All ETDs from UAB

Advisory Committee Chair

Karen Meneses

Advisory Committee Members

Robert Bourge

Marguerite Kinney

Linda Moneyham

David Naftel

Document Type

Dissertation

Date of Award

2009

Degree Name by School

Doctor of Philosophy (PhD) School of Nursing

Abstract

Introduction: Detailed information regarding satisfaction with social support and its relationship with quality of life (QOL) and survival 5 to 10 years (yrs) after heart transplantation (HT) is unknown. The purpose of this study was to examine the relationships among satisfaction with social support perceived stress, and coping with QOL and survival of patients (pts) who were 5 to 10 years post heart transplantation. Methods: This study was a retrospective outcome analysis from data collected from two existing data sets: The HT QOL Study and the Cardiac Transplant Research Database (CTRD). Institutional Review Board approval was obtained. Data on 555 HT pts (78% male, 88% white, mean age=53.8yrs) at 4 U.S. sites using the following instruments: HT Social Support Index (lower score = better satisfaction), QOL Index, Jalowiec Coping Scale, HT Stressor Scale, and chart review were examined. Statistical analyses included descriptive analyses, correlational analyses, t-tests, repeated measures, univariate and multiple regression, Kaplan-Meier survival actuarials, and Baron and Kenny’s series of regression equations to test for mediation. Results: Overall satisfaction with SS remained steady over time. There were sociodemographic differences in satisfaction with social support at 5 and 10 years after heart transplantation.. At 5 years, men reported more satisfaction with emotional social support than females. Older pts had more satisfaction with overall social support at 5 and 10 years after HT. Overall, emotional, and tangible social support was significantly correlated with QOL (p

Included in

Nursing Commons

Share

COinS
 
 

To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.