ISSN:0160-6891    

DOI:10.1002/nur.4770080102

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

摘要:

AbstractThe relationship of health locus of control (HLC) scores to changes in physical parameters of 339 participants in a lifestyle change program was examined. Physical parameters included weight, blood pressure, low density lipoproteins, triglycerides, and the ratio between cholesterol and high density lipoproteins. Data were collected on admission and on completion of the 24‐day residential program, and at a 6‐month followup. There were significant changes in HLC scores (p<.001) from admission to discharge. Weight changes at 6 months were positively correlated with admission HLC composite scores (p<.01) and chance dimension (p<.05) scores. There were negative correlations at 6 months between admission powerful other scores and changes in triglycerides (p<.01) and changes in the ratio of cholesterol and high density lipids (p<.

ISSN:0160-6891    

DOI:10.1002/nur.4770080103

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

ISSN:0160-6891    

DOI:10.1002/nur.4770080104

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

摘要:

AbstractThe Rasch model, a simple latent trait model was applied to responses to a 21‐item self‐report instrument. Items were assigned values reflective of interval scale measurement. To modify the instrument, items below the calibrated mean were eliminated. The proposed revision contains fewer items with known scale values and only those items that are the strongest indicants of the variable in question. The present work suggests that the Rasch and similar models are useful for increasing the measurement properties of self‐report instru

ISSN:0160-6891    

DOI:10.1002/nur.4770080105

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

摘要:

AbstractThe instrument,What Being the Parent of a New Baby is Like (WPL), was designed to assess parental experiences and self‐images which are likely to influence problem‐solving concerning their infants. Forty‐nine mothers responded to the questionnaire on three separate occasions during the infants' first 3 months. These data were the basis for a preliminary examination of the item characteristics, reliability (internal consistency), and validity. The pattern of responses to the WPL was in the expected direction for a sample of mothers who, on the whole, functioned well as parents. Principal components factor analysis with iteration and varimax orthogonal rotation identified two variables (centrality of the infant and success in parenting) that together accounted for 60.1% of the variance; adequate internal consistency for success and modest internal consistency for centrality were demonstrated. Use of the Neonatal Perception and Degree of Bother Inventories demonstrated divergent validity. Expected parity differences tested the known groups technique of construct validity. The significant relationship between success and a measure of parents' perceptions of their problem‐solving skills demonstrated concurrent validity. Further testing of WPL with added items on larger and more heterogeneous samples is wa

ISSN:0160-6891    

DOI:10.1002/nur.4770080106

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

摘要:

AbstractDevelopment of two models for predicting acute confusional states in elderly postsurgical hip‐fracture patients is described. Admission variables were used in the first model to predict confusion in the first five postoperative days; treatment and clinical progress data were added for the second model to predict on a day‐to‐day basis. The main sample was 170 patients from four hospitals (Mage = 78.8) with no prior history of mental impairment. Over half (51.5%) evidenced some confusion postoperatively. Three variables were significant in the admission model: age, errors on a mental status test, and level of pre‐injury activity. Age and test errors remained significant in the daily model and urine elimination problems were added, but the strongest predictor was the previous day's confusion score. When that effect was removed, pain, narcotics, and mobility emerged as important predictors. Validity testing suggested that the three admission factors were core predictors of acute confusional

ISSN:0160-6891    

DOI:10.1002/nur.4770080107

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

摘要:

AbstractThe interaction effects of presurgery anxiety and two intervention strategies upon adjustment during dental surgery were examined. Patients undergoing gingivectomy (N= 113) were randomly assigned to one of four information groups: sensation, self‐instruction, combined sensation and self‐instruction, or control; and separated according to level of trait and state anxiety. Results showed an interaction effect between the information conditions and state anxiety (p<.05). Compared with the control group, high state anxiety subjects reported less tension (p<.05) and distress (p<.05) after receiving sensation information; less tension (p<.005) after receiving self‐instruction information; and increased positive self‐statements (p<.05) with the combined information. Low‐state anxiety subjects showed negative treatment effects; sensation information alone (p<.001) or combined with self‐instruction (p<.01) reduced the number of reported positive self

ISSN:0160-6891    

DOI:10.1002/nur.4770080108

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

ISSN:0160-6891    

DOI:10.1002/nur.4770080109

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

摘要:

AbstractThe aim of this study was to determine whether ongoing discussion among nurses, physicians, and consumers influenced their collaborative beliefs and behavior. A stratified experimental sample of 72 professionals and consumers met in small, multidisciplinary groups on a monthly basis for 2 years to discuss health care relationships. Prior to the onset of these groups, and after their conclusion, the experimental sample, a randomly selected control group of 72 persons, and a matched control group of 72 persons all completed the Management of Differences Exercise, the Multidimensional Health Locus of Control Scales, and the Health Role Expectations Index. Contrary to predictions, the experimental group (M= −6.85) declined more than controls (M= −4.63,p<.05) in their beliefs regarding the value of shared versus physician‐dominated responsibility for health care and increased more (M= 1.58 versusM= ‐.53,p<.007) in their beliefs that powerful individuals such as physicians influence the consumer's health status. Results indicate that ongoing discourse may have enhanced traditional, status quo beliefs regarding the authority and power of the physician rather than fostering collaborative

ISSN:0160-6891    

DOI:10.1002/nur.4770080110

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY

ISSN:0160-6891    

DOI:10.1002/nur.4770080111

出版商:Wiley Subscription Services, Inc., A Wiley Company    

年代:1985

数据来源: WILEY