ISSN:0029-6562    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Major life events and daily stressors have been associated with women's experience of perimenstrual symptoms (PS). The purpose of this study was to determine the relationship of major life events and daily stressors to PS. Seventy-four women between 18 and 35 years of age kept daily recordings of stressors and symptoms for 2 months after which they completed the schedule of Recent Events and the Moos Menstrual Distress Questionnaire (MDQ). Major life events were associated with PS reports on the MDQ but not with symptoms reported in the daily health diary. Daily stressors were more influential in perimenstrual symptoms than the cumulation of major life events. Moreover, a generally stressful life context was more influential in the experience of perimenstrual symptoms than episodes of stressful experiences during a particular menstrual cycle phase.

ISSN:0029-6562    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

This study investigated relationships between demographic and medical variables, attitudes, perceived beliefs of others, and intentions toward medical regimen adherence and actual posthospitalization regimen adherence. During hospitalization, attitudes, perceived beliefs of others, and intentions toward prescribed medical regimen were elicited from 112 persons recovering from a first time myocardial infarction (MI). Six to 9 months posthospitalization, attitudes, perceived beliefs of others, and adherence behaviors were assessed. Multiple regression analysis indicated that, during hospitalization, attitudes and perceived beliefs of others were strong indicators of intentions to adhere to the medical regimen, but they were not indicators of actual adherence posthospitalization. Posthospitalization, attitudes and perceived beliefs of others were strong indicators of actual regimen adherence. Findings indicate rehabilitation plans for the MI patient should be individualized for hospital and home and should include data on health belief variables.

ISSN:0029-6562    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

This study examined variables that may influence the employment potential of hemodialysis patients. The study group consisted of currently employed (n = 20) and currently unemployed (n = 20) hemodialysis patients. All subjects had been employed before starting dialysis and were currently judged physically able to work by their physicians. No significant differences were found in job satisfaction or job importance before starting dialysis. The groups did not differ on biophysiological status or perception of health. However, a greater number of the unemployed had held jobs requiring heavier physical labor and reported that uremic symptoms prevented them from working. They also encountered more job discrimination due to illness and had a greater loss of career and life goals. No significant differences were found between the two groups in life satisfaction or dependence. In both groups the more independent subjects reported greater satisfaction with life.

ISSN:0029-6562    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

This study considered the problem of verifying the amount and frequency of incontinent urine loss in an outpatient population. The sample consisted of elderly male community-dwelling veterans who experienced urinary incontinence. Two amount tests (60-minute and 3-day) were completed by 46 volunteer subjects and 7-day frequency records were kept by an additional 44 volunteers. Results indicated that 60-minute and 3-day absorbent pad tests for amount of urine loss classified 59% (n = 27) of the subjects the same way (normal or abnormal). Thus, the shorter test appears useful as a screening test and offers advantages of lower cost and more accurate reporting. If abnormal urine loss is not identified with the short test, the long test should be used to detect infrequent episodes. Three-day tests for incontinence frequency classified 86% (n = 28) of subjects the same as 4-day tests. Therefore, a 3-day test appears adequate to determine the number and pattern of incontinent episodes as well as associations with relevant events such as activity levels and fluid intake.

ISSN:0029-6562    

出版商:OVID    

年代:1985

数据来源: OVID

ISSN:0029-6562    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

The effectiveness of client participation in goal selection aimed at health risk reduction was compared with the effectiveness of provider-selected goals and of no goal setting. No difference in goal attainment was found between the two groups with goals. However, analyses of covariance for selected subsamples of individuals at risk revealed a significant difference between goal-setting groups for weight reduction, with the collaborative goal-setting group being more effective. Covariance analyses for other subsamples at risk showed significant differences between the goal-setting groups for current health age and potential for life expectancy increase; the provider goal-setting group proved to be more effective. Paired t tests within groups revealed that the provider goal-setting group made significant change in alcohol intake, seat belt use, and exercise as well as in global measures of current health age, estimated life expectancy, and potential for life expectancy increase. For the collaborative goal-setting group, significant change was found in weight reduction, exercise levels, and the global measures of estimated life expectancy and potential for life expectancy increase. The control group made a significant change in exercise, but not in any of the global measures of risk reduction.

ISSN:0029-6562    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Although research shows that relaxation has the potential to reduce stress and anxiety in adults, there is little evidence to support this effect in children. This study examined the effects of relaxation on anxiety in 46 second-grade children in two classrooms. A nonequivalent control group design was strengthened by providing relaxation treatment to the control group after the second measure of anxiety. A third measure of anxiety was then given to both classes. The children were not significantly different with respect to sex, age, and initial anxiety. Although the main hypothesis was not supported (atp

ISSN:0029-6562    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

Attrition of patients in treatment and control was compared for loss from the study and loss from care. Previously diagnosed hypertensive patients who were under treatment but out of control (diastolic blood pressure greater than 90 and systolic blood pressure greater than 140 mm Hg) were assigned to conventional care or to an experimental nursing intervention group. The intervention involved eight visits covering a 6-month period. Attrition from the study for the experimental group was defined as completion of four or fewer experimental sessions; for the control group it was defined as making no visits to a treatment center during a 6-month posttest observation period. Attrition from care by the facilities where the study was conducted was defined as no visits to these sources of care during a 1 1/2-year follow-up period. More controls than experimentals were lost from the study. No differences could be found between patients lost from the study and those lost from both the study and care. A logistic regression was used to predict attrition. The four significant predictor variables were: perceived difficulty in following a diet, knowledge of disease, perceived severity of symptoms, and the experimental condition. The study showed: social psychological variables, important predictors of attrition, should be used to identify patients at risk of leaving care for their chronic diseases.

ISSN:0029-6562    

出版商:OVID    

年代:1985

数据来源: OVID

摘要:

The aim of this study was to determine the validity and reliability of the Collaborative Practice Scales, two distinct self-report measures that assess the degree to which the interactions of nurses (Scale 1) and physicians (Scale 2) enable synergistic influence of patient care. Ninety-five nurses and 94 physicians completed test-retest versions of the scales as well as measures of attitudes toward shared responsibility and their mode of handling differences of opinion. Interdisciplinary peer evaluators rated subjects on collaborative practice. Two theoretically relevant factors were delineated for each of the scales, with the 9-item nurse scale measuring direct assertion of professional expertise/opinion and active clarification of mutual responsibilities and the 10-item physician scale measuring acknowledgement of the nurse's contribution to patient care and consensus development with nurses. Eigenvalues ranged from 1.27 to 4.17. Alpha coefficients were .80 and .84. Correlations with receptivity to shared responsibility and collaborative management of differences indicated support for factors underlying each scale. Sex of physician and the physician's behavior as rated by peer evaluators predicted scores on the physician scale; educational preparation and type of professional responsibility predicted nurses' collaborative practice. Six-week test-retest reliability was significant for both scales. Although results of the study were encouraging, a need for the addition of other theory-linked factors, combined with further testing of the scales, was identified.

ISSN:0029-6562    

出版商:OVID    

年代:1985

数据来源: OVID