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Biomedical subjects

G Robinson-Smith

Publications and source records attributed to G Robinson-Smith.

4 recordsLinked to original sources

Self-care self-efficacy, quality of life, and depression after stroke.

OBJECTIVE: To determine the relationship of self-care self-efficacy to functional independence, quality of life, and depression after stroke. METHODS: Longitudinal, descriptive correlational design. SETTING: Inpatient rehabilitation facility at 1 month after stroke and home at 6 months after stroke. PARTICIPANTS: Sixty-three stroke survivors. MAIN OUTCOME MEASURES: Four instruments: Strategies Used by People to Promote Health, Quality of Life Index--Stroke Version, Center for Epidemiologic Studies Depression Scale, and Functional Independence Measure. RESULTS: Self-care self-efficacy increased after stroke and was strongly correlated with quality of life measures and depression at both 1 and 6 months after stroke. Functional independence and quality of life increased over time, while depression decreased. Functional independence was modestly correlated with quality of life at 6 months after stroke, but not at 1 month after stroke. CONCLUSIONS: Self-care self-efficacy is strongly related to quality of life and to depression. Clinicians and family may encourage stroke patients' self-confidence, expectations for self-care, and self-efficacy behaviors, thereby improving patients' quality of life.

Activities of Daily Living↗

Coping and marital equilibrium after stroke.

This study explored the effects of a cerebrovascular accident on seven older couples. The long interview method was used to identify major themes in seven couples' accounts of their post-stroke effects. Four major themes emerged which included experiencing physical changes, feeling down and worrying about the future, being restricted and adjusting to limits and seeking a new balance in the marriage. Stroke survivors and spouses differed in how they described the impact of the stroke for older couples. Support groups and family counseling may be used to facilitate couple adaptation after stroke. Longitudinal research is needed to explore adaptive coping post-stroke in both stroke survivors and stroke spouses.

Activities of Daily Living↗

What does it mean? Making sense of the hospital experience.

The process by which people attempt to make sense of an event, such as hospitalization, is referred to as "meaning making" by Kegan. Because the ways in which the elderly define their feelings generated by illness and hospitalization influence their behavioral responses, understanding this interpretation increases the predictions that can be made about their behaviors. Interventions aim at helping clients integrate their experience of illness to form a new self. The nurse acts as the matrix from which patients explore the meaning of illness and hospitalization.

Adaptation, Psychological↗