Relationships among Co-morbidities, Self-efficacy, and Quality of Life in Caregivers of Community Dwelling Patients with Memory Loss

2.50
Hdl Handle:
http://hdl.handle.net/10755/308075
Category:
Abstract
Type:
Presentation
Title:
Relationships among Co-morbidities, Self-efficacy, and Quality of Life in Caregivers of Community Dwelling Patients with Memory Loss
Author(s):
Erlen, Judith A.; Tamres, Lisa K.; Lingler, Jennifer; Sereika, Susan M.
Lead Author STTI Affiliation:
Non-member
Author Details:
Judith A. Erlen, PhD, RN, FAAN, jae001+@pitt.edu; Lisa K. Tamres, MS; Jennifer Lingler, PhD, CRNP; Susan M. Sereika, PhD
Abstract:

Session presented on: Monday, November 18, 2013

Caregivers are often burdened by their patients’ health problems, as well as their own health issues. While the impact of patients’ health status on a range of caregiver outcomes is well-established, less is known about how caregivers’ comorbid conditions affect their quality of life and level of confidence in managing these health problems. Using the conceptual model of stress-health processing, this study examines the relationships among caregiver co-morbidities, self-efficacy, and health related quality of life. We examined baseline data from a randomized controlled trial testing the effect of a problem solving intervention on medication deficiencies, clinical outcomes, and quality of life. The sample included 91 informal caregivers who were primarily female (70%), white (85%), and spouses (75%). On average, caregivers were 67 years of age and had 15 years of education. Caregivers had an average of 7 co-morbid conditions and 9 co-morbid symptoms. Their overall physical well-being and mental well-being scores were moderately low. Correlational analyses showed statistically significant relationships between the number of co-morbid conditions and a) the number of co-morbid symptoms (r= .625, p=.000), b) physical well-being (r= -.288, p=.009), c) depressive symptoms (r= .288, p=.006), and d) self-efficacy (r= -.228, p=.038).  Physical well-being was negatively associated with co-morbid symptoms (r= -. 575, p-.000). Mental well-being was positively associated with depressive symptoms (r= .431, p=.000) and self-efficacy (r= .588, p= .000). Multivariate analysis of potential mediated or indirect effects of the number of co-morbid conditions on self-efficacy using quality of life (physical and mental well-being subscales), depressive symptoms, and number of medications as mediators, showed no statistically significant indirect effects. These findings support linkages in the stress-health processing model. Future research should examine other potential mediators, as well as examine these relationships over time to gain a more integrated understanding of the pathways and mechanisms affecting caregiver outcomes.
Keywords:
caregivers; co-morbidities; health related quality of life
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.titleRelationships among Co-morbidities, Self-efficacy, and Quality of Life in Caregivers of Community Dwelling Patients with Memory Lossen_GB
dc.contributor.authorErlen, Judith A.en_GB
dc.contributor.authorTamres, Lisa K.en_GB
dc.contributor.authorLingler, Jenniferen_GB
dc.contributor.authorSereika, Susan M.en_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsJudith A. Erlen, PhD, RN, FAAN, jae001+@pitt.edu; Lisa K. Tamres, MS; Jennifer Lingler, PhD, CRNP; Susan M. Sereika, PhDen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308075-
dc.description.abstract<p>Session presented on: Monday, November 18, 2013</p>Caregivers are often burdened by their patients’ health problems, as well as their own health issues. While the impact of patients’ health status on a range of caregiver outcomes is well-established, less is known about how caregivers’ comorbid conditions affect their quality of life and level of confidence in managing these health problems. Using the conceptual model of stress-health processing, this study examines the relationships among caregiver co-morbidities, self-efficacy, and health related quality of life. We examined baseline data from a randomized controlled trial testing the effect of a problem solving intervention on medication deficiencies, clinical outcomes, and quality of life. The sample included 91 informal caregivers who were primarily female (70%), white (85%), and spouses (75%). On average, caregivers were 67 years of age and had 15 years of education. Caregivers had an average of 7 co-morbid conditions and 9 co-morbid symptoms. Their overall physical well-being and mental well-being scores were moderately low. Correlational analyses showed statistically significant relationships between the number of co-morbid conditions and a) the number of co-morbid symptoms (r= .625, p=.000), b) physical well-being (r= -.288, p=.009), c) depressive symptoms (r= .288, p=.006), and d) self-efficacy (r= -.228, p=.038).  Physical well-being was negatively associated with co-morbid symptoms (r= -. 575, p-.000). Mental well-being was positively associated with depressive symptoms (r= .431, p=.000) and self-efficacy (r= .588, p= .000). Multivariate analysis of potential mediated or indirect effects of the number of co-morbid conditions on self-efficacy using quality of life (physical and mental well-being subscales), depressive symptoms, and number of medications as mediators, showed no statistically significant indirect effects. These findings support linkages in the stress-health processing model. Future research should examine other potential mediators, as well as examine these relationships over time to gain a more integrated understanding of the pathways and mechanisms affecting caregiver outcomes.en_GB
dc.subjectcaregiversen_GB
dc.subjectco-morbiditiesen_GB
dc.subjecthealth related quality of lifeen_GB
dc.date.available2013-12-19T17:26:34Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:26:34Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_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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