Hope and Health-Related Quality of Life of Older Women Who Have Had Heart Attacks

2.50
Hdl Handle:
http://hdl.handle.net/10755/621688
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Hope and Health-Related Quality of Life of Older Women Who Have Had Heart Attacks
Author(s):
Kelly-Tobin, Alice Mary
Lead Author STTI Affiliation:
Non-member
Author Details:
Alice Mary Kelly-Tobin, PhD, RN, GNP-BC, Professional Experience: RN – 1978-1988 – acute care of adults, primarily in intensive care units Risk Manager – 1986–1996 – investigation of sentinel events, preparation of investigative reports and plans of corrections on behalf of healthcare organizations, interface with regulatory agencies. GNP – 1996-1997 – coordinated nursing and medical care of approximately 100 older adults with chronic illnesses in medical model adult day health care. Director – 1997-2006 - coordinated nursing and medical care for older adult inpatients with acute psychiatric illnesses on Geropsychiatric service with 600-800 admissions annually, with average of 20 day LOS. Responsibilities included oversight of NPs, RNs, LPNs, Psychiatric Attendants; care planning, discharge planning, performance improvement/risk management and root cause analyses; formulation, review and revision of policies and procedures (such as hospital-wide falls prevention program); staff education. Associate Professor of Nursing Science – 2006-present - Primary teaching areas include fundamentals, adult physical and mental health and leadership/ management. Author Summary: Alice Mary Kelly-Tobin is board certified Geriatric Nurse Practitioner and professor of nursing science at Suffolk County Community College. Dr Tobin earned her PhD at the Graduate Center of the City University of New York. Professional interests include quantitative research, aging, quality of life, medico-legal and ethical issues, student engagement. Primary teaching areas include Fundamentals of Nursing, Adult Physical Health, LPN to RN Transition and Advanced Placement, Adult Mental Health, Nursing Leadership and Management.
Abstract:

PurposeExamination of the relation of hope and HRQoL of older women with history of heart attacks.

Heart disease is the number one cause of death and leading cause of disability in adults in the United States and worldwide (Centers for Disease Control and Prevention [CDC], 2013). Coronary heart disease (CHD) is the most common form of heart disease with heart attack as its acute manifestation. Health Related Quality of Life (HRQoL) is a multidimensional concept of self-perception of physical, emotional health, and overall sense of well-being (Stewart & Ware, 1992; Centers for Disease Control and Prevention [CDC], 2012). Hope, an inner process focusing on maintaining physical and mental well-being, is considered necessary for survival of chronic illnesses, such as CHD (Herth, 1993; Duggleby, et al., 2012).

This study is significant because it focused on older women who have had heart attacks and it examined the relationship between HRQoL, as multidimensional assessment of health perceptions and hope, as an inner process related to physical and mental health. The population of women over age 65 is growing and they are a vulnerable group because they are likely to live alone and in poverty. The incidence and prevalence of heart attacks is greatest among women, age 65 and older, as approximately 200,000 women die from heart attacks in the US annually (CDC, 2013). However, there are few research studies that focus upon women who have had heart attacks, their consequent perceptions on the quality of their lives or their perceived levels of hope. Healthy People 2020 and the Institute of Medicine have identified HRQoL as a focus of the US health agenda (Healthy People, 2013).

Previous studies of HRQoL have focused upon adults of all ages and gender with specific diseases such as heart disease, cancer, arthritis and diabetes mellitus type 2 (Khanna, et al., 2011; White, Wheelwright, Fitzsimmons & Johnson, 2012; Williams, et al.,2012) or adults living in long term care facilities (Kanwar, et al., 2013; Van Malderen, Mets & Gorus, 2013). There is a gap in research studies from 1990's and 2014 that focuses upon women, heart attacks and the relationship between hope and HRQoL.

MethodsOlder women with history of heart attacks (N=91) volunteered for this quantitative non-experimental correlational study. Instruments: demographic questionnaire, SF12 (HRQoL), Herth Hope Index (HHI). Parameters for inclusion in the sample of 84 voluntary participants are female gender, age 65 years and older, history of a heart attack, living in community, ability to speak and read English without need of interpreter services, no diagnosis of cognitive impairment and ability to independently complete questionnaires with minimal prompting.

The HHI is a 12 question tool measured on a 4 point Likert scale in which the higher scores represent the greater level of hope. The HHI questions probe inner thoughts and feelings about outlook on life, goals and fears. Scores can range from 12 to 48, with 12 as the lowest score and 48 as the highest. One point is assigned to responses of “strongly disagree” and four points is assigned to responses of “strongly agree.” Lower scores represent less hope and higher scores represent more hope.

The SF 12 is a 12 question tool measured on a 4 point Likert scale in which higher scores represent a higher level health related quality of life (HRQoL). Scores can range from 0 to 100, with 0 as the lowest score and 100 as the highest. Lower scores indicate lower health related quality of life and higher scores indicate higher health related quality of life.

Results: Marital status correlated to HHI scores, t(90) = -2.70, p = .041, married participants having greater mean score (40.87) compared to singles (38.39). General Health, r(89) = .244, p = .02; Mental Health, r(89) = .352, p = .001; Vitality, r(89) = .221, p = .035; Social Functioning, r(89) = .333, p = .001 and Role Emotion , r(89) = .223, p = .034 correlated with HHI. Marital Status, t(89) = 2.07, p = .041 and Mental Health, t(88) = 3.40, p = .001.

Conclusions Registered nurses and advanced practice registered nurses who include evaluation of hope and HRQoL when performing comprehensive assessments of older adults will uncover health problems and unmet needs such as low vitality in women under 70, pain management in Non-White women and risk for depression. This information will serve as the bases for comprehensive plans for health and wellness.

Keywords:
Health Related Quality of Life; Heart Attack; Hope
Repository Posting Date:
6-Jul-2017
Date of Publication:
6-Jul-2017
Other Identifiers:
INRC17PST112
Conference Date:
2017
Conference Name:
28th International Nursing Research Congress
Conference Host:
Sigma Theta Tau International
Conference Location:
Dublin, Ireland
Description:
Event Theme: Influencing Global Health Through the Advancement of Nursing Scholarship

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleHope and Health-Related Quality of Life of Older Women Who Have Had Heart Attacksen_US
dc.contributor.authorKelly-Tobin, Alice Maryen
dc.contributor.departmentNon-memberen
dc.author.detailsAlice Mary Kelly-Tobin, PhD, RN, GNP-BC, Professional Experience: RN – 1978-1988 – acute care of adults, primarily in intensive care units Risk Manager – 1986–1996 – investigation of sentinel events, preparation of investigative reports and plans of corrections on behalf of healthcare organizations, interface with regulatory agencies. GNP – 1996-1997 – coordinated nursing and medical care of approximately 100 older adults with chronic illnesses in medical model adult day health care. Director – 1997-2006 - coordinated nursing and medical care for older adult inpatients with acute psychiatric illnesses on Geropsychiatric service with 600-800 admissions annually, with average of 20 day LOS. Responsibilities included oversight of NPs, RNs, LPNs, Psychiatric Attendants; care planning, discharge planning, performance improvement/risk management and root cause analyses; formulation, review and revision of policies and procedures (such as hospital-wide falls prevention program); staff education. Associate Professor of Nursing Science – 2006-present - Primary teaching areas include fundamentals, adult physical and mental health and leadership/ management. Author Summary: Alice Mary Kelly-Tobin is board certified Geriatric Nurse Practitioner and professor of nursing science at Suffolk County Community College. Dr Tobin earned her PhD at the Graduate Center of the City University of New York. Professional interests include quantitative research, aging, quality of life, medico-legal and ethical issues, student engagement. Primary teaching areas include Fundamentals of Nursing, Adult Physical Health, LPN to RN Transition and Advanced Placement, Adult Mental Health, Nursing Leadership and Management.en
dc.identifier.urihttp://hdl.handle.net/10755/621688-
dc.description.abstract<p><strong><strong>Purpose</strong></strong><strong>: </strong><span>Examination of the relation of hope and HRQoL of older women with history of heart attacks.</span></p> <p>Heart disease is the number one cause of death and leading cause of disability in adults in the United States and worldwide (Centers for Disease Control and Prevention [CDC], 2013). Coronary heart disease (CHD) is the most common form of heart disease with heart attack as its acute manifestation. Health Related Quality of Life (HRQoL) is a multidimensional concept of self-perception of physical, emotional health, and overall sense of well-being (Stewart & Ware, 1992; Centers for Disease Control and Prevention [CDC], 2012). Hope, an inner process focusing on maintaining physical and mental well-being, is considered necessary for survival of chronic illnesses, such as CHD (Herth, 1993; Duggleby, et al., 2012).</p> <p>This study is significant because it focused on older women who have had heart attacks and it examined the relationship between HRQoL, as multidimensional assessment of health perceptions and hope, as an inner process related to physical and mental health. The population of women over age 65 is growing and they are a vulnerable group because they are likely to live alone and in poverty. The incidence and prevalence of heart attacks is greatest among women, age 65 and older, as approximately 200,000 women die from heart attacks in the US annually (CDC, 2013). However, there are few research studies that focus upon women who have had heart attacks, their consequent perceptions on the quality of their lives or their perceived levels of hope. Healthy People 2020 and the Institute of Medicine have identified HRQoL as a focus of the US health agenda (Healthy People, 2013).</p> <p>Previous studies of HRQoL have focused upon adults of all ages and gender with specific diseases such as heart disease, cancer, arthritis and diabetes mellitus type 2 (Khanna, et al., 2011; White, Wheelwright, Fitzsimmons & Johnson, 2012; Williams, et al.,2012) or adults living in long term care facilities (Kanwar, et al., 2013; Van Malderen, Mets & Gorus, 2013). There is a gap in research studies from 1990's and 2014 that focuses upon women, heart attacks and the relationship between hope and HRQoL.</p> <p><strong>Methods</strong><strong>: </strong>Older women with history of heart attacks (N=91) volunteered for this quantitative non-experimental correlational study. Instruments: demographic questionnaire, SF12 (HRQoL), Herth Hope Index (HHI). Parameters for inclusion in the sample of 84 voluntary participants are female gender, age 65 years and older, history of a heart attack, living in community, ability to speak and read English without need of interpreter services, no diagnosis of cognitive impairment and ability to independently complete questionnaires with minimal prompting.</p> <p>The HHI is a 12 question tool measured on a 4 point Likert scale in which the higher scores represent the greater level of hope. The HHI questions probe inner thoughts and feelings about outlook on life, goals and fears. Scores can range from 12 to 48, with 12 as the lowest score and 48 as the highest. One point is assigned to responses of “strongly disagree” and four points is assigned to responses of “strongly agree.” Lower scores represent less hope and higher scores represent more hope.</p> <p>The SF 12 is a 12 question tool measured on a 4 point Likert scale in which higher scores represent a higher level health related quality of life (HRQoL). Scores can range from 0 to 100, with 0 as the lowest score and 100 as the highest. Lower scores indicate lower health related quality of life and higher scores indicate higher health related quality of life.</p> <p><strong>Results: </strong>Marital status correlated to HHI scores, <em>t</em>(90) = -2.70, <em>p = </em>.041, married participants having greater mean score (40.87) compared to singles (38.39). General Health, <em>r</em>(89) = .244, <em>p</em> = .02; Mental Health, <em>r</em>(89) = .352, <em>p</em> = .001; Vitality, <em>r</em>(89) = .221, <em>p</em> = .035; Social Functioning, <em>r</em>(89) = .333, <em>p</em> = .001 and Role Emotion , <em>r</em>(89) = .223, <em>p</em> = .034 correlated with HHI. Marital Status, <em>t</em>(89) = 2.07, <em>p</em> = .041 and Mental Health, <em>t</em>(88) = 3.40, <em>p</em> = .001.</p> <p><strong>Conclusions</strong><strong> </strong><strong>: </strong>Registered nurses and advanced practice registered nurses who include evaluation of hope and HRQoL when performing comprehensive assessments of older adults will uncover health problems and unmet needs such as low vitality in women under 70, pain management in Non-White women and risk for depression. This information will serve as the bases for comprehensive plans for health and wellness.</p>en
dc.subjectHealth Related Quality of Lifeen
dc.subjectHeart Attacken
dc.subjectHopeen
dc.date.available2017-07-06T16:20:25Z-
dc.date.issued2017-07-06-
dc.date.accessioned2017-07-06T16:20:25Z-
dc.conference.date2017en
dc.conference.name28th International Nursing Research Congressen
dc.conference.hostSigma Theta Tau Internationalen
dc.conference.locationDublin, Irelanden
dc.descriptionEvent Theme: Influencing Global Health Through the Advancement of Nursing Scholarshipen
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