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Record identifier : 566249
Personal Name - Primary Intelectual Responsibility : Offner, Judith Eileen
Title and statement of responsibility : Identification and description of changing patterns of patient cognition, patient mobility, and caregiver depression in the caregiver-patient relationship over time [Thesis]
Publication, Distribution,Etc. : Widener University School of Nursing, 2001
Language of the Item : eng
Dissertation of thesis details and type of degree : D.N.Sc
Body granting the degree : , Widener University School of Nursing
Summary or Abstract : This longitudinal, descriptive study identified and described changing patterns of patient cognition, patient mobility, and caregiver depression in the dyadic caregiver-patient relationship over time. Offner describes changes in the caregiver-patient relationship that occur as a result of changing stress over time in Offner's Theory of the Waxing and Waning Caregiver-Patient Relationship (2001). Offner extends Pearlin's Stress Process Model (Pearlin et al., 1990) and expands Schumacher's Family Caregiver Role Acquisition Model (Schumacher, 1995). To test Offner's Theory, a secondary analysis of Given's (1998) caregiving data set (N = 736) was used. Merging files across 3 time periods yielded the current sample (n = 50) with complete data sets. The Patient Cognition Assessment Instrument and the Patient Mobility Assessment Instrument (Given, 1998), and the Center for Epidemiologic Studies' Depression Scale (Radloff, 1977) measured these variables at 6 weeks, 3 and 6 months after patient hospital discharge. In the current study, Cronbach's alpha coefficients ranged from .66 to .92. Means and standard deviations indicated slight changes in patient cognition, patient mobility, and caregiver depression scores from 6 weeks to 6 months. MANOVA's found no significant changes over time. Further analysis of these data using grouping techniques including hierarchical cluster analysis identified and described a large array of patterns of patient cognition, patient mobility, and caregiver depression in the dyads over time. The 3 most prevalent patterns identified in pattern charts and visually displayed in dendrograms were: "Good patient mobility/Average caregiver depression"; "Average patient cognition/Average caregiver depression"; and "Average patient cognition/Good patient mobility/Average caregiver depression". Knowledge about prevalent patterns of stress in dyadic caregiver-patient relationships may help clinicians predict and explain changes in the relationship over time. Interventions such as anticipatory guidance and education about the relationship and changing patterns of stress may assist caregivers and patients negotiate through difficult times. Findings highlighted the need for continued refinement of the theoretical conceptualization of the dyadic caregiver-patient relationship..
Topical Name Used as Subject : Stress, Cognition, Patient mobility, Depression, Caregiver-patient relationshipNursing, Gerontology, Mental health, Patients, Cognition reasoning, Caregivers, Mental depression
Information of biblio record : TL
 
 
 
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