing, Frailty; Older People; Self-Management; Community Care
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