Promotion of recovery following myocardial infarction: The effect of a structured nursing intervention

2.50
Hdl Handle:
http://hdl.handle.net/10755/155979
Type:
Presentation
Title:
Promotion of recovery following myocardial infarction: The effect of a structured nursing intervention
Abstract:
Promotion of recovery following myocardial infarction: The effect of a structured nursing intervention
Conference Sponsor:Sigma Theta Tau International
Conference Year:1992
Conference Date:August 6 - 8, 1992
Author:Miller, Joan, MSN/MN/MNSc/MNE
P.I. Institution Name:Geisinger Medical Center
Title:Renal Transplant Clinical Nurse
Lifestyle changes and emotional distress mark the recovery period

following myocardial infarction. During recovery, both client and

spouse experience anxiety associated with the onset of sudden

illness. Lack of clear information about the nature of the illness

and recovery process is often a source of anxiety. Structured

nursing intervention, which includes formal instruction and

individualized counseling can facilitate recovery and relieve

emotional distress. The purpose of this study was to determine the

effect of a structured nursing intervention on degree of recovery

for the client and on couples' perceptions of client health status,

support role performance, and uncertainty about illness. This

quasi-experimental study included a sample of 40 clients and

spouses assigned randomly to control and experimental groups with

each group having 20 clients and their spouses. The investigator

offered teaching and counseling based on specific learning

objectives to those clients in the experimental group. Four

instruments were used: (a) the Perceived Efficacy Tool; (b) the

Social Support for Chronic Illness Questionnaire; (c) the Mishel

Uncertainty in Illness Scale; (d) the Spouse Perception of

Uncertainty Scale. Degree of recovery was measured quantitatively

using measurement of oxygen consumption during exercise. Couples

in the experimental group achieved a greater degree of

compatibility for perceptions of uncertainty about illness, support

role performance, and health status. Clients in the experimental

group also demonstrated a greater degree of recovery by achieving

higher levels of functional capacity during exercise testing.

Analysis revealed a positive correlation between compatibility of

couples' perceptions of adequacy of support role performance and

degree of client recovery and between uncertainty about illness and

degree of client recovery. A negative correlation existed between

compatibility of couples' perceptions of health status and degree

of recovery and between uncertainty about illness and compatibility

of couples' perceptions of support role performance. Although

results did not meet the 0.01 level of probability chosen for this

study, the nature of the differences between the control and

experimental groups and the relationships among the study variables

indicate the need for additional research to examine the influence

of nursing intervention for couples following myocardial

infarction.



Repository Posting Date:
26-Oct-2011
Date of Publication:
6-Aug-1992
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titlePromotion of recovery following myocardial infarction: The effect of a structured nursing interventionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155979-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Promotion of recovery following myocardial infarction: The effect of a structured nursing intervention</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">1992</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">August 6 - 8, 1992</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Miller, Joan, MSN/MN/MNSc/MNE</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Geisinger Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Renal Transplant Clinical Nurse</td></tr><tr><td colspan="2" class="item-abstract">Lifestyle changes and emotional distress mark the recovery period<br/><br/>following myocardial infarction. During recovery, both client and<br/><br/>spouse experience anxiety associated with the onset of sudden<br/><br/>illness. Lack of clear information about the nature of the illness<br/><br/>and recovery process is often a source of anxiety. Structured<br/><br/>nursing intervention, which includes formal instruction and<br/><br/>individualized counseling can facilitate recovery and relieve<br/><br/>emotional distress. The purpose of this study was to determine the<br/><br/>effect of a structured nursing intervention on degree of recovery<br/><br/>for the client and on couples' perceptions of client health status,<br/><br/>support role performance, and uncertainty about illness. This<br/><br/>quasi-experimental study included a sample of 40 clients and<br/><br/>spouses assigned randomly to control and experimental groups with<br/><br/>each group having 20 clients and their spouses. The investigator<br/><br/>offered teaching and counseling based on specific learning<br/><br/>objectives to those clients in the experimental group. Four<br/><br/>instruments were used: (a) the Perceived Efficacy Tool; (b) the<br/><br/>Social Support for Chronic Illness Questionnaire; (c) the Mishel<br/><br/>Uncertainty in Illness Scale; (d) the Spouse Perception of<br/><br/>Uncertainty Scale. Degree of recovery was measured quantitatively<br/><br/>using measurement of oxygen consumption during exercise. Couples<br/><br/>in the experimental group achieved a greater degree of<br/><br/>compatibility for perceptions of uncertainty about illness, support<br/><br/>role performance, and health status. Clients in the experimental<br/><br/>group also demonstrated a greater degree of recovery by achieving<br/><br/>higher levels of functional capacity during exercise testing.<br/><br/>Analysis revealed a positive correlation between compatibility of<br/><br/>couples' perceptions of adequacy of support role performance and<br/><br/>degree of client recovery and between uncertainty about illness and<br/><br/>degree of client recovery. A negative correlation existed between<br/><br/>compatibility of couples' perceptions of health status and degree<br/><br/>of recovery and between uncertainty about illness and compatibility<br/><br/>of couples' perceptions of support role performance. Although<br/><br/>results did not meet the 0.01 level of probability chosen for this<br/><br/>study, the nature of the differences between the control and<br/><br/>experimental groups and the relationships among the study variables<br/><br/>indicate the need for additional research to examine the influence<br/><br/>of nursing intervention for couples following myocardial<br/><br/>infarction.<br/><br/><br/><br/></td></tr></table>en_GB
dc.date.available2011-10-26T14:20:18Z-
dc.date.issued1992-08-06en_GB
dc.date.accessioned2011-10-26T14:20:18Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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