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首页> 外文学位 >The relationship of illness representation and self -care behaviors to health -related quality of life in older individuals with heart failure.
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The relationship of illness representation and self -care behaviors to health -related quality of life in older individuals with heart failure.

机译：患有心力衰竭的老年患者的疾病表征和自我护理行为与健康相关的生活质量的关系。

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摘要

This descriptive correlational study used a convenience sample of 98 individuals with Heart Failure (HF) ages 55 to 97 years (M = 74.4, SD = 10.5) to explore the relationships between the illness representations, HF self-care behaviors, and health-related quality of life (HRQOL). The majority of the sample was male (59%). While most of the participants were Anglo, 12% were African-American and 9% identified themselves as Latino/Hispanic. Participants had been living with their diagnosis for a median time of 3.5 years (M = 6.1 years, SD = 8.12). Each experienced, on average, at least one hospitalization due to HF in the past 12 months (M = 1.1 visits, SD = 2.02) with the median time since admission for the entire group at 1.1 years (M = 2.1 years, SD = 3.13). Approximately 65% of the group were functionally impaired (Class III/IV) according to the Specific Activity Scale (SAS).;The average-item Illness Perception Questionnaire-Revised (IPQ-R) scores indicated participants viewed their HF as having serious consequences ( M = 3.57, SD = .88) and a chronic course ( M = 3.89, SD = 1.03), being under their personal (M = 4.11, SD = .55) and medical (M = 3.65, SD = .63) control but still exhibiting cyclical disruptions in their lives (M = 2.84, SD = .90). Respondents were neutral on the internal (M = 2.55, SD = .78) and external (M = 2.44, SD = .59) causal attribution subscales. Scores on the Self-Care of HF Index (SCHFI) did not correlate significantly with the IPQ-R subscales or scores on the Living with HF Questionnaire (LHFQ). Using hierarchical regression, SAS functional classification (B = 9.96, p < .01), identity (B = 2.01, p < .01), and consequences (B = 1.20, p < .01) explained 64% of the total variance in LHFQ scores. SCHFI total scores did not account for a significant increase in the variance of the LHFQ scores. Implications and recommendations for future studies are discussed.
机译：这项描述性相关研究使用了98名55至97岁心衰（HF）个体的便利样本（M = 74.4，SD = 10.5）来探讨疾病表现，HF自我护理行为与健康相关的关系生活质量（HRQOL）。大部分样本为男性（59％）。虽然大多数参与者是盎格鲁人，但12％是非裔美国人，而9％的人则认为自己是拉丁裔/西班牙裔。参与者的诊断时间中位数为3.5年（M = 6.1年，SD = 8.12）。在过去的12个月中，每位患者平均经历至少一次因心力衰竭住院（M = 1.1次就诊，SD = 2.02），自整个组入院以来的中位时间为1.1年（M = 2.1年，SD = 3.13） ）。根据特定活动量表（SAS），该组中约有65％患有功能障碍（III / IV级）。；平均项目疾病知觉问卷（IPQ-R）评分表明参与者认为他们的心衰有严重后果（M = 3.57，SD = .88）和慢性病（M = 3.89，SD = 1.03），处于个人状态（M = 4.11，SD = .55）和医疗状态（M = 3.65，SD = .63）控制，但仍然表现出周期性的中断（M = 2.84，SD = .90）。在内部（M = 2.55，SD = .78）和外部（M = 2.44，SD = .59）因果归因量表上，受访者持中立态度。 HF自我护理指数（SCHFI）的得分与IPQ-R分量表或HF居住问卷（LHFQ）的得分没有显着相关。使用分层回归，SAS功能分类（B = 9.96，p <.01），同一性（B = 2.01，p <.01）和后果（B = 1.20，p <.01）解释了64％的总方差LHFQ分数。 SCHFI总分数并未说明LHFQ分数方差的显着增加。讨论了对未来研究的影响和建议。

著录项

  • 作者

    Voelmeck, Wayne Francis.;

  • 作者单位

    The University of Texas at Austin.;

  • 授予单位 The University of Texas at Austin.;
  • 学科 Health Sciences Nursing.;Health Sciences Public Health.;Gerontology.
  • 学位 Ph.D.
  • 年度 2006
  • 页码 249 p.
  • 总页数 249
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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