A STUDY TO EVALUATE THE FACTORS AFFECTING SELFCARE ACTIVITIES AMONG PATIENTS UNDERGONE HEART VALVE REPLACEMENT SURGERY ADMITTED IN SELECTED HOSPITAL JAIPUR, RAJASTHAN

Abstract

Selfcare is any activity that one does deliberately in order to take care of their physical, mental and emotional health. Good selfcare is key to health.1 In health care, selfcare is any necessary human regulatory function which is under individual control, deliberate and self-initiated. In modern medicine, preventive medicine aligns most closely with selfcare. A lack of adherence to medical advice or the onset of a mental disorder or disability can make selfcare difficult. Selfcare is seen as a partial solution to the global rise in health care costs placed on governments. The notion that selfcare is a fundamental pillar of health and social care means it is an essential component of a modern health care system governed by regulations and statutes. Heart valve replacement surgery is used to replace diseased heart valves. A heart valve normally allows blood to flow in only one direction through the heart. The four valves are commonly represented in a mammalian heart that determines the pathway of blood flow through the heart. The four main valves in the heart are: two atrioventricular valves [the mitral valve (bicuspid valve), and the tricuspid valve] and the two semilunar valves [the aortic valve and the pulmonary valve]. The mitral valve and the aortic valve are in the left heart; the tricuspid valve and the pulmonary valve are in the right heart. The aortic valve is the most common valve to be replaced. The mitral valve is the most common valve to be repaired. Only rarely is the tricuspid valve or the pulmonic valve repaired or replaced. It may be done as an open surgery or as minimally invasive valve surgery which done through much smaller cuts than open surgery, or through a catheter inserted through the skin. Different techniques used includes percutaneous surgery (through the skin) and robot-assisted surgery. Valve surgery remains the treatment of choice for most significant valve lesions. Symptomatic improvement has been well demonstrated in a number of studies and is usually sustained into the late postoperative period, especially when valve replacement is undertaken for stenotic lesions. Invasive studies have shown that symptomatic relief is consistently accompanied by haemodynamic improvement, and the overall superiority of surgical intervention over conservative medical treatment for most patients with advanced valves disease has been firmly established.