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Self-management in adult clients wit...

Amertil, Ninon Philogene.

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Self-management in adult clients with sickle cell disease (SCD).

紀錄類型:	書目-電子資源 : Monograph/item
正題名/作者:	Self-management in adult clients with sickle cell disease (SCD)./
作者:	Amertil, Ninon Philogene.
面頁冊數:	112 p.
附註:	Source: Dissertation Abstracts International, Volume: 58-06, Section: B, page: 2954.
Contained By:	Dissertation Abstracts International58-06B.
標題:	Health Sciences, Nursing. -
電子資源:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9737501
ISBN:	0591475006

Self-management in adult clients with sickle cell disease (SCD).
Amertil, Ninon Philogene.

Self-management in adult clients with sickle cell disease (SCD). - 112 p.

Source: Dissertation Abstracts International, Volume: 58-06, Section: B, page: 2954.

Thesis (Ph.D.)--University of Massachusetts Amherst, 1997.

Sickle cell disease (SCD) is a genetic disorder which affects thousands of Black Americans. SCD is found predominantly in people of African descent. The disease is characterized by repeated and unpredictable painful episodes capable of disabling its victims. People with this disease need to make adjustments in order to cope with this life-long chronically disabling illness. No studies have examined self-efficacy, uncertainty, and self-management in adult clients with SCD. A cross-sectional, descriptive correlational study was conducted to examine the relationships among self-efficacy, uncertainty, and self-management in adults with SCD.

ISBN: 0591475006Subjects--Topical Terms:

1017798
Health Sciences, Nursing.

Self-management in adult clients with sickle cell disease (SCD).
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245 1 0 $a Self-management in adult clients with sickle cell disease (SCD).
300 $a 112 p.
500 $a Source: Dissertation Abstracts International, Volume: 58-06, Section: B, page: 2954.
500 $a Director: James A. Fain.
502 $a Thesis (Ph.D.)--University of Massachusetts Amherst, 1997.
520 $a Sickle cell disease (SCD) is a genetic disorder which affects thousands of Black Americans. SCD is found predominantly in people of African descent. The disease is characterized by repeated and unpredictable painful episodes capable of disabling its victims. People with this disease need to make adjustments in order to cope with this life-long chronically disabling illness. No studies have examined self-efficacy, uncertainty, and self-management in adult clients with SCD. A cross-sectional, descriptive correlational study was conducted to examine the relationships among self-efficacy, uncertainty, and self-management in adults with SCD.
520 $a A convenience sample of eighty-five subjects from three institutions completed the study. Data were collected using the Mishel Uncertainty in Illness Scale (MUIS), Appraisal of Self-Care Agency (ASA) Scale, and two subscales of the Self-Efficacy in Cancer Management Scale. Data were likewise obtained on demographic characteristics, frequency of crises, pain intensity associated with crises, and use of home remedies and their effectiveness. Descriptive statistics were used to describe characteristics of the sample. Pearson Product Moment Correlations and Regression analyses were used to examine three hypotheses and one research question. The mean age of the sample was 32 years (SD = 9) with a range from 19 to 54. Subjects tended to be single, unemployed, and on disability. The study also revealed that a majority (58%) of subjects had a college education. Results indicated a significant low negative correlation between self-care and uncertainty ( $r = {-}.24,\ p < .05 $) and a significant low positive correlation between self-care and self-efficacy ( $r = .25,\ p < .05 $) . Stepwise regression analyses were performed between uncertainty, self-efficacy, and self-management as the dependent variables with several demographic variables as independent variables. Education accounted for 16% of variability in uncertainty; effectiveness of home remedies accounted for 19% of variability in self-efficacy; and use of home remedies accounted for 14% of variability in self-management. Limitations of the study, contributions to nursing science, and recommendations for further research are presented.
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650 4 $a Black Studies. $3 1017673
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710 2 0 $a University of Massachusetts Amherst. $3 1019433
773 0 $t Dissertation Abstracts International $g 58-06B.
790 1 0 $a Fain, James A., $e advisor
790 $a 0118
791 $a Ph.D.
792 $a 1997
856 4 0 $u http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=9737501