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

Abstract| Introduction| Design and Methods| Results| Discussion and Implications| References|