Application of the "Attentively Embracing Story" Theory in Older Persons Living in Long-Term Care Facilities

2.50
Hdl Handle:
http://hdl.handle.net/10755/621922
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Application of the "Attentively Embracing Story" Theory in Older Persons Living in Long-Term Care Facilities
Author(s):
Chuang, Hui-Wan
Lead Author STTI Affiliation:
Theta Tau
Author Details:
Hui-Wan Chuang, MS, RN, Professional Experience: 2015-present-- Ph.D candidate, the Graduate Institute of Medical Sciences, National Defense Medical Center, Taiwan, Taipei 2013-15-- Registered nurse, Emergency Department, Tri-service General Hospital, Taiwan, Taipei 2005-11 –Registered nurse, Surgical and Neurologic Intensive Care Unit, Tri-service General Hospital, Taiwan, Taipei Author Summary: I received my master degreed from National Defense Medical Center in 2013. I worked at Surgical and Neurologic Intensive Care Unit for 6 years. My major is medical and surgical care. I got professional certification about critical care nursing. I am interested in Geriatrics care, especially in self-management domain. In this study, I used a story-centered care intervention program for older adults living in an institutionalized setting to developed self-management behaviors.
Abstract:

Background:

The “Attentively Embracing Story” is a middle-range nursing theory, which employs intentional dialogue to encourage individuals to describe events that are a challenge to their health. The “Attentively Embracing Story” helps individuals transform negative thoughts into positive thoughts, reflect on new meanings and values, and boost spiritual healing and health improvement. However, most studies had methodological shortcomings, including small sample sizes (N<10), pre-post designs, lack of objective outcome, and lack of active treatment controls, which preclude clear conclusions regarding efficacy.

Purpose:

The purpose of this study was to examine the effectiveness of a “Story-Centred Care Intervention Program” based on the “Attentively Embracing Story”, in improving quality of life, blood pressure and heart rate variability in institutionalized older adults.

Methods:

A single-blind two-group longitudinal experimental design was used. Participants (N = 60) were adults over 65 years of age living in long-term care facilities in northern Taiwan.Participants were randomly assigned to an experimental group (n = 29) or a control group (n = 31). The experimental group received a “story-centred care intervention program” once a week for 4 weeks. The control group received a control intervention of medical and life consultations over the same time period. Measurements were obtained in four waves: pre-intervention, post-intervention, and one month and three months after completion of the intervention. Instruments included the WHOQOL -BREF Questionnaire, an electronic blood pressure monitor((type HEM-7210, made by OMRON Co., Ltd., Japan) and 5-minute heart rate variability time-domain parameters of SDNN, and RMSSD (DailyCare BioMedical, Inc., Chungli, Taiwan). Data were analysed using Fisher’s exact test, chi-square test, Mann–Whitney U test, and generalized estimating equation.

Results:

At 1-month and 3-month follow-up, the group that received the story-centred care intervention program had significantly higher scores for quality of life (p< 0.001, p < 0.001, respectively) compared with the control group. Neither Blood pressure nor heart rate variability parameters did not show a statistically significant improvement, however a trend of improvement in parameters was observed in the experimental group.

Conclusion:

The story-centred care intervention program was effective in improving quality of life in older adults living in long-term care facilities; however, further study is needed to demonstrate its role in improving blood pressure and heart rate variability.

Keywords:
attentively embracing story; quality of life; story-centred care
Repository Posting Date:
19-Jul-2017
Date of Publication:
19-Jul-2017
Other Identifiers:
INRC17PST573
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.titleApplication of the "Attentively Embracing Story" Theory in Older Persons Living in Long-Term Care Facilitiesen_US
dc.contributor.authorChuang, Hui-Wanen
dc.contributor.departmentTheta Tauen
dc.author.detailsHui-Wan Chuang, MS, RN, Professional Experience: 2015-present-- Ph.D candidate, the Graduate Institute of Medical Sciences, National Defense Medical Center, Taiwan, Taipei 2013-15-- Registered nurse, Emergency Department, Tri-service General Hospital, Taiwan, Taipei 2005-11 –Registered nurse, Surgical and Neurologic Intensive Care Unit, Tri-service General Hospital, Taiwan, Taipei Author Summary: I received my master degreed from National Defense Medical Center in 2013. I worked at Surgical and Neurologic Intensive Care Unit for 6 years. My major is medical and surgical care. I got professional certification about critical care nursing. I am interested in Geriatrics care, especially in self-management domain. In this study, I used a story-centered care intervention program for older adults living in an institutionalized setting to developed self-management behaviors.en
dc.identifier.urihttp://hdl.handle.net/10755/621922-
dc.description.abstract<p><span>Background:</span></p> <p>The “Attentively Embracing Story” is a middle-range nursing theory, which employs intentional dialogue to encourage individuals to describe events that are a challenge to their health. The “Attentively Embracing Story” helps individuals transform negative thoughts into positive thoughts, reflect on new meanings and values, and boost spiritual healing and health improvement. However, most studies had methodological shortcomings, including small sample sizes (N<10), pre-post designs, lack of objective outcome, and lack of active treatment controls, which preclude clear conclusions regarding efficacy.</p> <p><strong>Purpose:</strong></p> <p>The purpose of this study was to examine the effectiveness of a “Story-Centred Care Intervention Program” based on the “Attentively Embracing Story”, in improving quality of life, blood pressure and heart rate variability in institutionalized older adults.</p> <p><strong>Methods:</strong></p> <p>A single-blind two-group longitudinal experimental design was used. Participants (N = 60) were adults over 65 years of age living in long-term care facilities in northern Taiwan.Participants were randomly assigned to an experimental group (n = 29) or a control group (n = 31). The experimental group received a “story-centred care intervention program” once a week for 4 weeks. The control group received a control intervention of medical and life consultations over the same time period. Measurements were obtained in four waves: pre-intervention, post-intervention, and one month and three months after completion of the intervention. Instruments included the WHOQOL -BREF Questionnaire, an electronic blood pressure monitor((type HEM-7210, made by OMRON Co., Ltd., Japan) and 5-minute heart rate variability time-domain parameters of SDNN, and RMSSD (DailyCare BioMedical, Inc., Chungli, Taiwan). Data were analysed using Fisher’s exact test, chi-square test, Mann–Whitney U test, and generalized estimating equation.</p> <p><strong>Results:</strong></p> <p>At 1-month and 3-month follow-up, the group that received the story-centred care intervention program had significantly higher scores for quality of life (p< 0.001, p < 0.001, respectively) compared with the control group. Neither Blood pressure nor heart rate variability parameters did not show a statistically significant improvement, however a trend of improvement in parameters was observed in the experimental group.</p> <p><strong>Conclusion:</strong></p> <p>The story-centred care intervention program was effective in improving quality of life in older adults living in long-term care facilities; however, further study is needed to demonstrate its role in improving blood pressure and heart rate variability.</p>en
dc.subjectattentively embracing storyen
dc.subjectquality of lifeen
dc.subjectstory-centred careen
dc.date.available2017-07-19T14:07:51Z-
dc.date.issued2017-07-19-
dc.date.accessioned2017-07-19T14:07:51Z-
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
All Items in this repository are protected by copyright, with all rights reserved, unless otherwise indicated.