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Nursing Commons™

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University of Alabama at Birmingham

Theses/Dissertations

2011

Articles 1 - 10 of 10

Full-Text Articles in Nursing

Associations Among Measures Of Engagement With Kp.Org And Clinical Outcomes, Heather J. Sobko Jan 2011

Associations Among Measures Of Engagement With Kp.Org And Clinical Outcomes, Heather J. Sobko

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USING MEASURES OF ENGAGEMENT WITH KP.ORG TO DETERMINE ASSOCIATIONS WITH SELECTED CLINICAL OUTCOMES HEATHER J. SOBKO SCHOOL OF NURSING ABSTRACT Introduction The purpose of this retrospective cohort study was to examine patterns of use of an electronic personal health record among adults diagnosed with diabetes, hypertension or hyperlipidemia. Intermediate behavioral measures (medication possession ratios) and physiological measures of metabolic control for diabetes (hemoglobinA1c), hypertension (blood pressure) and hyperlipidemia (low density lipoprotein) were examined. Methods Administrative data from Kaiser Permanente Georgia were analyzed. Adult members of with selected chronic diseases of diabetes, hypertension or hyperlipidemia who used the Kaiser Permanente electronic …

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Social Support, Social Stigma, Health, Coping, And Quality Of Life In Older Gay Men With Hiv, Larry Zuendel Slater Jan 2011

Social Support, Social Stigma, Health, Coping, And Quality Of Life In Older Gay Men With Hiv, Larry Zuendel Slater

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With the advent of antiretroviral therapy, people with HIV/AIDS are living longer and managing their HIV infection as would an individual with any other chronic disease. As life expectancy increases, quality of life has progressed as an emerging issue for older adults with HIV/AIDS. A majority of people living with HIV in the U.S. are still gay men, who thus comprise a large portion of those who are growing older with the disease. The aims of the descriptive, correlational study were to: (1) explore the relationships among age, race, socioeconomic status, health, social support, social stigma, coping, perceived health, and …

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Risk Associations Between Perceived Stress, Allostatic Load, And Insulin Resistance Among Nondiabetic African American Women Of The Jackson Heart Study, Alethea N. Hill Jan 2011

Risk Associations Between Perceived Stress, Allostatic Load, And Insulin Resistance Among Nondiabetic African American Women Of The Jackson Heart Study, Alethea N. Hill

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Objectives: The purpose of this study was to evaluate the associations between perceived stress, allostatic load, and insulin resistance measured by HOMAIR among nondiabetic African American women of the Jackson Heart Study. Methods: The investigative team examined the cross-sectional associations (2000-2004) of perceived stress, summary indices of allostatic load, and insulin resistance in 2,245 nondiabetic African American women, stratified by glycemic profile, participating in the Jackson Heart Study. Measurements include physiological markers, anthropometric measures, and (3) stress instruments: Weekly Stress Inventory (WSI), Global Stress (STS), and JHS Discrimination Questionnaire (DIS). t-tests, ÷2 test, bivariate correlations, and forward hierarchical linear regression …

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Protective Factors Against Relapse For Practicing Nurse Anesthetists In Recovery From Anesthetic Opiates, Elizabeth Laura Wright Jan 2011

Protective Factors Against Relapse For Practicing Nurse Anesthetists In Recovery From Anesthetic Opiates, Elizabeth Laura Wright

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Introduction: Addiction to anesthetic opiates is an occupational hazard for anesthesia providers, which includes nurse anesthetists. Several factors influence this hazard risk, including, genetic make-up, personality traits, and job stress. Also of great concern is the risk of relapse if an anesthesia provider returns to work, which can be as high as 40%. However, there are nurse anesthetists who have successfully returned to the practice of anesthesia while in recovery from addiction to anesthetic opiates. These nurse anesthetists have first-hand experience with the challenges of recovery when faced with continual access to opiates, and their experience can help others in …

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Parental Influences On Late Adolescents' Autonomous Motivation And Sexual Risk Knowledge And Behavior, Bettina Hornbuckle Riley Jan 2011

Parental Influences On Late Adolescents' Autonomous Motivation And Sexual Risk Knowledge And Behavior, Bettina Hornbuckle Riley

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Adolescent risky sexual behavior is associated with unprotected sex, unplanned pregnancy, abortion, and contraction of sexually transmitted diseases (STDs) such as chlamydia, syphilis, gonorrhea, and HIV/AIDS. During their time of transition to adulthood, late adolescents make decisions about their sexual health that may or may not be motivated by parental (mother and father) sexual risk communication and autonomy support. While the adolescent may be physically independent or semi-independent from his/her parents, parents continue to influence their adolescents through past and present endorsement of certain behaviors. This research examined how parent-sexual risk communication and parental autonomy support may individually and collectively …

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Neighborhood Characteristics And Weight Status In Preschool Children, Cynthia Irwin Joiner Jan 2011

Neighborhood Characteristics And Weight Status In Preschool Children, Cynthia Irwin Joiner

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Introduction: Childhood obesity is increasing at an alarming rate particularly among minority and low-income populations. More than 12 million children and adolescents are obese (Ogden, Carroll, Curtin, Lamb, & Flegal, 2010). Research on the neighborhood and built environment is relatively new. Few studies have examined the relationship of neighborhood characteristics and weight status, and studies in the preschool population are limited. Study Purpose: The study had three aims: 1) to examine the relationship between neighborhood characteristics (number of grocery stores and fast food restaurants, and number and quality of parks) and weight status (overweight and obese) in low income, preschool …

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Alcoholic Women In Recovery: A Phenomenological Inquiry Of Spirituality And Recidivism Prevention, Jennifer Irene Mcleod Jan 2011

Alcoholic Women In Recovery: A Phenomenological Inquiry Of Spirituality And Recidivism Prevention, Jennifer Irene Mcleod

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In the United States, 7-12% of women compared to 20% of men, abuse alcohol, yet the social and medical consequences impact women much harder and faster than men. Women aggrieved by alcoholism have unique health and social consequences which are not well understood because women have been marginalized in studies of alcoholism. Little is known about the nature of the lived experience of the recovery process in women who have achieved a stable recovery and prevented recidivism. The aim of this study was to describe the lived experiences of alcoholic women in a stable recovery, defined as sustained abstinence for …

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A Study Of The Relationships Among Maternal Caregiver Family Management Behaviors, Childhood Asthma Morbidity, And Asthma Control, Linda M. Gibson Jan 2011

A Study Of The Relationships Among Maternal Caregiver Family Management Behaviors, Childhood Asthma Morbidity, And Asthma Control, Linda M. Gibson

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A STUDY OF THE RELATIONSHIPS AMONG MATERNAL CAREGIVER FAMILY MANAGEMENT BEHAVIORS, CHILDHOOD ASTHMA MORBIDITY, AND ASTHMA CONTROL ABSTRACT LINDA GIBSON NURSING Childhood asthma, the most common chronic childhood condition, is associated with high rates of asthma morbidity (emergency department visits, hospitalizations, and school days missed due to asthma). Inadequate asthma control accounts for $1.9 billion annual health expenditures. Numerous studies have identified the relationship of the family caregiver's perception regarding asthma management and the child's asthma outcomes; though few have examined family caregiver asthma management behaviors. Knafl and colleagues (2003) defined family management behaviors as accommodations that family members use …

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The Predictability Of C-Reactive Protein, Lipoprotein-Associated Phospholipase A2, And Depression On Later Health Outcomes In Patients Experiencing A First-Time Stroke, Mary King Brethour Jan 2011

The Predictability Of C-Reactive Protein, Lipoprotein-Associated Phospholipase A2, And Depression On Later Health Outcomes In Patients Experiencing A First-Time Stroke, Mary King Brethour

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Stroke is the third leading cause of death and the most common cause of neurologic disability for adults in developed nations. Strokes trigger an acute inflammatory response prompted by brain tissue injury at the infarct site and the surrounding ischemic penumbra raising plasma levels of inflammatory markers. C-reactive protein (CRP), an acute-phase inflammatory marker, has been significantly correlated with infarct size and post-stroke complications. Lipoprotein-associated phospholipase A2 (Lp-PLA2) may also predict long-term cardiovascular risk in the stroke population. In addition to physiologic changes, up to 60% of all stroke survivors are known to experience depression, which may contribute to decreased …

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Relationships Among Self-Efficacy, Social Support, Social Problem-Solving, And Self-Management Behaviors Of People Living With Type 2 Diabetes In Rural Alabama, Caralise Weeks Hunt Jan 2011

Relationships Among Self-Efficacy, Social Support, Social Problem-Solving, And Self-Management Behaviors Of People Living With Type 2 Diabetes In Rural Alabama, Caralise Weeks Hunt

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Self-management behaviors are the cornerstone for control of type 2 diabetes mellitus (T2DM). Patients living with T2DM manage their own care on a daily basis using a variety of self-care strategies. Rural people living with diabetes are diagnosed later and receive less than optimal care compared to people living with T2DM in urban areas. Research evidence supports a relationship between self-efficacy and self-management behaviors of people living with T2DM. Determining mediators of the relationship between self-efficacy and self-management can provide direction for development of interventions to improve participation in self-management behaviors, which can in turn improve diabetes outcomes. The purpose …

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