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Titolo:
A descriptive study of meaning of illness in chronic renal disease
Autore:
Caress, AL; Luker, KA; Owens, RG;
Indirizzi:
Univ Manchester, Sch Nursing Midwifery & Hlth Visiting, Manchester M13 9PL, Lancs, England Univ Manchester Manchester Lancs England M13 9PL M13 9PL, Lancs, England Univ Auckland, Dept Psychol, Auckland, New Zealand Univ Auckland Auckland New Zealand Dept Psychol, Auckland, New Zealand
Titolo Testata:
JOURNAL OF ADVANCED NURSING
fascicolo: 6, volume: 33, anno: 2001,
pagine: 716 - 727
SICI:
0309-2402(200103)33:6<716:ADSOMO>2.0.ZU;2-M
Fonte:
ISI
Lingua:
ENG
Soggetto:
QUALITY-OF-LIFE; DIALYSIS PATIENTS; TRANSPLANT RECIPIENTS; PHYSICAL ILLNESS; BREAST-CANCER; HEMODIALYSIS; STRESS; IMPACT;
Keywords:
meaning of illness; renal disease; illness representations; coping; chronic illness; adaptation;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Social & Behavioral Sciences
Citazioni:
42
Recensione:
Indirizzi per estratti:
Indirizzo: Caress, AL Univ Manchester, Sch Nursing Midwifery & Hlth Visiting, Coupland 3 Bldg, Manchester M13 9PL, Lancs, England Univ Manchester Coupland 3 Bldg Manchester Lancs England M13 9PL
Citazione:
A.L. Caress et al., "A descriptive study of meaning of illness in chronic renal disease", J ADV NURS, 33(6), 2001, pp. 716-727

Abstract

Aim. To explore the subjective meaning of illness in a sample of renal patients. Background. Patients' illness representations, such as the meaning they attach to illness, may affect their coping and adaptation. Improved understanding in this area may therefore benefit patient care. Meaning of illness has not previously been explored in renal disease. Design and methods. Cross-sectional survey (n = 405) in a single regional renal unit in the North of England. Ethical approval was obtained and patients gave written consent. The instrument used was an eight-item schema, based on the work of Lipowski (1970, Psychiatry in Medicine 1, 91-102). Field notes regarding rationale for choice were recorded concurrently, then content analysed to enable identification of themes. The chi-square test (significance level P < 0.05) was used to analyse differences in selected meaning in older and younger patients; males and females; and patient groups (predialysis, haemodialysis and transplant). Findings. 'Challenge' was selected by most patients (n = 253, 62.5%), withsimilar results in all three patient groups. Slightly more older than younger patients selected 'challenge', although the difference was not statistically significant and older patients more commonly had a fatalistic interpretation of the option. More men selected 'challenge' than women. Those selecting 'challenge' and 'value' appeared to have a more positive outlook thanother patients. Conclusions. Patients had identifiable meanings for their illness, and these may be associated with their response to renal disease. The schema appeared to be comprehensive, but is in need of further refinement. Consideration of the possible influence of social desirability is necessary.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/04/20 alle ore 22:52:06