Factors Related To Mood Outcomes In Internal Cardiovascular Defibrillator Patients And Their Families

2.50
Hdl Handle:
http://hdl.handle.net/10755/166092
Category:
Abstract
Type:
Presentation
Title:
Factors Related To Mood Outcomes In Internal Cardiovascular Defibrillator Patients And Their Families
Author(s):
Dunbar, Sandra
Author Details:
Sandra Dunbar, DNS/DNSc/DSN, Associate Professor, Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia, USA, email: sbdunba@emory.edu
Abstract:
Purpose: This study was a multi-center study of factors related to mood disturbance in patients who receive an internal cardioverter defibrillator (ICD) for treatment for ventricular arrhythmia and their family members during the first 9 months after implant. Methods: A longitudinal design was used to enroll 213 ICD patients and one family member per patient. Data were collected pre-implant, and 1, 3, 6, 9 months post implant. ICD patients were 83% men, 60 ( 12 years with mean left ventricular ejection fraction of 32%, with 23% having experienced sudden cardiac arrest. Family members were 90% women, mean age 54 ( 12 years. Variables were total mood disturbance (TMD) measured by the Profile of Mood States, coping behaviors (Jalowiec Coping Scale), symptoms (Patient Concerns Assessment), and illness appraisal (Meaning in Illness Questionnaire). Separate hierarchical multiple regression analyses for patient and family members were used with TMD as the dependent variable at each time point of measurement. Results: The regression analysis accounted for 49-65% of the variance in patient TMD but only 18-38% of the variance in family TMD across the nine months. For patients, variables with consistently significant (p< .05) beta weights across time included trait optimism, concerns about symptoms, threat and challenge appraisals, emotion focused coping and functional status with some variation in relationship observed at different time points. For family members, variables with consistently significant beta weights included age, illness appraisal, Emotion-focused coping and the patient's functional status. Implications: The data suggest that higher use of emotion focused coping, higher threat appraisals and lower challenge appraisals are associated with greater mood disturbances. For family members, lower patient functional status was also an important variable associated with higher levels of TMD. Differences in the meaning of the experience for patients and families must be appreciated. Future research to improve ICD recovery outcomes should test family focused interventions designed to enhance coping and illness appraisals, improve symptom management, and reduce the burdens of care giving related to patient functional status.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Host:
Southern Nursing Research Society
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.titleFactors Related To Mood Outcomes In Internal Cardiovascular Defibrillator Patients And Their Familiesen_GB
dc.contributor.authorDunbar, Sandraen_US
dc.author.detailsSandra Dunbar, DNS/DNSc/DSN, Associate Professor, Emory University Nell Hodgson Woodruff School of Nursing, Atlanta, Georgia, USA, email: sbdunba@emory.eduen_US
dc.identifier.urihttp://hdl.handle.net/10755/166092-
dc.description.abstractPurpose: This study was a multi-center study of factors related to mood disturbance in patients who receive an internal cardioverter defibrillator (ICD) for treatment for ventricular arrhythmia and their family members during the first 9 months after implant. Methods: A longitudinal design was used to enroll 213 ICD patients and one family member per patient. Data were collected pre-implant, and 1, 3, 6, 9 months post implant. ICD patients were 83% men, 60 ( 12 years with mean left ventricular ejection fraction of 32%, with 23% having experienced sudden cardiac arrest. Family members were 90% women, mean age 54 ( 12 years. Variables were total mood disturbance (TMD) measured by the Profile of Mood States, coping behaviors (Jalowiec Coping Scale), symptoms (Patient Concerns Assessment), and illness appraisal (Meaning in Illness Questionnaire). Separate hierarchical multiple regression analyses for patient and family members were used with TMD as the dependent variable at each time point of measurement. Results: The regression analysis accounted for 49-65% of the variance in patient TMD but only 18-38% of the variance in family TMD across the nine months. For patients, variables with consistently significant (p< .05) beta weights across time included trait optimism, concerns about symptoms, threat and challenge appraisals, emotion focused coping and functional status with some variation in relationship observed at different time points. For family members, variables with consistently significant beta weights included age, illness appraisal, Emotion-focused coping and the patient's functional status. Implications: The data suggest that higher use of emotion focused coping, higher threat appraisals and lower challenge appraisals are associated with greater mood disturbances. For family members, lower patient functional status was also an important variable associated with higher levels of TMD. Differences in the meaning of the experience for patients and families must be appreciated. Future research to improve ICD recovery outcomes should test family focused interventions designed to enhance coping and illness appraisals, improve symptom management, and reduce the burdens of care giving related to patient functional status.en_GB
dc.date.available2011-10-27T14:40:02Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T14:40:02Z-
dc.conference.hostSouthern Nursing Research Societyen_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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