Relationships among health and demographic characteristics, latitude of choice, and elderly hospitalized patient adjustment Public Deposited

http://ir.library.oregonstate.edu/concern/graduate_thesis_or_dissertations/v692t836n

Descriptions

Attribute NameValues
Creator
Abstract or Summary
  • Adaptation to role transitions can have various outcomes. Health and demographic characteristics as well as environmental control have been shown to affect the transition to the role of patient. The acutely ill elderly's adaptation to the role of hospitalized patient has not been measured from the elderly patient's perspective. This study utilized a random sample of 176 hospitalized elderly medical-surgical patients and the patients' registered nurses to examine the relationships among demographic and health characteristics, latitude of choice and elderly hospitalized patient adjustment. Patients were excluded who had been in ICU for more than 24 hours, had decreased mental status, or were judged to be too physically ill to participate. The study used an adaptation of the Latitude of Choice Scale (a measure of environmental control) developed by Hulicka and colleagues, a nurse-rated hospitalized patient adjustment scale developed by Cicirelli, and an adaptation of the adjustment scale for patients' self-assessment. Results from a series of multiple regression analyses indicate that, taken as a group, neither demographic nor health characteristics predict environmental control, as measured by the adapted version of the Latitude of Choice Scale (LOC). However, one individual health characteristic, length of time since last hospitalization, was a negative predictor of LOC. Further, the results indicate that taken as a group, health and demographic characteristics, along with patient LOC scores are not predictive of either nurse or patient-rated adaptation. The individual health characteristic "patient acuity rating" did negatively predict both nurse and patient-rated adjustment scores. Nurse-rated patient adjustment scores were also negatively predicted by the participants' prior number of hospitalizations. A paired-t test indicated that patients rated themselves significantly better adjusted than did their nurses. This finding was judged to be clinically unimportant because of the small real difference in the mean scores. Random-effects ANOVA found no significant variance between nurses' ratings of patients.
Resource Type
Date Available
Date Copyright
Date Issued
Degree Level
Degree Name
Degree Field
Degree Grantor
Commencement Year
Advisor
Academic Affiliation
Non-Academic Affiliation
Subject
Rights Statement
Peer Reviewed
Language
Digitization Specifications
  • File scanned at 300 ppi (Monochrome) using ScandAll PRO 1.8.1 on a Fi-6770A in PDF format. CVista PdfCompressor 5.0 was used for pdf compression and textual OCR.
Replaces
Additional Information
  • description.provenance : Made available in DSpace on 2013-02-19T17:23:55Z (GMT). No. of bitstreams: 1 BoehneRebeccaE1991.pdf: 4773822 bytes, checksum: 4bdbe22fdf12a7bbf42d675bb8ca49e1 (MD5) Previous issue date: 1990-11-27
  • description.provenance : Submitted by Kaylee Patterson (kdpscanner@gmail.com) on 2013-02-19T00:18:09Z No. of bitstreams: 1 BoehneRebeccaE1991.pdf: 4773822 bytes, checksum: 4bdbe22fdf12a7bbf42d675bb8ca49e1 (MD5)
  • description.provenance : Approved for entry into archive by Patricia Black(patricia.black@oregonstate.edu) on 2013-02-19T17:23:55Z (GMT) No. of bitstreams: 1 BoehneRebeccaE1991.pdf: 4773822 bytes, checksum: 4bdbe22fdf12a7bbf42d675bb8ca49e1 (MD5)
  • description.provenance : Approved for entry into archive by Patricia Black(patricia.black@oregonstate.edu) on 2013-02-19T17:21:54Z (GMT) No. of bitstreams: 1 BoehneRebeccaE1991.pdf: 4773822 bytes, checksum: 4bdbe22fdf12a7bbf42d675bb8ca49e1 (MD5)

Relationships

Parents:

This work has no parents.

Last modified

Downloadable Content

Download PDF

Items