Coping in Centenarians: Patterns and Correlates

Coping strategies are a source of resilience, yet little is known about their use in centenarians. We examined patterns in coping strategy use and determined how these patterns were associated with characteristics such as personality, cognitive status, quality of life, and health. We analyzed data from the Fordham Centenarian Study (N = 119), where centenarians responded to 40 items covering 10 coping dimensions (e.g., active problem-solving, support seeking, reappraisal). Findings revealed two clusters which differed in amount and strategy types: One was characterized by high use of many strategies which addressed the problem and its appraisal. The other was characterized by a smaller strategy repertoire, with very limited use of problem-focused strategies. The more varied and problem-focused coping pattern was associated with other characteristics, such as personality (e.g., extraversion) and quality of life (e.g., well-being). Findings suggest variation in coping profiles associated with resilience in centenarians.

The Differences of Pain Characteristics Among Post-Surgery Clients with General and Regional Anesthesia

Background: Surgery is one of the medical options for improving health. Surgery will break the main chain that causes health problems. Patients undergoing surgery will receive anesthetic management to relieve pain sensations. Pain sensations will be felt again after the period of anesthesia gradually disappears. Post-surgery clients will feel pain that varies widely. Purpose: This study aims to determine differences in the characteristics of postoperative client pain with general anesthesia and regional anesthesia. Methods: The method used was observational in postoperative clients with a cross-sectional design. Pain characteristics were observed after 4 hours postoperatively. Observation of pain used a pain characteristic observation sheet with observation items including pain intensity, pain onset, pain quality, and pain coping pattern. Observations were made on 30 postoperative clients with general anesthesia and 30 postoperative clients with regional anesthesia. The pain characteristics of the two groups after surgery were compared and the differences were seen. Result: The results of the study generally showed that the characteristcis of postoperative client pain with regional anesthesia (mean score = 18.1) were heavier than clients who received general anesthesia (mean score = 17.5). The results of the Mann Whitney test showed that the value of p = 0.000 (pain scale), p = 0.017 (pain time range), 0.000 (pain onset), p = 0.018 (pain intensity), p = 0.000 (pain depth), p = 0.000 (coping pattern). Conclusion: There are differences in pain characteristics between postoperative clients with general anesthesia and regional anesthesia on the aspects of pain scale, pain onset, the intensity of pain, depth of pain, and coping patterns of pain. The length of time of surgery and the level of depth of the surgical incision have a very significant effect on the characteristics of postoperative pain.

Relationship between Perceived Stress and Coping Pattern amongst Nursing Students

The present study triesto find the relationship between perceived stress and coping pattern among nursing students. The researcher usedthe tools of Shelden Cohen (1983) and the Cope Scale by Carver CS (1997), included Avoidant Coping and Approach Coping. Astratified random technique was used to select the sample from different hospitals/colleges, nursing students pursuing their studies in various institutions in Karnataka. There werea total of 162 volunteering participants. A self-administered questionnaire of Perceived Stress Scale and Brief COPE inventory was given to the participantsand the duration of the study was of one month. Statistical methods employed aremean, percentage, standard deviation, t-test, and Spearman’s Coefficient correlation, and were calculated using IBM SPSS. The results of Spearman’s Rho test show that there is a significant positive linear relationship between perceived stress and the following coping skills among the participants.

Coping Strategy in Differentianting Levels of Post-Traumatic Growth on Housewives Living with Breast Cancer

The psychological state of a person will be affected when they are diagnosed with cancer and this condition will actually worsen the physical condition of the patient. However, many breast cancer sufferers are able to face this stressful situation positively, and they experience post-traumatic growth. They did a series of coping strategy when they had cancer and some of these strategies were able to influence their post-traumatic growth. The current study aims to investigate and to understand how different coping strategy can affect the level of post-traumatic growth of housewives with cancer. This study used a descriptive-explorative qualitative approach with eight women with breast cancer completed surveys using the Posttraumatic Growth Inventory (Tedeschi& Calhoun). The coping strategy was obtained using an interview. The results of the present study indicate that sufferers performed different coping strategies and this affects their level of post-traumatic growth. Respondents with high post-traumatic growth exercise a problem-focused coping i.e. positive reappraisal and emotion-focused coping strategy, i.e. seeking social support when they first learned about the condition of their disease. Respondents who had low post-traumatic growth, on the other hand, did emotional-focused coping strategies, which isavoidance and distancing when they first learned about the condition of their illness. This study also found several factors that influence patients’ strategy. There are differences in the Coping pattern Strategy used by housewives with breast cancer in terms of differences in levels of post-traumatic growth it has. The pattern of coping strategy that is carried out for the first time by housewives with breast cancer could lead themto be in a variety of post-traumatic growth conditions.