Mental and Social Health Commons^™

Depression In Women With Heart Disease, Kimberly M. Ashcraft

Theses, Dissertations and Capstones

The purpose of this study was to examine the relationship between anxiety and anger with depression in women with heart disease. A sample of 50 women participating in cardiac rehabilitation programs in Charleston, WV and Huntington, WV was used to evaluate the inter-relationship of suppressed, expressed, state and trait anger, state and trait anxiety and depression. This non-experimental, descriptive designed study was evaluated by using multiple linear regression and regression coefficients analyzed for the anger and anxiety scores and their interaction. Depression was measured by the Beck Depression Inventory II (BDI-II). Anxiety and anger were measured by Spielberger’s State-Trait Anxiety …

Marijuana Photonovel, A Year Up In Smoke, M. Susan Jones

Nursing Faculty Publications

No abstract provided.

Political Psychology And Critiques Of The Scientific Method: Azt, Asia, Africa, Ibpp Editor

International Bulletin of Political Psychology

This article critiques critiques of clinical outcome studies carried out in Third World countries of Asia and Africa for new methods of AZT treatment that might affect the transmission of HIV from pregnant women to their infants. Some of these studies have been supported by the United States' Centers for Disease Control (CDC) and National Institutes of Health and opposed by several articles in The New England Journal of Medicine.

Prescribing Medications For Mood Disorders, Judith S. Lynch

Nursing Faculty Publications

The nurse practitioner plays a vital role in the treatment of mood disorders in the primary care setting. An important part of the primary care of these patients will require the accurate prescribing of common psychotropic medications and the monitoring and follow-up of a holistic management plan.

Coping Processes Used By Mothers Of Triplets, Susan Mullen Kaplan

Health Services Research Dissertations

The purpose of the study was to identify and describe the coping processes used by mothers of triplets. Using a descriptive design, interpersonal comparisons of 92 mothers of triplets attending a national meeting of families of higher order multiples were made. Variables, in addition to sociodemographic characteristics, included coping processes, levels of depression, perceived availability of social support, and current stress levels. Coping processes were measured using the Ways of Coping Questionnaire (Folkman & Lazarus, 1988), derived from their cognitive-phenomenological theory of stress and coping. Level of depression was measured using the Zung Self-rating Depression Scale (Zung, 1965). Perceived availability …

The Effects Of Self-Care Training On The Self-Concept, Self-Care Behavior, And Metabolic Control Of Diabetic Children, Caryle Hopkins Zorumski

Dissertations, Theses, and Masters Projects

The purpose of this study was to investigate the effects of self-care training on the self-concept, self-care behavior, and metabolic control of diabetic children. The author hoped to obtain information to help improve training programs for children with diabetes.;Forty-nine diabetic children, ages eight to 13, participated in the study as they received basic self-care training from their physicians. Twenty-seven of the children also attended a week long summer day camp where they received additional instruction in diabetes self-care.;The subjects completed the Self-Perception Profile for Children and the Self-Care Questionnaire two times at a four month interval to measure their self-concept …

Nurses' Verbal Responses In Four Types Of Client Situations, Ann V. Dilbeck

Masters Theses

The purpose of the study was to determine to what degree nurses vary in their utilization of empathy when responding to patients experiencing different types of physical and emotional discomfort. Nurse participants ({dollar}N = 32{dollar}) worked primarily in a hospital setting. They were administered the Behavioral Test of Interpersonal Skills and responded to videotaped vignettes. Actors portrayed patients exhibiting pain, anxiety, depression, or anger. "Feeling", "Content", or "Don't Feel" were the three categories scored. "Don't Feel" responses negate or suppress patient's feelings.; A chi-square was done to compare "don't feel" responses to all other responses. "Don't Feel" responses were generally …

Contributing Factors In Medication Nonadherence In Schizophrenic Clients: A Descriptive Study, Sharron E. Howarth

Masters Theses

Medication nonadherence in schizophrenic clients is a major issue for psychiatric nurses. The purpose of this descriptive study was to explore factors identified by the schizophrenic client and the client's primary nurse that contribute to medication nonadherence. The Health Belief Model and Peplau's Model were the theoretical frameworks used. The sample included 20 schizophrenic clients with a history of medication nonadherence and 20 primary psychiatric registered nurses.; Face-to-face interviews using the Compliance Interview Questionnaire were conducted with the psychiatric client and the primary nurse. Results indicated a difference between nurses' and clients' perceptions of the reasons for medication nonadherence. Most …

Stress And Stress Management: A Photonovel, M. Susan Jones, The Kentucky Partnership For Farm Family Health & Safety, Kay Carr, Deborah Williams

Nursing Faculty Publications

No abstract provided.

The Impact Of Delirium On Mental Status And Physical Functioning Of The Hip Fracture Patient One To One And One Half Years Post-Injury, Delores L. Arendsen

Masters Theses

Delirium occurs frequently among hospitalized hip fractured elders. The purpose of this study was to examine the impact of a delirious episode on physical and mental status of those patients 12-18 months post-injury. This ex post facto correlational study utilized Levine's Conservation Principles as the conceptual framework. The sample consisted of 67 subjects age 60 or older. The Mini-Mental State Examination (MMSE) and Katz Index of Activities of Daily Living (ADL) were administered on admission and by telephone at the post-injury interview. The Confusion Assessment Method (CAM) Diagnostic Instrument was used to assess for the syndrome of delirium. Eleven (16%) …

The Effect Of Support Groups On Aids Patients, Karen Bouwman

Masters Theses

The purpose of this study was to answer the following question: Will individuals with HIV/AIDS have the same or decreased levels of anxiety and hopelessness after participating in a support group? A one-group pretest-posttest design was used. A convenience sample consisted of 40 persons with HIV/AIDS attending a large support group which met on a weekly basis. Spielberger's State Anxiety Inventory (SAI) and Beck's Hopelessness Scale (HS) were administered to the participants. Six weeks later, the HS and SAI were repeated. A Social Support Inventory was also given to assess the subject's perceived satisfaction with the support group. Based on …

Prediction Of In-Hospital Delirium In Elderly Hip Fracture Patients Using Family Assessment Of Pre-Morbid Cognitive Behaviors, Ronell R. Ruhlandt

Masters Theses

The elderly are the fastest growing segment of the population in the United States. Elderly persons are at high risk for developing delirium when hospitalized. The purpose of this study was to determine if pre-morbid cognitive behaviors were predictive of in-hospital delirium in elderly hip-fracture patients. The ability to predict or diagnose delirium early could prevent complications during hospitalization and decrease the length of hospital stays. The study was descriptive correlational. Subjects were admitted to a metropolitan teaching hospital during February through August 1993, were 60 years or older, and were diagnosed with hip fracture. Admission assessments included the Cognitive …

Relationship Between Coping Strategies And Perceived Quality Of Life In Icd Recipients, Jacquelyn M. Oliai

Masters Theses

A descriptive, correlational design was used to examine the relationship between use of the 8 coping strategies as identified by Jalowiec (1987) and quality of life (QOL). In addition, relationships and differences among demographic variables and stressors, as well as answers to open ended questions were examined. Thirty-nine Implantable Cardioverter Defibrillator (ICD) recipients who were {dollar}\ge{dollar}1 year post implant completed the Jalowiec Coping Scale, a revised Quality of Life Index Scale, and an informational questionnaire. Betty Neuman's conceptual framework for nursing provided the theoretical framework for this study.; There were no statistically significant results found from the data of this …

Abuse, Neglect And Exploitation In Licensed Facilities - Recognize It - Prevent It - Report It, Maine Department Of Human Services

Maine Collection

Abuse, Neglect and Exploitation In Licensed Facilities - Recognize It - Prevent It - Report It.

Maine Department of Human Services - Bureau of Elder and Adult Services, Augusta, Maine (August 1993).

Contents: Introduction / Signs of Abuse and Neglect / Abuse: Risk Factors / Prevention / Maine's Reporting Law / Investigations of Reports of Abuse, Neglect or Exploitation / Where to Report / Other Relevant Agencies

Development And Testing Of The Stress Adaptation Scale For Parents With Chronically Ill Children (Sasp), Carolyn M. Rutledge

Nursing Theses & Dissertations

This research study consisted of four phases used to develop and test the Stress Adaptation Scale for Parents with Chronically Ill Children (ASP). The first phase dealt with developing the items on the SASP from a review of the literature and the researcher's professional experience. The SASP was then divided into the six categories of health care, social, personal, familial, financial, and spiritual. In phase II, content validity was evaluated by a panel of experts. In phase III, stability over time and face validity was demonstrated using 26 parents of chronically ill children. The SASP achieved a Pearson's r=.85 with …

Association Of Drinking-Related Locus Of Control And Treatment Outcomes In Female Alcoholics, Patricia A. Townsend

Loma Linda University Electronic Theses, Dissertations & Projects

[Abstract Not Included]

Smoking Behavior Among Alabama Student Nurses : The Role Of Behavioral Beliefs And Normative Referencing, Judith Rausch

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to determine predictors of smoking behavior for the senior student nurses in the state of Alabama using Ajzen and Fishbein's Theory of Reasoned Action. Smoking prevalence by level of educational preparation and selected health behaviors were examined for relationship to cigarette use.

A sample of 11 schools of nursing were selected from Alabama's 34, using a random numbers table. There were 13 total programs as two of the schools had both A.D. and B.S. nursing programs. Thirty-two percent (N=555) of senior A.D., B.S. & diploma students nurses in Alabama responded to an 87 item …

The Effect Of Therapeutic Touch On Anxiety And Physiological Measures, Marie Nicholas Bremner

Nursing Theses & Dissertations

The purpose of this study was to investigate the relationship of therapeutic touch to anxiety, blood pressure, heart rate, and respiratory rate of 30 hospitalized women between the ages of 30 and 65 with the medical diagnosis of cancer. Subjects were matched into three intervention groups; three consecutive days subjects received a five minute intervention by therapeutic touch, casual touch, or no touch. A-trait and A-state anxiety were measured by the Self-Evaluation Questionnaires developed by Spielberger, Gorsuch, and Lushene. A factorial two-way analysis of variance revealed that subjects who received intervention by therapeutio touch experienced a significant reduction in A-state …

Measuring Interpersonal Dependency In Adolescent Psychiatric Inpatients, Susan D. Schaffer

Nursing Theses & Dissertations

The successful inpatient treatment of emotionally troubled adolescents must facilitate their achievement of developmentally appropriate independence while minimizing the maladaptive dependency that can be fostered by the hospitalization experience. Levels of interpersonal dependency were measured in seven adolescent psychiatric inpatients over a ninety day period. The Interpersonal Dependency Inventory by Hirschfeld, Klerman, Gough, Barrett, Korchin, & Chodoff was utilized. The individual therapist of each participant independently assessed the participant's response to hospitalization at forty-five and ninety days using a five point Leikert type scale. The study demonstrated no significant changes in dependency levels at forty-five and ninety days. The therapist's …

The Relationship Of Professional Educational Level And Experience On The Attitudes Of Nursing Personnel Towards The Alcoholic, Patricia Pruett Barnes

Loma Linda University Electronic Theses, Dissertations & Projects

The abuse of alcohol is the most serious and pervasive substance abuse program in the country, outranking heroin addiction in the number of people affected, in cost, and in psychological-social-familial upheaval. Health problems generated by the excessive consumption of alcohol require that the nurse play a significant role in the care and treatment of alcoholics and their significant others, such role de riving its importance from the direct professional relationship which develops between the nurse and the client. In order to provide meaningful and effective nursing care to alcoholics, the nurse must have a thorough understanding of the disease known …

Adolescent Life Change Event Questionnaire, Rosalee Yeaworth, Janet York

Research Instruments: College of Nursing

No abstract provided.

The Effect Of A Values Clarification Strategy On The Smoking Behavior Of Pregnant Women, Jean Eiber

Loma Linda University Electronic Theses, Dissertations & Projects

The null hypothesis of this study stated that there would be no significant difference (α=.05) in the change in smoking behavior following a teaching intervention to discourage smoking in pregnant women between those who completed a values clarifying strategy prior to the intervention and those who did not. Forty subjects were randomly assigned 20 to an experimental group and 20 to a control group. Both groups completed a pretest questionnaire concerning demographic data and smoking behavior. Information regarding the adverse effects on the fetus and on the developing child of smoking was presented to each subject by the researcher. The …

The Effects Of Staff-Training And Daily Feedback On Self-Care Behavior In A Nursing Home, Lorraine F. Schack

Masters Theses

No abstract provided.

Depression And Non-Responsive Behavior Displayed By Low Socio-Economic Latino Mothers In An Urban Child And Youth Clinic, Raquél María Aguayo

Loma Linda University Electronic Theses, Dissertations & Projects

During the researcher's experience as a public health nurse, she became aware of two types of depressed women. The first type is the withdrawn, weeping, self-isolating woman while the second type cited numerous physical complaints which prevented her from caring for her home and children. Both exhibited non-responsive behavior to her children's needs.

The purpose of this study was to determine whether or not low socio-economic latino mothers displaying non-responsive behavior had levels of depression different than low socio-economic latino mothers displaying responsive behavior.

Non-responsive behavior Is defined as an inability to utilize clinic services appropriately for health by exhibiting …

Consumer Satisfaction With Services In A Mental Health Center, Sandra M. Hare

Loma Linda University Electronic Theses, Dissertations & Projects

An exploratory study was done with descriptive comparative components to examine the levels of consumer satisfaction at a mental health center, and there was also the intent to determine if satisfaction or dissatisfaction in one area of service affected the general satisfaction level. In addition, other variables and demographic data included in the questionnaire were examined.

Data collection was done by the use of a 23-item questionnaire that was administered to three departments of service, Outpatient, Drug Abuse, and Day-care, at North Orange County Mental Health Services. The sample group consisted of any adult in treatment who had made three …

The Effect Of Group Art Therapy On The Self-Esteem And Locus Of Control Of Delinquent Adolescent Boys, Brenda L. Bryant, Gail Y. Zirkle

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to evaluate the effect of twelve, fifty-five-minute sessions of group art therapy on the self-esteem and locus of control (LOC) of delinquent adolescent boys.

A review of the literature revealed that the development of self-esteem and an internal LOC orientation plays an important part in the total psychological development of the adolescent. Several descriptive studies have associated delinquent behavior with feelings of low self-esteem and external LOC beliefs.

Previous research suggests that group art therapy can increase the low self-esteem and internal LOC of delinquent adolescents. Although a few descriptive studies have been conducted …

Barriers To Attainment Of Health Care In West Central Maine : A Critique By The Poor, Health Facilities Planning Council

Maine Collection

Barriers to Attainment of Health Care in West Central Maine : A Critique by the Poor

"Conducted by the Health Facilities Planning Council, 11 Parkwood Drive, Augusta, Maine under contract to Maine Department of Health and Welfare, June, 1969."

Contents: Foreword / Table of Contents / Introduction / Map / Franklin County / Housing / Dental Rot / Franklin County Memorial Hospital / Family Planning / RN's / State Public Health Nurses / Unmet Health Needs / The Last Outpost / Home Visit in Farmington Falls / Home Visit in Industry / Home Visit in Rangeley Area / Conversations on …

The Affect Of Activities In The Intensive Care Unit On Patients, Dorothy Millholland Mottweiler

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to find out whether there is a relationship between what the patient can see and hear of on-going activities in the intensive care unit and patient stress. The descriptive survey method was used. A checklist was developed from several sources in literature. Data were collected by observation of individual patients in two intensive care units and by recording their behavior on the checklist. Recording of stress signs was done for five minute intervals every thirty minutes for eight hours, making sixteen intervals for every eight hour period. Nineteen separate patient observations of eight hour …

A Problem Situation Unit In In-Service Education For Graduate Nurses, Bessie E. Irvine

Loma Linda University Electronic Theses, Dissertations & Projects

The purpose of this study was to develop a problem situation unit that could be used for stimulating graduate nurses to assume their responsibility regarding the use of pain and anxiety relieving drugs, namely narcotics, tranquilizers, and barbiturates.

The general use of these drugs presents a danger to public health when they are used indiscriminately. Therefore, nurses should be informed as to their responsibility to the doctor, the patient, and to themselves in regard to the use of these drugs.

This study was developed by presenting briefly the following:

1. Principles and history of group discussion and problem situation unit teaching; …

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