A Structural Model of Social Support, Marital Quality, and Recovery Outcomes in Cardiac Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/159976
Type:
Presentation
Title:
A Structural Model of Social Support, Marital Quality, and Recovery Outcomes in Cardiac Patients
Abstract:
A Structural Model of Social Support, Marital Quality, and Recovery Outcomes in Cardiac Patients
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2009
Author:Ashley, Karin, BSN
P.I. Institution Name:University of Nebraska Medical Center
Title:College of Nursing
Contact Address:985330 Nebraska Medical Center, Omaha, NE, 68198-5330, USA
Contact Telephone:402-708-1873
Co-Authors:K.E. Ashley, B. Yates, P. Dizona, College of Nursing, University of Nebraska Medical Center, Omaha, NE;
Dissatisfying marital relationships are likely to worsen quality of life after a cardiac event and fail to provide the emotional support needed for better recovery outcomes and lifestyle changes. The purpose of this study was to test a theoretic model of the effects of illness-related stress, emotional support, marital satisfaction, and marital conflict on physical activities, and physical and psychological recovery outcomes in cardiovascular patients (N=220) two months after hospital discharge. The theoretic framework was a blend of Lazarus' theory of stress and coping and Lin, Dean, and Ensel's social support model. The model consisted of 7 latent variables: illness-related stress, emotional support, marital satisfaction (Olson's Marital Satisfaction Scale), marital conflict, physical activities, and physical and psychological recovery (depression measured by the CES-D). The remaining concepts were measured with investigator developed tools. Data were analyzed using structural equation modeling via AMOS (standardized beta coefficients are presented in parentheses). Stress had direct effects on all three recovery outcomes: physical activities (-.49), physical recovery (-.53), and depression (.57). Emotional support from the partner had a direct negative effect on depression (-.17) Marital satisfaction was related to higher levels of physical activities. Greater marital conflict was related to greater levels of depression (.18). The fit indices were: ?2 = 212.6 (df=111); CFI = .952; TLI = .934; and RMSEA = .056 suggesting a good fitting model. Illness-related stress had a direct negative impact on all recovery outcomes. The findings further suggest that the context of the marital relationship, including emotional support from the partner, greater marital satisfaction and less marital conflict, were important variables predicting a better recovery after a cardiac event. Knowledge of the causal linkages between social support, marital conflict, and recovery outcomes can provide direction for the development of interventions aimed at improving relational well-being and quality of life for cardiac patients.
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.titleA Structural Model of Social Support, Marital Quality, and Recovery Outcomes in Cardiac Patientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/159976-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Structural Model of Social Support, Marital Quality, and Recovery Outcomes in Cardiac Patients</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">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Ashley, Karin, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Nebraska Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">College of Nursing</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">985330 Nebraska Medical Center, Omaha, NE, 68198-5330, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">402-708-1873</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">keashley@unmc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">K.E. Ashley, B. Yates, P. Dizona, College of Nursing, University of Nebraska Medical Center, Omaha, NE;</td></tr><tr><td colspan="2" class="item-abstract">Dissatisfying marital relationships are likely to worsen quality of life after a cardiac event and fail to provide the emotional support needed for better recovery outcomes and lifestyle changes. The purpose of this study was to test a theoretic model of the effects of illness-related stress, emotional support, marital satisfaction, and marital conflict on physical activities, and physical and psychological recovery outcomes in cardiovascular patients (N=220) two months after hospital discharge. The theoretic framework was a blend of Lazarus' theory of stress and coping and Lin, Dean, and Ensel's social support model. The model consisted of 7 latent variables: illness-related stress, emotional support, marital satisfaction (Olson's Marital Satisfaction Scale), marital conflict, physical activities, and physical and psychological recovery (depression measured by the CES-D). The remaining concepts were measured with investigator developed tools. Data were analyzed using structural equation modeling via AMOS (standardized beta coefficients are presented in parentheses). Stress had direct effects on all three recovery outcomes: physical activities (-.49), physical recovery (-.53), and depression (.57). Emotional support from the partner had a direct negative effect on depression (-.17) Marital satisfaction was related to higher levels of physical activities. Greater marital conflict was related to greater levels of depression (.18). The fit indices were: ?2 = 212.6 (df=111); CFI = .952; TLI = .934; and RMSEA = .056 suggesting a good fitting model. Illness-related stress had a direct negative impact on all recovery outcomes. The findings further suggest that the context of the marital relationship, including emotional support from the partner, greater marital satisfaction and less marital conflict, were important variables predicting a better recovery after a cardiac event. Knowledge of the causal linkages between social support, marital conflict, and recovery outcomes can provide direction for the development of interventions aimed at improving relational well-being and quality of life for cardiac patients.</td></tr></table>en_GB
dc.date.available2011-10-26T22:30:36Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T22:30:36Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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