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Sense of mastery, physical and socia...
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Kim, JinShil.
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Sense of mastery, physical and social functioning, and health-related quality of life in patients with defibrillators.
Record Type:
Language materials, printed : Monograph/item
Title/Author:
Sense of mastery, physical and social functioning, and health-related quality of life in patients with defibrillators./
Author:
Kim, JinShil.
Description:
341 p.
Notes:
Source: Dissertation Abstracts International, Volume: 68-11, Section: B, page: 7249.
Contained By:
Dissertation Abstracts International68-11B.
Subject:
Health Sciences, Medicine and Surgery. -
Online resource:
http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3292441
ISBN:
9780549354567
Sense of mastery, physical and social functioning, and health-related quality of life in patients with defibrillators.
Kim, JinShil.
Sense of mastery, physical and social functioning, and health-related quality of life in patients with defibrillators.
- 341 p.
Source: Dissertation Abstracts International, Volume: 68-11, Section: B, page: 7249.
Thesis (Ph.D.)--Indiana University, 2007.
Despite the survival benefit of implantable cardioverter defibrillators (ICD), ICD patients still face problems in physical and psychosocial adjustment. Little attention has been paid to the relationships among mastery of forces that are important in one's life and other correlates on ICD patients' physical and social functioning and health-related quality of life (HRQL) over time.
ISBN: 9780549354567Subjects--Topical Terms:
1017756
Health Sciences, Medicine and Surgery.
Sense of mastery, physical and social functioning, and health-related quality of life in patients with defibrillators.
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Kim, JinShil.
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Sense of mastery, physical and social functioning, and health-related quality of life in patients with defibrillators.
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341 p.
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Source: Dissertation Abstracts International, Volume: 68-11, Section: B, page: 7249.
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Adviser: Susan J. Pressler.
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Thesis (Ph.D.)--Indiana University, 2007.
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Despite the survival benefit of implantable cardioverter defibrillators (ICD), ICD patients still face problems in physical and psychosocial adjustment. Little attention has been paid to the relationships among mastery of forces that are important in one's life and other correlates on ICD patients' physical and social functioning and health-related quality of life (HRQL) over time.
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The purposes of this study were to: (1) examine the influence of mastery and (2) the interaction between mastery and aging on physical and social functioning and HRQL over 12 months; and (3) determine predictors of 12-month physical and social functioning and HRQL in ICD recipients.
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A prospective design was used (baseline n = 122; 12 months n = 100). Analyses of 2 (mastery) x 2 (time) repeated measures multivariate analysis of variance (R-MANOVA) partially supported the primary hypotheses of 1a), 1b), and 1c) respectively with: a significant time effect only in physical functioning (chi2 = 4.28, p = .04), indicating that ICD patients' physical functioning was improved over 12 months. There was no difference in physical functioning between patients with higher and lower mastery; a significant mastery effect was in social functioning (chi2 = 21.33, p < .0001), indicating that ICD patients with higher mastery had better social functioning than those with lower mastery. There were significant effects for mastery (chi2 = 35.98, p < .0001) and the interaction of mastery and time (chi2 = 5.03, p = .0249) in HRQL, indicating that ICD recipients with higher mastery had significantly better HRQL than those with lower mastery, and HRQL was improved over 12 months among recipients with lower mastery.
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Analyses of 2 (mastery) x 3 (aging) x 2 (time) R-MANOVA for the secondary hypotheses found no significant effects for aging or the interaction of aging and mastery. Analyses of multivariate regression analyses for the tertiary hypotheses indicated the following significant predictors of, respectively, physical and social functioning and HRQL: gender and race; anxiety and depressive symptoms; and gender, ejection fraction, anxiety and depressive symptoms, and mastery. Further prospective studies are needed to validate the findings of this study in a larger sample.
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School code: 0093.
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http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3292441
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