The Causal Relationship Among Elements Comprising Laryngectomized Patients' Psychological Adjustment at 3 and 6 Months after Discharge

2.50
Hdl Handle:
http://hdl.handle.net/10755/304144
Category:
Abstract
Type:
Presentation
Title:
The Causal Relationship Among Elements Comprising Laryngectomized Patients' Psychological Adjustment at 3 and 6 Months after Discharge
Author(s):
Kotake, Kumiko; Iwanaga, Kazuyo; Takahashi, Aya; Haba, Kaori; Kawamoto, Rieko; Suzukamo, Yoshimi; Nagamatsu, Yuki; Kai, Ichiro
Lead Author STTI Affiliation:
Non-member
Author Details:
Kumiko Kotake, PhD, RN, MSN, kkotake@juntendo.ac.jp; Kazuyo Iwanaga, RN, MS; Aya Takahashi, RN, PHN, MSN; Kaori Haba, RN, PHN, MSN; Rieko Kawamoto, PhD, RN; Yoshimi Suzukamo, PhD; Yuki Nagamatsu, RN, MSN; Ichiro Kai, MD, MPH;
Abstract:

Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013

Purpose: A 3-layer structure of psychological adjustment among laryngectomized patients was reported in a previous cross-sectional study (Kotake et al., 2008): Increased recognition of the self as a voluntary agent led to increased acceptance of one’s disability. However, this study did not verify a causal relationship. Therefore, the current study attempts to determine a causal relationship between elements comprising psychological adjustment among laryngectomized patients at 3 months and 6 months after discharge.

Methods: One hundred and twenty-eight laryngectomized patients (followed-up at 3 and 6 months after discharge) completed 6 subscales of the Nottingham Adjustment Scale: anxiety, depression, attitude, positive affirmation (acceptance of disability), self-efficacy, and self-esteem. Structural equation modeling was used for analysis. Synchronous effects models (models 1 and 2) and a cross-lagged model (model 3) were used to validate the causal relationship observed in the longitudinal data, which was followed by hypothesis generation.

Results: Mean age at 3 months after discharge was 63.1 ± 7.2 years and 63.7 ± 6.8 years at 6 months. Values were as follows: model 1: chi squared = 88.0, GFI = .909, AGFI = .831; model 2: chi squared = 76.8, GFI = .917, AGFI = .833; model 3: chi squared = 71.2, GFI = .917, AGFI = .922. All 3 models had relatively good fit (ps < 0.05), supporting our hypothesis.

Conclusion: A causal relationship was verified from our longitudinal data: Laryngectomized patients’ psychological adjustment was initiated by the recognition of oneself as a voluntary agent, followed by the acceptance of one’s disability and internal value as a human being.

Keywords:
laryngectmized patients; longitudinal study; psychological adjustment
Repository Posting Date:
22-Oct-2013
Date of Publication:
22-Oct-2013
Conference Date:
2013
Conference Name:
24th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Prague, Czech Republic
Description:
24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleThe Causal Relationship Among Elements Comprising Laryngectomized Patients' Psychological Adjustment at 3 and 6 Months after Dischargeen_GB
dc.contributor.authorKotake, Kumikoen_GB
dc.contributor.authorIwanaga, Kazuyoen_GB
dc.contributor.authorTakahashi, Ayaen_GB
dc.contributor.authorHaba, Kaorien_GB
dc.contributor.authorKawamoto, Riekoen_GB
dc.contributor.authorSuzukamo, Yoshimien_GB
dc.contributor.authorNagamatsu, Yukien_GB
dc.contributor.authorKai, Ichiroen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsKumiko Kotake, PhD, RN, MSN, kkotake@juntendo.ac.jp; Kazuyo Iwanaga, RN, MS; Aya Takahashi, RN, PHN, MSN; Kaori Haba, RN, PHN, MSN; Rieko Kawamoto, PhD, RN; Yoshimi Suzukamo, PhD; Yuki Nagamatsu, RN, MSN; Ichiro Kai, MD, MPH;en_GB
dc.identifier.urihttp://hdl.handle.net/10755/304144-
dc.description.abstract<p>Poster presented on: Thursday, July 25, 2013, Wednesday, July 24, 2013</p><b>Purpose: </b>A 3-layer structure of psychological adjustment among laryngectomized patients was reported in a previous cross-sectional study (Kotake et al., 2008): Increased recognition of the self as a voluntary agent led to increased acceptance of one’s disability. However, this study did not verify a causal relationship. Therefore, the current study attempts to determine a causal relationship between elements comprising psychological adjustment among laryngectomized patients at 3 months and 6 months after discharge. <p><b>Methods: </b>One hundred and twenty-eight laryngectomized patients (followed-up at 3 and 6 months after discharge) completed 6 subscales of the Nottingham Adjustment Scale: anxiety, depression, attitude, positive affirmation (acceptance of disability), self-efficacy, and self-esteem. Structural equation modeling was used for analysis. Synchronous effects models (models 1 and 2) and a cross-lagged model (model 3) were used to validate the causal relationship observed in the longitudinal data, which was followed by hypothesis generation. <p><b>Results: </b> Mean age at 3 months after discharge was 63.1 ± 7.2 years and 63.7 ± 6.8 years at 6 months. Values were as follows: model 1: chi squared = 88.0, GFI = .909, AGFI = .831; model 2: chi squared = 76.8, GFI = .917, AGFI = .833; model 3: chi squared = 71.2, GFI = .917, AGFI = .922. All 3 models had relatively good fit (ps < 0.05), supporting our hypothesis. <p><b>Conclusion: </b> A causal relationship was verified from our longitudinal data: Laryngectomized patients’ psychological adjustment was initiated by the recognition of oneself as a voluntary agent, followed by the acceptance of one’s disability and internal value as a human being.en_GB
dc.subjectlaryngectmized patientsen_GB
dc.subjectlongitudinal studyen_GB
dc.subjectpsychological adjustmenten_GB
dc.date.available2013-10-22T20:29:56Z-
dc.date.issued2013-10-22-
dc.date.accessioned2013-10-22T20:29:56Z-
dc.conference.date2013en_GB
dc.conference.name24th International Nursing Research Congressen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationPrague, Czech Republicen_GB
dc.description24th International Nursing Research Congress Theme: Bridge the Gap Between Research and Practice Through Collaboration. Held at the Hilton Prague Hotel.en_GB
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.en_GB
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