Increased Hopelessness Levels in Patients with Coronary Heart Disease Six Months after Hospitalization and after Attending a Phase Two Cardiac Rehabilitation Program

2.50
Hdl Handle:
http://hdl.handle.net/10755/159891
Type:
Presentation
Title:
Increased Hopelessness Levels in Patients with Coronary Heart Disease Six Months after Hospitalization and after Attending a Phase Two Cardiac Rehabilitation Program
Abstract:
Increased Hopelessness Levels in Patients with Coronary Heart Disease Six Months after Hospitalization and after Attending a Phase Two Cardiac Rehabilitation Program
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2010
Author:Dunn, Susan, PhD, RN
P.I. Institution Name:Hope College
Title:Nursing Department
Contact Address:35 East 12th St., Holland, MI, 49422-9000, USA
Contact Telephone:616-395-7424
Co-Authors:S.L. Dunn, Nursing , Hope College, Holland, MI; N.L. Tintle, Mathematics, Hope College, Holland, MI; E. Dykstra, Nursing, Spectrum Health, Grand Rapids, MI; N. Leger, Nursing, Rush University Medical Center, Chicago, IL;
Background: Hopelessness has been found to persist in some individuals for up to eight months after hospitalization for a coronary heart disease (CHD) event. However, little information is available regarding hopelessness levels in patients who complete a phase two cardiac rehabilitation program. Objective: The purpose of this study was to examine hopelessness levels over time in a sample of patients with CHD who completed a phase two cardiac rehabilitation program. Conceptual Framework: Abramson's Theory of Hopelessness Depression was foundational to this project. Methods: A longitudinal descriptive design was used in collecting data from a sample of 44 phase two cardiac rehabilitation patients at one Michigan hospital between June 2007 and April 2008. Data was collected in person at 1-2 and 7-8 weeks and by mail at 6 months using a 23-item state-trait hopelessness scale that had previously been confirmed to have content validity and high internal consistency. Data was analyzed using SPSS 16.0 software with two-sided tests and alpha = 0.05. Results: The average state hopelessness score was 1.83 (SD= .41) at 1-2 weeks, 1.76 (SD= .43) at 7-8 weeks, and 1.89 (SD= .41) at 6 months. The average trait hopelessness score was 1.84 (SD= .40) at 1-2 weeks, 1.80 (SD= .42) at 7-8 weeks, and 1.89 (SD= .43) at 6 months. The average state and trait hopelessness scores did not significantly change from 1-2 to 7-8 weeks (state p= .15; trait p= .35). However, both state and trait hopelessness scores significantly increased from 7-8 weeks to 6 months (state p= .019; trait p= .035). Conclusions: Both state and trait hopelessness levels significantly increased in patients six months after hospitalization and after attending a phase two cardiac rehabilitation program. Although the reasons for this increase are unknown, one factor may be the loss of support and structure that a phase two cardiac rehabilitation program provides to patients. Relevance to Nursing: These data offer support for further research with a larger and more diverse sample of patients. Because hopelessness may also persist in patients who do not return to a rehabilitation program, future research should examine both patients who complete, and those who do not complete, a phase two cardiac rehabilitation program.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Midwest Nursing Research Society

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleIncreased Hopelessness Levels in Patients with Coronary Heart Disease Six Months after Hospitalization and after Attending a Phase Two Cardiac Rehabilitation Programen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159891-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Increased Hopelessness Levels in Patients with Coronary Heart Disease Six Months after Hospitalization and after Attending a Phase Two Cardiac Rehabilitation Program</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Midwest Nursing Research Society</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Dunn, Susan, PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Hope College</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Nursing Department</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">35 East 12th St., Holland, MI, 49422-9000, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">616-395-7424</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">dunns@hope.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">S.L. Dunn, Nursing , Hope College, Holland, MI; N.L. Tintle, Mathematics, Hope College, Holland, MI; E. Dykstra, Nursing, Spectrum Health, Grand Rapids, MI; N. Leger, Nursing, Rush University Medical Center, Chicago, IL;</td></tr><tr><td colspan="2" class="item-abstract">Background: Hopelessness has been found to persist in some individuals for up to eight months after hospitalization for a coronary heart disease (CHD) event. However, little information is available regarding hopelessness levels in patients who complete a phase two cardiac rehabilitation program. Objective: The purpose of this study was to examine hopelessness levels over time in a sample of patients with CHD who completed a phase two cardiac rehabilitation program. Conceptual Framework: Abramson's Theory of Hopelessness Depression was foundational to this project. Methods: A longitudinal descriptive design was used in collecting data from a sample of 44 phase two cardiac rehabilitation patients at one Michigan hospital between June 2007 and April 2008. Data was collected in person at 1-2 and 7-8 weeks and by mail at 6 months using a 23-item state-trait hopelessness scale that had previously been confirmed to have content validity and high internal consistency. Data was analyzed using SPSS 16.0 software with two-sided tests and alpha = 0.05. Results: The average state hopelessness score was 1.83 (SD= .41) at 1-2 weeks, 1.76 (SD= .43) at 7-8 weeks, and 1.89 (SD= .41) at 6 months. The average trait hopelessness score was 1.84 (SD= .40) at 1-2 weeks, 1.80 (SD= .42) at 7-8 weeks, and 1.89 (SD= .43) at 6 months. The average state and trait hopelessness scores did not significantly change from 1-2 to 7-8 weeks (state p= .15; trait p= .35). However, both state and trait hopelessness scores significantly increased from 7-8 weeks to 6 months (state p= .019; trait p= .035). Conclusions: Both state and trait hopelessness levels significantly increased in patients six months after hospitalization and after attending a phase two cardiac rehabilitation program. Although the reasons for this increase are unknown, one factor may be the loss of support and structure that a phase two cardiac rehabilitation program provides to patients. Relevance to Nursing: These data offer support for further research with a larger and more diverse sample of patients. Because hopelessness may also persist in patients who do not return to a rehabilitation program, future research should examine both patients who complete, and those who do not complete, a phase two cardiac rehabilitation program.</td></tr></table>en_GB
dc.date.available2011-10-26T22:25:53Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:25:53Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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