scholarly journals Symptomatology and Coping Resources Predict Self-Care Behaviors in Middle to Older Age Patients with Heart Failure

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Lucinda J. Graven ◽  
Joan S. Grant ◽  
Glenna Gordon
Keyword(s):  
Heart Failure ◽  
Social Support ◽  
Social Network ◽  
Problem Solving ◽  
Social Problem ◽  
Self Care ◽  
Social Problem Solving ◽  
Coping Resources ◽  
Symptom Frequency ◽  
And Coping

Background.Symptoms of heart failure (HF) and coping resources, such as social support and social problem-solving, may influence self-care behaviors. Research regarding the influence of HF symptomatology characteristics and components of social support and social problem-solving on self-care is limited.Objective.To identify predictors of HF self-care behaviors using characteristics of HF symptomatology, components of social support and social problem-solving, and demographic and clinical factors.Methods.Using a cross-sectional, correlational predictive design, a convenience sample (N=201) of outpatients with HF answered self-report surveys. Multiple linear regression with stepwise variable selection was conducted.Results.Six predictors of HF self-care were identified: race, symptom frequency, symptom-related interference with enjoyment of life, New York Heart Association Class HF, rational problem-solving style, and social network (β=34.265,R2=0.19,P=0.001).Conclusions.Assessing the influence of race on self-care behaviors in middle to older age patients with HF is important. Clinical assessment that focuses on symptom frequency, symptom-related interference with enjoyment of life, and HF Class might also impact self-care behaviors in this population. Rational problem-solving skills used and evaluation of the size of and satisfaction with one’s social network may be appropriate when assessing self-care.

Resilience and coping strategies in ALS patients and caregivers

2018 ◽  
Author(s):  
Stephanie H. Felgoise ◽  
Michelle L. Dube
Keyword(s):  
Quality Of Life ◽  
Problem Solving ◽  
Social Problem ◽  
Social Problem Solving ◽  
Therapeutic Interventions ◽  
Problem Solving Therapy ◽  
The Face ◽  
Psychosocial Processes ◽  
And Coping

The experience of living with amyotrophic lateral sclerosis (ALS) necessitates adaptation by the person living with ALS (PALS) and their caregiver. In the face of an incurable illness, many PALS and their caregivers report a significant decline in their physical and psychosocial-spiritual health, whereas others endure the illness with great fortitude and demonstrate positive adjustment and wellbeing. This heterogeneity in adjustment has led researchers to conjecture about why or how some people maintain their quality of life while others do not. Psychosocial processes that facilitate adjustment to ALS are coping and a variety of resilience factors including hope, optimism, social problem solving, spirituality and religiosity, and social support and relationship satisfaction. Therapeutic interventions that may foster resilience and coping in PALS and their caregivers include communication, dignity therapy, Buddhist psychology and mindfulness, social problem-solving therapy, constructivist grief therapy, and quality of life therapy (QOLT).

Efficacy of a social support and problem-solving intervention on heart failure self-care: A pilot study

2018 ◽  
Vol 101 (2) ◽  
pp. 266-275 ◽  
Author(s):  
L.J. Graven ◽  
G. Gordon ◽  
J.Grant Keltner ◽  
L. Abbott ◽  
J. Bahorski
Keyword(s):  
Heart Failure ◽  
Social Support ◽  
Pilot Study ◽  
Problem Solving ◽  
Self Care

scholarly journals Relationships Among Self-Efficacy, Social Support, Social Problem Solving, and Self-Management in a Rural Sample Living With Type 2 Diabetes Mellitus

2012 ◽  
Vol 26 (2) ◽  
pp. 126-141 ◽  
Author(s):  
Caralise W. Hunt ◽  
Barbara Wilder ◽  
Michael M. Steele ◽  
Joan S. Grant ◽  
Erica R. Pryor ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Social Support ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Problem Solving ◽  
Social Problem ◽  
Self Efficacy ◽  
Social Problem Solving ◽  
Self Management

Self-management behaviors are important for control of type 2 diabetes mellitus. Therefore, determining factors that promote effective self-management behaviors may be significant for improving the well-being of patients with type 2 diabetes mellitus. This study examined relationships among self-efficacy, social support, social problem solving, and diabetes self-management behaviors. Further, this study evaluated whether social support and social problem solving were mediators of the relationship between self-efficacy and diabetes self-management behaviors in those living with type 2 diabetes mellitus.Using a cross-sectional, descriptive correlational design, data from a convenience sample of 152 rural people living with type 2 diabetes mellitus were examined. Findings indicated that self-efficacy was a strong predictor of diabetes self-management. The effect of social support on diabetes self-management differed among men and women in the sample. Social support and social problem solving were significantly associated with diabetes self-management in men. Neither social support nor social problem solving were mediators of the relationship between self-efficacy and diabetes self-management in this sample. These findings suggest that nurses need to consider implementing interventions to improve patients’ self-efficacy and potentially influence diabetes self-management.

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