2.50
Hdl Handle:
http://hdl.handle.net/10755/161600
Type:
Presentation
Title:
The Contributions of Fatigue-Related Self-Care to Health
Abstract:
The Contributions of Fatigue-Related Self-Care to Health
Conference Sponsor:Midwest Nursing Research Society
Conference Year:2002
Author:Magnan, Morris
P.I. Institution Name:Wayne State University
Title:Doctoral Candidate
Contact Address:College of Nursing, 326 Cohn, 5557 Cass Avenue, Detroit, MI, 48202, USA
Orem asserts that self-care contributes to health, but the mechanisms underlying this process have not been fully illuminated. An analysis of Orem's theoretical work, suggests that two new concepts - desired focal condition and regulatory outcome - bring needed dimensions of explanation to this relationship. The purpose of this multivariate correlational study was to test a middle-range theory of fatigue-related self-care that explains the relationship of self-care to health as an indirect one mediated by these new concepts operationalized as fatigue control and energy regulation. Hypotheses were tested through secondary analysis of data obtained on 374 demographically and diagnostically diverse cancer radiation therapy patients. The mode of analysis was path analysis using covariance structural equation modeling. Fit indices for this fully manifest model were, ?2=, 10.26, df=10, p=.42, TLI=.99, CFI=1.000, RMSEA=.008. Five predictors, fatigue, self-care, fatigue control, energy regulation, and global symptom distress accounted for 56% of the variance in health at the final week of therapy. All paths relating self-care to health, directly and indirectly, were significant (all ps < .05). Study findings demonstrated that the health-derived benefits of fatigue-related self-care accrue, in part, through the mechanism of achieving fatigue control and energy regulation. An added benefit comes from the direct effect of fatigue on health which suggests that behavior engaged in for the purpose of controlling fatigue may be meeting other unmeasured requirements for self-care as well. Therefore, until the full therapeutic benefit of fatigue-related self-care is more clearly understood, it seems advisable to be clinically cautious about discouraging the use of behaviors that do not appear to be instrumentally useful in controlling fatigue.
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.titleThe Contributions of Fatigue-Related Self-Care to Healthen_GB
dc.identifier.urihttp://hdl.handle.net/10755/161600-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Contributions of Fatigue-Related Self-Care to Health</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">2002</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Magnan, Morris</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Wayne State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctoral Candidate</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">College of Nursing, 326 Cohn, 5557 Cass Avenue, Detroit, MI, 48202, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mamagnan@wayne.edu</td></tr><tr><td colspan="2" class="item-abstract">Orem asserts that self-care contributes to health, but the mechanisms underlying this process have not been fully illuminated. An analysis of Orem's theoretical work, suggests that two new concepts - desired focal condition and regulatory outcome - bring needed dimensions of explanation to this relationship. The purpose of this multivariate correlational study was to test a middle-range theory of fatigue-related self-care that explains the relationship of self-care to health as an indirect one mediated by these new concepts operationalized as fatigue control and energy regulation. Hypotheses were tested through secondary analysis of data obtained on 374 demographically and diagnostically diverse cancer radiation therapy patients. The mode of analysis was path analysis using covariance structural equation modeling. Fit indices for this fully manifest model were, ?2=, 10.26, df=10, p=.42, TLI=.99, CFI=1.000, RMSEA=.008. Five predictors, fatigue, self-care, fatigue control, energy regulation, and global symptom distress accounted for 56% of the variance in health at the final week of therapy. All paths relating self-care to health, directly and indirectly, were significant (all ps &lt; .05). Study findings demonstrated that the health-derived benefits of fatigue-related self-care accrue, in part, through the mechanism of achieving fatigue control and energy regulation. An added benefit comes from the direct effect of fatigue on health which suggests that behavior engaged in for the purpose of controlling fatigue may be meeting other unmeasured requirements for self-care as well. Therefore, until the full therapeutic benefit of fatigue-related self-care is more clearly understood, it seems advisable to be clinically cautious about discouraging the use of behaviors that do not appear to be instrumentally useful in controlling fatigue.</td></tr></table>en_GB
dc.date.available2011-10-26T23:24:03Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T23:24:03Z-
dc.description.sponsorshipMidwest Nursing Research Societyen_GB
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