The Relationship among Social Support, Spiritual Well-Being, Uncertainty and Self-Care in Class I and II Heart Failure Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/149609
Type:
Presentation
Title:
The Relationship among Social Support, Spiritual Well-Being, Uncertainty and Self-Care in Class I and II Heart Failure Patients
Abstract:
The Relationship among Social Support, Spiritual Well-Being, Uncertainty and Self-Care in Class I and II Heart Failure Patients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2007
Author:Thompson, Kerry C.
P.I. Institution Name:Lenoir-Rhyne College
Title:Associate Professor of Nursing
[Clinical session research presentation] The incidence and prevalence of heart failure continues to increase creating a major health problem for our aging society in the United States today. The disease process often leads to disability, with incapacitating symptoms that can result in frequent hospital admissions and an increased risk of early death. Management for this vulnerable population involves the ability for individuals to conduct self-care activities such as monitoring symptoms, following a treatment regimen and adjusting to frequent changes in their disease state. Based on the findings from a preliminary qualitative study, Mishel's (1988; 1990) Uncertainty in Illness theory and Braden's Self-Help Model of Learned Response in Chronic Illness (1990), a conceptual model of self-care in heart failure was tested on 100 men and women with Class I and II heart failure. Path analysis was used to explore the path relationships among social support, spiritual well-being, uncertainty and self-care. The exogenous variables of social support and spiritual well-being were moderately correlated and when social support was alone in the model, there was a statistical significant effect on self-care. However, when spiritual well-being was included with social support the effects of social support were dampened.  Whereas spirituality explained 22% of the variance in uncertainty, uncertainty was not a significant predictor of self-care. The total model explained 36% of the variance in self-care for this heart failure population. Additionally, uncertainty was found to partially mediate the effect between social support and self-care as the relationship between social support and self-care was weakened by uncertainty. Thus, spiritual well-being became the major variable within the model that served as a predictor of self-care.  The strong bivariate relationships between spiritual well-being and self-care and spiritual well-being and uncertainty add to our body of knowledge that spiritual well-being serves as a resource for this chronic disease population.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Relationship among Social Support, Spiritual Well-Being, Uncertainty and Self-Care in Class I and II Heart Failure Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/149609-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Relationship among Social Support, Spiritual Well-Being, Uncertainty and Self-Care in Class I and II Heart Failure Patients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2007</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Thompson, Kerry C.</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Lenoir-Rhyne College</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Associate Professor of Nursing</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">thompsonk@lrc.edu</td></tr><tr><td colspan="2" class="item-abstract">[Clinical session research presentation] The incidence and prevalence of heart failure continues to increase creating a major health problem for our aging society in the United States today.&nbsp;The disease process often leads to disability, with incapacitating symptoms that can result in frequent hospital admissions and an increased risk of early death.&nbsp;Management for this vulnerable population involves the ability for individuals to conduct self-care activities such as monitoring symptoms, following a treatment regimen and adjusting to frequent changes in their disease state.&nbsp;Based on the findings from a preliminary qualitative study, Mishel's (1988; 1990) Uncertainty in Illness theory and Braden's Self-Help Model of Learned Response in Chronic Illness (1990), a conceptual model of self-care in heart failure was tested on 100 men and women with Class I and II heart failure.&nbsp;Path analysis was used to explore the path relationships among social support, spiritual well-being, uncertainty and self-care. The exogenous variables of social support and spiritual well-being were moderately correlated and when social support was alone in the model, there was a statistical significant effect on self-care.&nbsp;However, when spiritual well-being was included with social support the effects of social support were dampened.&nbsp; Whereas spirituality explained 22% of the variance in uncertainty, uncertainty was not a significant predictor of self-care.&nbsp;The total model explained 36% of the variance in self-care for this heart failure population. Additionally, uncertainty was found to partially mediate the effect between social support and self-care as the relationship between social support and self-care was weakened by uncertainty. Thus, spiritual well-being became the major variable within the model that served as a predictor of self-care.&nbsp; The strong bivariate relationships between spiritual well-being and self-care and spiritual well-being and uncertainty add to our body of knowledge that spiritual well-being serves as a resource for this chronic disease population.</td></tr></table>en_GB
dc.date.available2011-10-26T10:05:51Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:05:51Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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