Effects of a Nursing Intervention on Illness Perceptions and Quality of Life in Injured Patients

2.50
Hdl Handle:
http://hdl.handle.net/10755/621882
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Effects of a Nursing Intervention on Illness Perceptions and Quality of Life in Injured Patients
Author(s):
Lee, Bih-O; Liang, Mei-fang
Lead Author STTI Affiliation:
Non-member
Author Details:
Bih-O Lee, PhD, RN, Professional Experience: Chang Gung University of Science and Technology, Chia-Yi Campus. Associate Professor Feb / 2013 – present Chung Hwa University of Medical Technology Associate Professor & Director of Nursing Department Feb / 2009 – Jan / 2013 Chung Hwa University of Medical Technology Assistant Professor Feb / 2006 – Jan / 2009 Author Summary: Reviewer experience (a)Journal of Nursing Scholarship (b)Worldviews on Evidence-Based Nursing (c)Nurse Education Today (d)The Journal of Nursing Research (e) Journal of Advanced Nursing (recent 1 year) (f) Clinical Nursing Research (recent 1 year) Domain of Research/Area of Interest Domain of Research: traumatic Injury, patient safety, nursing education, adult care Area of Interest: experimental design, qualitative research, traumatic injury, patient safety, Nursing education
Abstract:

Background. Illness representations and quality of life are important health outcomes for injured patients. A nursing intervention that utilizes cognitive behavioral therapy skills is increasingly being applied to improve injured patients’ outcomes, but there is limited evidence of its effectiveness.

Objectives. This study evaluated the long-term effects of a nursing intervention in changing the illness perceptions and quality of life of injured patients.

Design. A prospective randomized controlled trial was used.

Settings. Data were collected at a medical center in Taiwan.

Participants. Participants were screened through the trauma database of the hospital’s computer system. A total of 94 patients were randomly assigned either to the experimental group or the control group.

Methods. Data were collected from 2013 to 2015. Based on a self-regulatory theory, the intervention was conducted by trained nurse practitioners. In recording the outcomes, illness perceptions of injury were measured by the Brief Illness Perception Questionnaire, and quality of life was measured by the World Health Organization's Quality of Life questionnaire. Follow-ups on the experimental and control groups were conducted by telephone to complete the survey at 3, 6, and 12 months after their discharge from the hospital.

Results. The intervention positively changed patients’ illness perceptions for "personal control" (B = 1.26, P < 0.05) and "treatment control" (B = 1.50, P < 0.01) 3 months after being injured, and it changed their "emotional representations" 6 months after being injured. The intervention also positively affected the overall illness perceptions 3 months (B = −0.60, P < 0.05) and 6 months (B = −0.82, P < 0.001) after the injury. The intervention also promoted the patients’ quality of life in the "social domain" 6 months (B = 1.38, P < 0.01) and 12 months (B = 1.38, P < 0.01) after the injury.

Conclusions. The results indicated the intervention had positively changed the patients’ illness representations and quality of life. This study adds new knowledge that proves nursing interventions have longer-term effects on injured patients. A multidisciplinary care plan and retesting of the intervention protocol are needed in the future.

Keywords:
illness representations; nursing intervention; injury
Repository Posting Date:
17-Jul-2017
Date of Publication:
17-Jul-2017
Other Identifiers:
INRC17PST26
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.titleEffects of a Nursing Intervention on Illness Perceptions and Quality of Life in Injured Patientsen_US
dc.contributor.authorLee, Bih-Oen
dc.contributor.authorLiang, Mei-fangen
dc.contributor.departmentNon-memberen
dc.author.detailsBih-O Lee, PhD, RN, Professional Experience: Chang Gung University of Science and Technology, Chia-Yi Campus. Associate Professor Feb / 2013 – present Chung Hwa University of Medical Technology Associate Professor & Director of Nursing Department Feb / 2009 – Jan / 2013 Chung Hwa University of Medical Technology Assistant Professor Feb / 2006 – Jan / 2009 Author Summary: Reviewer experience (a)Journal of Nursing Scholarship (b)Worldviews on Evidence-Based Nursing (c)Nurse Education Today (d)The Journal of Nursing Research (e) Journal of Advanced Nursing (recent 1 year) (f) Clinical Nursing Research (recent 1 year) Domain of Research/Area of Interest Domain of Research: traumatic Injury, patient safety, nursing education, adult care Area of Interest: experimental design, qualitative research, traumatic injury, patient safety, Nursing educationen
dc.identifier.urihttp://hdl.handle.net/10755/621882-
dc.description.abstract<p><em>Background</em><span>. Illness representations and quality of life are important health outcomes for injured patients. A nursing intervention that utilizes cognitive behavioral therapy skills is increasingly being applied to improve injured patients’ outcomes, but there is limited evidence of its effectiveness.</span><strong></strong></p> <p><em>Objectives.</em> This study evaluated the long-term effects of a nursing intervention in changing the illness perceptions and quality of life of injured patients.</p> <p><em>Design. </em>A prospective randomized controlled trial was used.</p> <p><em>Settings. </em>Data were collected at a medical center in Taiwan.<em></em></p> <p><em>Participants.</em> Participants were screened through the trauma database of the hospital’s computer system. A total of 94 patients were randomly assigned either to the experimental group or the control group.</p> <p><em>Methods.</em> Data were collected from 2013 to 2015. Based on a self-regulatory theory, the intervention was conducted by trained nurse practitioners. In recording the outcomes, illness perceptions of injury were measured by the Brief Illness Perception Questionnaire, and quality of life was measured by the World Health Organization's Quality of Life questionnaire. Follow-ups on the experimental and control groups were conducted by telephone to complete the survey at 3, 6, and 12 months after their discharge from the hospital.</p> <p><em>Results. </em>The intervention positively changed patients’ illness perceptions for "personal control" (<em>B</em> = 1.26, <em>P</em> < 0.05) and "treatment control" (<em>B</em> = 1.50, <em>P</em> < 0.01) 3 months after being injured, and it changed their "emotional representations" 6 months after being injured. The intervention also positively affected the overall illness perceptions 3 months (<em>B</em> = −0.60, <em>P</em> < 0.05) and 6 months (<em>B</em> = −0.82, <em>P</em> < 0.001) after the injury. The intervention also promoted the patients’ quality of life in the "social domain" 6 months (<em>B</em> = 1.38, <em>P</em> < 0.01) and 12 months (<em>B</em> = 1.38, <em>P</em> < 0.01) after the injury.</p> <p><em>Conclusions.</em> The results indicated the intervention had positively changed the patients’ illness representations and quality of life. This study adds new knowledge that proves nursing interventions have longer-term effects on injured patients. A multidisciplinary care plan and retesting of the intervention protocol are needed in the future.</p>en
dc.subjectillness representationsen
dc.subjectnursing interventionen
dc.subjectinjuryen
dc.date.available2017-07-17T19:10:11Z-
dc.date.issued2017-07-17-
dc.date.accessioned2017-07-17T19:10:11Z-
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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