Cognitive Appraisals as influencing Quality of life for Stroke Support Persons Providing Home Care

2.50
Hdl Handle:
http://hdl.handle.net/10755/308522
Category:
Abstract
Type:
Presentation
Title:
Cognitive Appraisals as influencing Quality of life for Stroke Support Persons Providing Home Care
Author(s):
Pai, Hsiang-Chu; Tsai, Yi-Chen
Lead Author STTI Affiliation:
Non-member
Author Details:
Hsiang-Chu Pai, PhD, RN, pai55215@ms41.hinet.net; Yi-Chen Tsai, RN, MSN
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Background and objectives:  Several previous studies have reported that caregivers have a poor quality of life. The main objectives of this study were to determine the relationship among care giving burdens, cognitive appraisals, and health-related quality of life (HRQOL); and to identify whether the cognitive appraisals influence HRQOL. It will assist in targeting interventions for primary support persons (PSPs).

Design:  A cross-sectional, descriptive, correlational design.

Setting:  A sample in southern Taiwan.

Participants:  Seventy-seven PSPs with a mean age of 59.47, which is younger than stroke survivors’ mean age (78.13) who had an average post-stroke survival rate of 6.12 years.

Methods:  Data were obtained through face-to-face interviews using the SF-36 Health Survey, The Caregiver Burden Inventory (CBI), and Cognitive Appraisals Questions for PSP. The Barthel Index (BI), Modified Rankin Scale (MRS), and Glasgow coma scale (GCS) were used to assess the severity of the patient’s disease. Hierarchical multiple regression analysis (HMR) were used to identify predictors of HRQOL.

Results:  61% of the participants rated their health as poor or fair. Patient disease severity (ADL), as well as PSP gender, age, employment, burden, and cognitive appraisal-impact accounted for 45.8% of the variance in PSP physical component summary (PCS) of HRQOL, with age, burden, and appraisal-impact (β = -.46, p = .000; β = -.32, p = .003; β = -.25, p = .015) the strongest of six predictors (F = 9.141, p = .000). Burden and appraisal-impact (β = -.27, p = .040; β = -.25, p = .047) were the strongest of the six predictors, explaining 18.1% of the variance in PSP mental component summary (MCS) of HRQOL (F = 2.400, p = .037).

Conclusions:  In the current study, findings highlight the importance of appraisal of the impact for stroke survivor’s PSP HRQOL and suggest identifying variables to target for the improvement of PSP HRQOL.

Keywords:
Cognitive Appraisals; Caregiver; 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.titleCognitive Appraisals as influencing Quality of life for Stroke Support Persons Providing Home Careen_GB
dc.contributor.authorPai, Hsiang-Chuen_GB
dc.contributor.authorTsai, Yi-Chenen_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsHsiang-Chu Pai, PhD, RN, pai55215@ms41.hinet.net; Yi-Chen Tsai, RN, MSNen_GB
dc.identifier.urihttp://hdl.handle.net/10755/308522-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p><b><i>Background and objectives:</i></b><i>  </i>Several previous studies have reported that caregivers have a poor quality of life.<b> </b>The main objectives of this study were to determine the relationship among care giving burdens, cognitive appraisals, and health-related quality of life (HRQOL); and to identify whether the cognitive appraisals influence HRQOL. It will assist in targeting interventions for primary support persons (PSPs). <p><b><i>Design:</i></b>  A cross-sectional, descriptive, correlational design. <p><b><i>Setting:  </i></b>A sample in southern Taiwan. <p><b><i>Participants:</i></b>  Seventy-seven PSPs with a mean age of 59.47, which is younger than stroke survivors’ mean age (78.13) who had an average post-stroke survival rate of 6.12 years.<b></b><p><b><i>Methods:</i></b>  Data were obtained through face-to-face interviews using the SF-36 Health Survey, The Caregiver Burden Inventory (CBI), and Cognitive Appraisals Questions for PSP. The Barthel Index (BI), Modified Rankin Scale (MRS), and Glasgow coma scale (GCS) were used to assess the severity of the patient’s disease. Hierarchical multiple regression analysis (HMR) were used to identify predictors of HRQOL.<b></b><p><b><i>Results:</i>  </b>61% of the participants rated their health as poor or fair. Patient disease severity (ADL), as well as PSP gender, age, employment, burden, and cognitive appraisal-impact accounted for 45.8% of the variance in PSP physical component summary (PCS) of HRQOL, with age, burden, and appraisal-impact (<i>β</i> = -.46, <i>p</i> = .000; <i>β</i> = -.32, <i>p</i> = .003; <i>β</i> = -.25, <i>p</i> = .015) the strongest of six predictors (<i>F</i> = 9.141, <i>p</i> = .000). Burden and appraisal-impact (<i>β</i> = -.27, <i>p</i> = .040; <i>β</i> = -.25, <i>p</i> = .047) were the strongest of the six predictors, explaining 18.1% of the variance in PSP mental component summary (MCS) of HRQOL (<i>F</i> = 2.400, <i>p</i> = .037). <p><b><i>Conclusions:</i></b>  In the current study, findings highlight the importance of appraisal of the impact for stroke survivor’s PSP HRQOL and suggest identifying variables to target for the improvement of PSP HRQOL.en_GB
dc.subjectCognitive Appraisalsen_GB
dc.subjectCaregiveren_GB
dc.subjectQuality of Life,en_GB
dc.date.available2013-12-19T17:32:27Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:32:27Z-
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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