Predictors of Health Related Quality of Life and Family Life Satisfaction in School Age Children with Asthma

2.50
Hdl Handle:
http://hdl.handle.net/10755/163573
Category:
Abstract
Type:
Presentation
Title:
Predictors of Health Related Quality of Life and Family Life Satisfaction in School Age Children with Asthma
Author(s):
Swartz, Martha
Author Details:
Martha Swartz, PhD, APRN, BC, PNP, Associate Professor and Assistant Dean for Academic Affairs, Yale University School of Nursing, New Haven, Connecticut, USA, email: Martha.swartz@yale.edu
Abstract:
Purpose: Numerous clinical variables have been associated with health related quality of life (HRQL) in asthmatic children, but few studies have addressed the role of family functioning in relationship to this outcome. The current study extends the findings of an earlier meta-analysis which indicated that family functioning and illness severity were significant predictors of HRQL in children with asthma. Methods: A non-experimental, descriptive, cross-sectional correlation design was used to examine the relationship among family stressors, adaptability, cohesion and parental satisfaction about family functioning with HRQL in the asthmatic child. Sixty children and sixty parents or guardians participated in this study of school-age asthmatic children. Scales used in the study included the Family Inventory of Life Events and Changes (FILE), the Family Adaptability and Cohesion Evaluation Scale (FACES II) and the Family APGAR. Descriptive, correlation and multiple regression statistical techniques were conducted. Results: The two major outcomes of interest were the asthmatic child's perceived HRQL and satisfaction with family functioning. Level of control and transitions within the family accounted for 25% of the variance of scores measuring HRQL. Illness and family care strains accounted for 14% of the variance of scores measuring the child's satisfaction with family functioning. Conclusions and Implications: Family cohesion emerged as a potential mediating factor that may buffer the negative effects of family stress and the lack of control that an asthmatic child may experience in symptom management. An appreciation of the relationships among family stress, cohesion, HRQL and satisfaction with family life for children with asthma will directly inform nursing practice. Additional family centered clinical research that fully incorporates HRQL into a theoretical model of health outcomes will continue to refine effective nursing interventions for asthmatic children.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
17th Annual Scientific Sessions
Conference Host:
Eastern Nursing Research Society
Conference Location:
New York, New York, USA
Description:
�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New York
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titlePredictors of Health Related Quality of Life and Family Life Satisfaction in School Age Children with Asthmaen_GB
dc.contributor.authorSwartz, Marthaen_US
dc.author.detailsMartha Swartz, PhD, APRN, BC, PNP, Associate Professor and Assistant Dean for Academic Affairs, Yale University School of Nursing, New Haven, Connecticut, USA, email: Martha.swartz@yale.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/163573-
dc.description.abstractPurpose: Numerous clinical variables have been associated with health related quality of life (HRQL) in asthmatic children, but few studies have addressed the role of family functioning in relationship to this outcome. The current study extends the findings of an earlier meta-analysis which indicated that family functioning and illness severity were significant predictors of HRQL in children with asthma. Methods: A non-experimental, descriptive, cross-sectional correlation design was used to examine the relationship among family stressors, adaptability, cohesion and parental satisfaction about family functioning with HRQL in the asthmatic child. Sixty children and sixty parents or guardians participated in this study of school-age asthmatic children. Scales used in the study included the Family Inventory of Life Events and Changes (FILE), the Family Adaptability and Cohesion Evaluation Scale (FACES II) and the Family APGAR. Descriptive, correlation and multiple regression statistical techniques were conducted. Results: The two major outcomes of interest were the asthmatic child's perceived HRQL and satisfaction with family functioning. Level of control and transitions within the family accounted for 25% of the variance of scores measuring HRQL. Illness and family care strains accounted for 14% of the variance of scores measuring the child's satisfaction with family functioning. Conclusions and Implications: Family cohesion emerged as a potential mediating factor that may buffer the negative effects of family stress and the lack of control that an asthmatic child may experience in symptom management. An appreciation of the relationships among family stress, cohesion, HRQL and satisfaction with family life for children with asthma will directly inform nursing practice. Additional family centered clinical research that fully incorporates HRQL into a theoretical model of health outcomes will continue to refine effective nursing interventions for asthmatic children.en_GB
dc.date.available2011-10-27T11:09:55Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:09:55Z-
dc.conference.date2005en_US
dc.conference.name17th Annual Scientific Sessionsen_US
dc.conference.hostEastern Nursing Research Societyen_US
dc.conference.locationNew York, New York, USAen_US
dc.description�Translational Research for Quality Health Outcomes: Affecting Practice and Healthcare Policy�, held on April 7th -9th at the Roosevelt Hotel, New Yorken_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.-
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