A test of Orem's Theory of Self-Care among individuals with heart failure

Material Information

Title:
A test of Orem's Theory of Self-Care among individuals with heart failure
Series Title:
Barry University Dissertations -- College of Nursing and Health Sciences
Creator:
Odoh, Ngozi
Place of Publication:
Miami, Fla.
Publisher:
Barry University
Publication Date:
Language:
English
Physical Description:
xi, 141 leaves ; 28 cm

Thesis/Dissertation Information

Degree Disciplines:
Nursing

Subjects

Subjects / Keywords:
Heart failure ( lcsh )
Self-care, Health ( lcsh )
Patient education ( lcsh )
Patient participation ( lcsh )
Genre:
Academic theses ( lcsh )

Notes

Abstract:
Background: Heart failure (HF) constitutes a major health problem and is a leading cause of morbidity and mortality in the United States. Self-care strategies have been proposed as a means of disease management if practiced consistently, and should slow the progression of HF and reduce re-hospitalization rate. Unfortunately, few individuals actually perform selfcare practices. According to Orem’s self-care theory, basic conditioning factors are predictors of self-care ability. Purpose: To test the relationships between the variables identified in Orem’s theory of self-care among a group of individuals diagnosed with varying degrees of HF and to determine if self-care agency is significantly related to self-care behavior. Four research questions with their accompanying hypotheses were posed. Theoretical Framework: Orem’s theory of self-care. Methods: A non-experimental, exploratory, and descriptive correlation design was employed wherein data were collected at one point in time using a voluntary convenience sample. Participants with HF from various cardiology group clinics in an urban area of central Florida completed the: (1) Multidimensional Scale of Perceived Social Support, (2) Heart Failure Knowledge Test, (3) Specific Activity Scale, (4) Revised Heart Failure Self-Care Behavior Scale, and (5) Exercise Self-Care Agency Instrument. Data were analyzed using multiple regression, t-test, and ANOVA. Results: Social support was found to be a significant predictor of self-care behavior, and self-care agency was significantly correlated to self-care behavior. However, knowledge of heart failure and state of health were not significantly related to self-care behavior. Conclusion: These findings have implications in the areas of nursing education, nursing practice, nursing research, and public policy. Future research should focus on obtaining a sample more representative of the population as a whole and recruitment of a larger sample size. ( , )
Subject:
Orem's Theory of Self-Care.
Thesis:
Thesis (Ph.D.)--Barry University, 2010.
Bibliography:
Includes bibliographical references (leaves 93-101).

Record Information

Source Institution:
Barry University
Holding Location:
Barry University Archives and Special Collections
Rights Management:
Copyright Ngozi Odoh. Permission granted to Barry University to digitize, archive and distribute this item for non-profit research and educational purposes. Any reuse of this item in excess of fair use or other copyright exemptions requires permission of the copyright holder.
Resource Identifier:
RC685.C53 O36 2010_OdohNgozi ( BU-Local )
Classification:
RC685.C53 O36 2010 ( lcc )

BUDC Membership

Aggregations:
Barry University
Theses and Dissertations