In the study reported here 55 spouses of patients living with end-stage renal disease (ESRD) were investigated with respect to coping strategies and health-related quality of life. Findings from the study were compared to two random samples of the Swedish general population (n = 454, and n = 1200). The study design was correlational and comparative. Coping was measured by the Jalowiec Coping Scale, and quality of life (QoL) by the Swedish Health-Related Quality of Life Survey (SWED-QUAL). Data were analysed using a number of statistical tests including Pearson's product moment correlations, Student's t-test and two way ANOVAs. The combined sample of spouses used significantly more optimistic and palliative coping than the general population, but less confrontative, self-reliant, evasive and emotive coping. In the study fatalistic, evasive and emotive coping was associated with low perceived efficiency in handling various aspects of the partners' situation. The male spouses used significantly less optimistic, supportive and palliative coping than did the female spouses. The spouses of transplant patients had better overall quality of life than the continuous ambulatory peritoneal dialysis and haemodialysis spouse groups, most likely due to the lower age of the former group. The study findings suggest that emotive, evasive and fatalistic coping are less than optimal ways to deal with problems occasioned by the partner's treatment.

Coping strategies and health-related quality of life among spouses of continuous ambulatory peritoneal dialysis, haemodialysis, and transplant patients.

multiperson situations, family and community. In D. Orem, Nursing: Concepts of practice (5th ed., pp. 348-380). St. Louis, MO: C. V. Mosby. Taylor, S. G., Renpenning, K. E., Geden, E. A., Neuman, B. M., & Hart, M. (2001). A theory of dependent-care: A corollary theory to Orem’s theory of self-care. Nursing Science Quarterly, 14, 39. Wallace, W. (1996). The modeling of nature. Washington, DC: Catholic University of America Press. Wang, C., & Fenske, M. M. (1996). Self-care of adults with noninsulin-dependent diabetes mellitus: Influence of family and friends. Diabetes Educator, 22, 465-470.

Roy Adaptation Model and Perspectives on the Family

In 2006, there were 46 million surgical procedures performed in the United States, all of which would have typically included waiting by the family and/or friends. A grounded-theory approach was used to examine the experiences of waiting family members during surgery of a loved one. A convenience sample of 32 family members of patients undergoing surgery were interviewed in two surgical waiting rooms. Constant comparison of the data was performed until saturation of categories was achieved. The resulting middle-range theory, maintaining balance during the wait, described the family member's struggle for balance during the surgical wait. Four domains were identified: focusing on the patient, passing the time, interplay of thoughts and feelings, and giving and/or receiving support. Study findings showed that understanding this struggle for balance during a surgery is imperative for nurses who often interact with family members and need to address their needs.

The Process of Family Waiting During Surgery

Este estudo exploratorio e com abordagem quantitativa teve como objetivos identificar o nivel de ansiedade de 40 acompanhantes e 40 clientes submetidos a cineangiocoronariografia pela primeira vez, no periodo de espera do exame, e correlacionar os dados entre si e com as variaveis sociodemograficas, utilizando a Escala de Ansiedade-Estado (IDATE). Concluiu-se que a maioria dos clientes apresenta baixo nivel de ansiedade e a maioria dos acompanhantes apresenta nivel medio de ansiedade. Na analise das correlacoes, nao houve relacao entre o nivel de ansiedade e as variaveis sociodemograficas da populacao estudada. Na analise das comparacoes, observou-se que o acompanhante do sexo masculino e mais ansioso que aquele do sexo feminino. As intervencoes de enfermagem, nesse periodo, podem ser mais eficazes se incluirem acoes para reducao da ansiedade dos familiares/acompanhantes.

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Nível de ansiedade de clientes submetidos a cineangiocoronariografia e de seus acompanhantes

Background: Next of kin (NoK) play a crucial role for patients waiting for cardiac surgery.Aim: To describe experience of support, in the form of important events, by next of kin while their intimates were waiting for a heart operation.Methods: The design was qualitative and the “critical incident” technique was used. Incidents were collected via interviews with 23 next of kin to patients waiting for heart surgery and the informants were chosen by the patient themselves.Findings: In all, 224 important events, both positive and negative, were identified in the interviews and two main areas emerged in the analysis: internal factors and external factors. Positive internal factors were associated with finding strength, whereas negative factors were associated with uncomfortable feelings. Positive external factors were associated with participating in care and receiving attention, whereas negative factors were associated with dissatisfaction with the health-care organization and failing social network.Conclusi...

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Waiting for Cardiac Surgery—Support Experienced by Next of Kin

https://www.jopan.org/article/S1089-9472(97)80032-9/pdf

Donna Trimm

Papers

Spousal coping during the surgical wait