Increased Psychological Demands of Work are Associated with Poor Self-Care and Poor Health-Related Quality of Life Among Workers with Cardiovascular Disease

2.50
Hdl Handle:
http://hdl.handle.net/10755/150886
Type:
Presentation
Title:
Increased Psychological Demands of Work are Associated with Poor Self-Care and Poor Health-Related Quality of Life Among Workers with Cardiovascular Disease
Abstract:
Increased Psychological Demands of Work are Associated with Poor Self-Care and Poor Health-Related Quality of Life Among Workers with Cardiovascular Disease
Conference Sponsor:Sigma Theta Tau International
Conference Year:2011
Author:Dickson, Victoria Vaughan, PhD, RN, CRNP
P.I. Institution Name:New York University
Title:Assistant Professor
[22nd International Nursing Research Congress - Research Presentation] Purpose: Over 3.5 million workers have cardiovascular disease (CVD) with significant work limitations and increased disability. Workers must meet the challenges of today?s work processes including increased stress and intense production demands while managing the complexities of CVD. Little is known about self-care practices (medication, diet, exercise and symptom monitoring) in this population.  This study explored the relationship of job characteristics (job demands, job control, and workplace support), self-care and health-related quality of life (HRQL) among workers with CVD. Methods:  In this cross-sectional, descriptive study 129 workers over age 45 with CVD were recruited from clinical and community settings and completed standardized instruments about self-care (General Adherence Scale a=.74, Self-Care of Heart Disease Index a=.70, Self-Care of Hypertension Index a=.79), job characteristics (Job Content Questionnaire a =.71) and HRQL (Macnew HRQL a=.835). Correlational and regression analyses examined relationships between variables. Results: The sample was 56.3% female, 36.5% African American, mean age 59.16 years +/- 8.83; 80.5% were employed (60.2% full or part time; 20.3% self-employed). Hypertension was common (45.5%) and 27.8% had coronary heart disease (angina, prior-MI or CHF). Self-care behaviors varied. Medication adherence was reported by most (71.4%); few adhered to diet (27%), exercise (18%) or symptom monitoring (31.3%). Psychological job demands were negatively correlated to self-care (r=-0.217, p=.02). Better self-care was reported by those with workplace support (r=.313, p=.001); and correlated to HRQL (r=0.274, p = .004). Overall, job characteristics explained 22% of variance in self-care behaviors and were significant determinants of HRQL (p=.004).  Conclusion: Generally, self-care is poor among workers with CVD. Since job characteristics may interfere with self-care and influence HRQL, clinicians should assess job demands and include stress management as part of patient counseling for workers with CVD. Research to develop and test interventions that foster worksite programs that facilitate self-care behaviors among workers with CVD is needed.
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.titleIncreased Psychological Demands of Work are Associated with Poor Self-Care and Poor Health-Related Quality of Life Among Workers with Cardiovascular Diseaseen_GB
dc.identifier.urihttp://hdl.handle.net/10755/150886-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Increased Psychological Demands of Work are Associated with Poor Self-Care and Poor Health-Related Quality of Life Among Workers with Cardiovascular Disease</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">2011</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Dickson, Victoria Vaughan, PhD, RN, CRNP</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">New York University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">vdickson@nyu.edu</td></tr><tr><td colspan="2" class="item-abstract">[22nd International Nursing Research Congress - Research Presentation] Purpose:&nbsp;Over 3.5 million workers have cardiovascular disease (CVD) with significant work limitations and increased disability. Workers must meet the challenges of today?s work processes including increased stress and intense production demands while managing the complexities of CVD. Little is known about self-care practices (medication, diet, exercise and symptom monitoring) in this population. &nbsp;This study explored the relationship of job characteristics (job demands, job control, and workplace support), self-care and health-related quality of life (HRQL) among workers with CVD. Methods:&nbsp;&nbsp;In this cross-sectional, descriptive study 129 workers over age 45 with CVD were recruited from clinical and community settings and completed standardized instruments about self-care (General Adherence Scale a=.74, Self-Care of Heart Disease Index a=.70, Self-Care of Hypertension Index a=.79), job characteristics (Job Content Questionnaire a =.71) and HRQL (Macnew HRQL a=.835). Correlational and regression analyses examined relationships between variables. Results:&nbsp;The sample was 56.3% female, 36.5% African American, mean age 59.16 years +/- 8.83; 80.5% were employed (60.2% full or part time; 20.3% self-employed). Hypertension was common (45.5%) and 27.8% had coronary heart disease (angina, prior-MI or CHF). Self-care behaviors varied. Medication adherence was reported by most (71.4%); few adhered to diet (27%), exercise (18%) or symptom monitoring (31.3%). Psychological job demands were negatively correlated to self-care (r=-0.217, p=.02). Better self-care was reported by those with workplace support (r=.313, p=.001); and correlated to HRQL (r=0.274, p = .004). Overall, job characteristics explained 22% of variance in self-care behaviors and were significant determinants of HRQL (p=.004). &nbsp;Conclusion:&nbsp;Generally, self-care is poor among workers with CVD. Since job characteristics may interfere with self-care and influence HRQL, clinicians should assess job demands and include stress management as part of patient counseling for workers with CVD. Research to develop and test interventions that foster worksite programs that facilitate self-care behaviors among workers with CVD is needed.</td></tr></table>en_GB
dc.date.available2011-10-26T10:45:37Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T10:45:37Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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