A Comparative Study of Pain Intensity, Information Seeking, and Adjustment to Prostate Cancer in Japanese American and European American Men

2.50
Hdl Handle:
http://hdl.handle.net/10755/621227
Category:
Full-text
Format:
Text-based Document
Type:
Dissertation
Level of Evidence:
Cross-Sectional Study
Research Approach:
Quantitative Research
Title:
A Comparative Study of Pain Intensity, Information Seeking, and Adjustment to Prostate Cancer in Japanese American and European American Men
Author(s):
Kowalski, Mildred Ortu
Advisors:
Haber, Judith; Budin, Wendy C.; Kranovich-Miller, Barbara
Degree:
PhD
Degree Year:
2007
Grantor:
New York University
Abstract:

Adjustment to illness is a multi-dimensional and difficult process for many patients facing a life-threatening illness, such as prostate cancer. Adjustment encompasses changes in social interactions, physical limitations and role function (Germino et al., 1998; Hoskins et ah, 1996). Information-seeking and the reporting of pain promote adjustment and are explained by the Roy Adaptation Model (Boston Based Adaptation Research in Nursing Society, 1999); which was used as a framework for this study. As the United States becomes more ethnically diverse, nurses are challenged to care for patients from different ethnic backgrounds. The purpose o f this descriptive study was to explore ethnic differences in self-reporting of pain (Brief Pain Inventory, BPI; Cleeland & Ryan, 1994), information-seeking behavior (Krantz Health Opinion Survey, KHOS; Krantz et ah, 1980) and adjustment (Psychosocial Adjustment Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. to Illness Scale, PAIS; Derogatis & Derogatis, 1990), in Japanese American and European American men, treated for prostate cancer. Data from 89 consenting participants, 12 Japanese American and 78 European American men, were analyzed using Wilcoxon Rank Sum. The median age was 70. Most participants were married, protestant and college graduates. The ethnic groups were will-matched for age, marital status, number of children, highest education level and income. The most common treatments for prostate cancer reported were androgen deprivation therapy (65%), surgery (55%), and radiation (53%). Because three comparisons were performed on the same dataset, a Bonforroni adjustment for significance level was used. The significance level was set at/? - .017 (.05/3), to detect an alpha of .05. Wilcoxon Rank Sum analysis was performed for each of three main comparisons: 1) information-seeking (KHOS), 2) self-reported pain (BPI), and 3) overall adjustment to illness (PAIS). A difference for information-seeking (KHOS) between the Japanese American and European American groups,/? = .012, was observed. Overall, information-seeking (i.e. inquisitiveness) correlated with better adjustment (p = 0.006). No differences were seen in overall adjustment or self-reported severity of pain. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. The results of this study support ethnic differences in information-seeking patterns observed by other researchers (KagawaSinger, 1988; Kakai et al., 2003), and provide insight for nurses to better care for patients across ethnic groups

Keywords:
Asian Americans; Prostate Cancer
LCSH Subjects:
European Americans--United States
CINAHL Headings:
Cancer Pain; Information Seeking Behavior; Information Seeking Behavior--Evaluation; Prostatic Neoplasms; Prostatic Neoplasms--Complications; Prostatic Neoplasms--Psychosocial Factors; Ethnographic Research; Japanese--United States
Description:
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3289582; ProQuest document ID: 304839112. The author still retains copyright.
Note:
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Repository Posting Date:
2017-03-01T21:39:01Z
Date of Publication:
2017-03-01

Full metadata record

DC FieldValue Language
dc.contributor.advisorHaber, Judithen
dc.contributor.advisorBudin, Wendy C.en
dc.contributor.advisorKranovich-Miller, Barbaraen
dc.contributor.authorKowalski, Mildred Ortuen
dc.date.accessioned2017-03-01T21:39:01Z-
dc.date.available2017-03-01T21:39:01Z-
dc.date.issued2017-03-01-
dc.identifier.urihttp://hdl.handle.net/10755/621227-
dc.descriptionThis dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3289582; ProQuest document ID: 304839112. The author still retains copyright.en
dc.description.abstract<p>Adjustment to illness is a multi-dimensional and difficult process for many patients facing a life-threatening illness, such as prostate cancer. Adjustment encompasses changes in social interactions, physical limitations and role function (Germino et al., 1998; Hoskins et ah, 1996). Information-seeking and the reporting of pain promote adjustment and are explained by the Roy Adaptation Model (Boston Based Adaptation Research in Nursing Society, 1999); which was used as a framework for this study. As the United States becomes more ethnically diverse, nurses are challenged to care for patients from different ethnic backgrounds. The purpose o f this descriptive study was to explore ethnic differences in self-reporting of pain (Brief Pain Inventory, BPI; Cleeland & Ryan, 1994), information-seeking behavior (Krantz Health Opinion Survey, KHOS; Krantz et ah, 1980) and adjustment (Psychosocial Adjustment Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. to Illness Scale, PAIS; Derogatis & Derogatis, 1990), in Japanese American and European American men, treated for prostate cancer. Data from 89 consenting participants, 12 Japanese American and 78 European American men, were analyzed using Wilcoxon Rank Sum. The median age was 70. Most participants were married, protestant and college graduates. The ethnic groups were will-matched for age, marital status, number of children, highest education level and income. The most common treatments for prostate cancer reported were androgen deprivation therapy (65%), surgery (55%), and radiation (53%). Because three comparisons were performed on the same dataset, a Bonforroni adjustment for significance level was used. The significance level was set at/? - .017 (.05/3), to detect an alpha of .05. Wilcoxon Rank Sum analysis was performed for each of three main comparisons: 1) information-seeking (KHOS), 2) self-reported pain (BPI), and 3) overall adjustment to illness (PAIS). A difference for information-seeking (KHOS) between the Japanese American and European American groups,/? = .012, was observed. Overall, information-seeking (i.e. inquisitiveness) correlated with better adjustment (p = 0.006). No differences were seen in overall adjustment or self-reported severity of pain. Reproduced with permission of the copyright owner. Further reproduction prohibited without permission. The results of this study support ethnic differences in information-seeking patterns observed by other researchers (KagawaSinger, 1988; Kakai et al., 2003), and provide insight for nurses to better care for patients across ethnic groups</p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectAsian Americansen
dc.subjectProstate Canceren
dc.subject.lcshEuropean Americans--United Statesen
dc.titleA Comparative Study of Pain Intensity, Information Seeking, and Adjustment to Prostate Cancer in Japanese American and European American Menen_US
dc.typeDissertationen
thesis.degree.grantorNew York Universityen
thesis.degree.levelPhDen
dc.description.noteThis item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.en
thesis.degree.year2007en
dc.type.categoryFull-texten
dc.evidence.levelCross-Sectional Studyen
dc.research.approachQuantitative Researchen
dc.subject.cinahlCancer Painen
dc.subject.cinahlInformation Seeking Behavioren
dc.subject.cinahlInformation Seeking Behavior--Evaluationen
dc.subject.cinahlProstatic Neoplasmsen
dc.subject.cinahlProstatic Neoplasms--Complicationsen
dc.subject.cinahlProstatic Neoplasms--Psychosocial Factorsen
dc.subject.cinahlEthnographic Researchen
dc.subject.cinahlJapanese--United Statesen
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.