Selbstfürsorge älterer Menschen durch die Selbstanwendung von Hausmitteln – Eine Analyse im Rahmen der HoPES3-Studie

Regina Stolz; Carina Klocke; Friederike Schalhorn; Ruth Mächler; Eckhard Frick; Cornelia Strassner; Noemi Sturm; Stefanie Joos; Jan Valentini

doi:10.1515/spircare-2023-0005

Article

Selbstfürsorge älterer Menschen durch die Selbstanwendung von Hausmitteln – Eine Analyse im Rahmen der HoPES3-Studie

Regina Stolz , Carina Klocke , Friederike Schalhorn , Ruth Mächler , Eckhard Frick , Cornelia Strassner , Noemi Sturm , Stefanie Joos and Jan Valentini

Published/Copyright: July 14, 2023

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From the journal Spiritual Care Volume 12 Issue 3

Zusammenfassung

Hintergrund: Hausmittel (HM) gelten als Ressource der Selbstfürsorge bei chronischen Erkrankungen. In der BMBF-geförderten, cluster-randomisierten HoPES3-Studie wurde die Nutzung von HM durch ältere Patient/-innen untersucht. Ziel war es, die Aspekte Spiritualität, soziale Aktivität und Selbstfürsorge (durch Beratung zu HM) in der hausärztlichen Versorgung zu stärken.

Fragestellungen: Welche Maßnahmen sind zur Selbstfürsorge älterer Menschen geeignet? Wie hoch ist die Anzahl der HM Nutzer/-innen? Welche HM Arten werden angewendet? Welche Einstellungen und Beweggründe haben ältere Patient/-innen hinsichtlich HM Anwendung?

Methode: Entwicklung von Infozepten (Anleitungen zur Selbstanwendung von Hausmitteln), Fragebogengestützte Erhebung der teilnehmenden Patient/-innen (n= 297). Leitfadengestützte Interviews mit Patient/-innen (n=29).

Ergebnisse: Es wurden 17 Infozepte entwickelt. Zu Studienbeginn nutzten 33 % der Patient/-innen der Interventionsgruppe (IG) und 39 % der Kontrollgruppe (KG) HM. Nach sechs Monaten waren es 47 % (IG) und 35 % (KG). Zentrale Beweggründe scheinen die Stärkung der Selbstwirksamkeit, das Gefühl der Selbstbestimmtheit im Umgang mit der eigenen Gesundheit und die Vermeidung von Medikamenten zu sein.

Diskussion und Schlussfolgerung: Die Ergebnisse können dazu beitragen die Ressource HM besser in die Therapieentscheidung bei älteren Patient/-innen einzubeziehen. Die Beratung zu HM in der hausärztlichen Praxis könnte eine niederschwellige Maßnahme zur gezielten Stärkung der Selbstwirksamkeit und Lebensqualität von älteren Patient/-innen sein.

Abstract

Background: Home remedies (HR) are considered a resource for self-care in chronic diseases. The BMBF-funded, cluster-randomised HoPES3 study investigated the use of home remedies by elderly patients. The aim was to strengthen the aspects of spirituality, social activity and self-care (through advice on HR) in family medicine.

Research questions: Which measures are suitable for the self-care of elderly people? How high is the amount of HR users? What types of HR are used? What attitudes and motives do older patients have with regard to the use of home remedies?

Method: Development of information leaflets (Instructions for self-application of HR). Questionnaire-based survey of participating patients (n= 297). Guided interviews with patients (n=29).

Results: There were 17 information leaflets developed. At baseline, 33 % of the patients in the intervention group (IG) and 39 % of the control group (CG) used HR. After six months, 47 % (IG) and 35 % (CG) used HR. Central motives seem to be the strengthening of self-efficacy, the feeling of self-determination in dealing with one’s own health and the avoidance of too many medications.

Discussion and conclusion: The results can contribute to a better integration of the resource of HR into joint therapy decisions of elderly patients. Counselling on HR in the general practice consultation could be a low-threshold measure to specifically strengthen the self-efficacy and quality of life of older patients.

Declaration

Author contributions: Stolz, Regina: Conceptualization, Methodology, Investigation (Conduct and analysis of questionnaires), Writing – main draft; Klocke, Carina: Data curation, Writing -review and editing; Schalhorn, Friederike: Writing -review and editing; Mächler, Ruth: Writing -review and editing; Frick, Eckhard: Conceptualization, Funding acquisition, Writing -review and editing; Straßner, Cornelia: Conceptualization, Funding acquisition, Writing -review and editing; Sturm, Noemi: Project administration, Data curation, Writing -review and editing; Joos, Stefanie: Conceptualization, Funding acquisition, Writing -review and editing; Valentini, Jan: Conceptualization, Funding acquisition, Supervision, Writing -review and editing
Research funding: Funding was granted by the Federal Ministry of Education and Research (funding code 01GL1803).
Competing interests: Authors state no conflict of interest.
Informed consent: Informed consent was obtained from all individuals included in this study.
Ethical approval: The research related to human use complied with all the relevant national regulations, institutional policies and is in accordance the tenets of the Helsinki Declaration. The study was approved by the responsible Ethics Committees of the University Hospital Heidelberg (S-730/2018) and the Baden-Württemberg’s Chamber of Physicians and registered with the German Clinical Trials Register (DRKS 00015696).

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Published Online: 2023-07-14

Published in Print: 2023-07-10

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https://doi.org/10.1515/spircare-2023-0005