THE EFFECT OF SUPPORTIVE-EDUCATIVE NURSING INTERVENTIONS ON POSTSTROKE OLDER ADULTS' SELF-CARE PERCEPTIONS (NURSING, GUIDED DECISION-MAKING).
Contributors: University of Miami.
Published: 1990
Number of pages: 207
Subjects: Health Sciences, Nursing.; Gerontology.
Description: The purpose of this research was to assess the effect of a specific supportive-educative nursing intervention of guided decision-making on older adults' perception of self-care post-stroke. Orem's self-care theory of nursing formed the conceptual framework for the study.

A pretest posttest quasi-experimental design was used. A purposive sample of 68 older adults in four stroke rehabilitation programs agreed to participate in this study. Participants were alternately assigned to the control or experimental group.

All participants completed the Exercise of Self-Care Agency Scale and the Jalowiec Coping Scale on admission and discharge from the study. Participants in the experimental group received the intervention using the Guided Decision Making Model.

Each of the following hypotheses was tested using a repeated measures multiple analysis of variance. (1) Guided decision-making increases older adults' perception of responsibility for self-care post-stroke. (2) Guided decision-making increases older adults' preference for an active versus passive approach to self-care post-stroke. (3) Guided decision-making increases older adults' use of problem oriented coping strategies post-stroke.

The F values for the first and third hypotheses were significant at the preset.05 level of significance supporting the hypotheses that guided decision making increases perceptions of personal responsibility for self-care and use of problem oriented coping strategies. The F value for the second hypothesis was not significant indicating that the intervention did not significantly affect an individual's preference for an active versus passive approach to self-care.

The results of the study support the potential effectiveness of using individually-focused, supportive-educative nursing interventions to improve older adults' perception of ability to care for self and to increase their use of self-care activities.
Notes: Source: Dissertation Abstracts International, Volume: 52-01, Section: B, page: 0159.

Thesis (PH.D.)--UNIVERSITY OF MIAMI, 1990.

School code: 0125.