			Home About us Contact

Positive Coping Strategies (positive + coping_strategy)

Distribution by Scientific Domains

Medical Sciences	100%

Selected Abstracts

Predictors of medication compliance among older heart failure patients

INTERNATIONAL JOURNAL OF OLDER PEOPLE NURSING, Issue 4 2007
Krystyna Cholowski PhD
Aim. To examine relationships between psycho-social and patho-physiological measures in explaining medication compliance in older heart failure (HF) patients. Background. Self-efficacy is a predictor not only of medication compliance, but also health recovery. How older HF patients conceptualize and manage this life-threatening event is central to ongoing rehabilitation. Regulating ongoing medical and lifestyle changes in the rehabilitation process requires that any underlying negative affect be productively managed by the use of appropriate coping strategies. Method. Using an exploratory correlational design, 51 older HF patients were asked to complete the Beck Depression Inventory, Beliefs about Medication and Diet Questionnaire, Reactions to Daily Events Questionnaire and Self-regulation scale. A self-report measure of medication compliance was obtained as part of a semi-structured interview. The study was conducted in 2003,2004. Results. Using descriptive statistics, patho-physiological and psychosocial characteristics were given. Independent t -tests were used to assess the gender effects. Pairwise correlations were used to examine the relationships between presenting circumstances, psychosocial characteristics, medication compliance beliefs and self-reported medication compliance behaviours. All positive coping strategies and self-regulation were associated with positive intentions in medication compliance. Males were more inclined towards proactive coping and self-regulatory strategies than were females. Increased depressive symptoms were linked to carelessness in compliance. A belief in medication compliance was associated with a reduced likelihood of carelessness Conclusion. Bandura's three conditions for agency in rehabilitation, self-efficacy and goal-directed intention appeared to be important even in the early phase of the programme. Positive coping strategies and self-regulation suggests a positive basis for medication compliance and more successful ongoing rehabilitation for older HF patients. We identify a significantly enhanced educative role for nurses in this context. Relevance to clinical practice. We suggest that nurses dealing with compliance issues among older patients need to monitor behaviour through addressing both the quality of affect during the patient's response to HF (self-concept, -esteem and -efficacy) as well as the quality of health-related metacognitive knowledge underlying the self-regulatory decisions (such as the patients conceptions of ,wellness' and the strategic knowledge underpinning its achievement and maintenance). [source]

A STRUCTURAL EQUATION MODELING OF ALCOHOL USE AMONG YOUNG ADULTS IN THE U.S. MILITARY: COMPLEXITIES AMONG STRESS, DRINKING MOTIVES, IMPULSIVITIY, ALCOHOL USE AND JOB PERFORMANCE

ALCOHOLISM, Issue 2008
Sunju Sohn
Aims:, Young male adults in the U. S. military drink at much higher rates than civilians and females of the same age. Drinking has been shown to be associated with stress and individuals' ability to effectively cope with stressors. Despite numerous studies conducted on young adults' drinking behaviors such as college drinking, current literature is limited in fully understanding alcohol use patterns of the young military population. The aim of the present study was to develop and test the hypothesized Structural Equation Model (SEM) of alcohol use to determine if stress coping styles moderate the relationship between stress, drinking motives, impulsivity, alcohol consumption and job performance. Methods:, Structural equation models for multiple group comparisons were estimated based on a sample of 1,715 young (aged 18 to 25) male military personnel using the 2005 Department of Defense Survey of Health Related Behaviors among Military Personnel. Coping style was used as the grouping factor in the multi-group analysis and this variable was developed through numerous steps to reflect positive and negative behaviors of coping. The equivalences of the structural relations between the study variables were then compared across two groups at a time, controlling for installation region, race/ethnicity, marital status, education, and pay grade, resulting in two model comparisons with four coping groups. If the structural weight showed differences across groups, each parameter was constrained and tested one at a time to see where the models are different. Results:, The results showed that the hypothesized model applies across all groups. The structural weights revealed that a moderation effect exists between a group whose tendency is to mostly use positive coping strategies and a group whose tendency is to mostly use negative coping strategies (,,2(39)= 65.116, p<.05). More specifically, the models were different (with and without Bonferroni Type I error correction) in the paths between "motive and alcohol use" and "alcohol use and alcohol-related consequences (job performance)." Conclusions:, It seems plausible that coping style significantly factors into moderating alcohol use among young male military personnel who reportedly drink more excessively than civilians of the same age. The results indicate that it may be particularly important for the military to assess different stress coping styles ofyoung male military personnel so as to limit excessive drinking as well as to promote individual wellness and improve job performance. [source]

Workplace Stressors and Coping Strategies Among Chinese Psychiatric Nurses

PERSPECTIVES IN PSYCHIATRIC CARE, Issue 4 2008
Zhong-Xiang Cai RN
PURPOSE.,This study was conducted with Chinese psychiatric nurses to identify their workplace stressors and coping strategies, as well as the relationships between their demographics, workplace stressors, and coping strategies. DESIGN AND METHODS.,This survey was conducted, with the use of three questionnaires, on 188 psychiatric nurses recruited via convenient sampling in central China. FINDINGS.,The findings indicated that (a) workload and dealing with death/dying were the greatest workplace stressors; (b) positive coping strategies were the most often used coping strategies; and (c) a series of correlation results occurred. PRACTICE APPLICATION.,Understanding the relationship between workplace stressors, effective and ineffective coping, and demographics can contribute to designing less stressful environments and more constructive coping strategies. [source]