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Biomedical subjects

V T Nagy

Publications and source records attributed to V T Nagy.

7 recordsLinked to original sources
PubMed1998

Perioperative thirst: a patient perspective.

Many institutions continue to require surgery patients to take nothing by mouth after midnight despite current research that supports allowing most patients to drink fluids up to 3 hours before surgery. This study of 50 elective surgery patients describes their perceptions of discomfort caused by thirst. Results show that thirst caused significantly more discomfort to the patient than not being able to eat or sleep or worrying about the surgery itself. Given these results, nurses are urged to work within their institutions to change the current practice regarding preoperative fluid restriction.

Adult↗
PubMed1987

Degree of life-threat and differential use of coping modes.

This investigation sought to determine whether medical patients facing life-threatening illnesses (i.e. cancer, myocardial infarction) differed in their coping responses from medical patients facing nonlife-threatening illnesses (e.g. arthritis, dermatitis). Subjects' coping responses were measured by a Medical Coping Modes Questionnaire which was developed to measure three forms of coping: confrontation, avoidance, and acceptance-resignation. The scales were based on a 32-item questionnaire and were derived by a combination of rational and factor analytic procedures. Construct validity data gathered from patients, physicians, and significant others verified the nature of the scales. Results indicated that life-threatened patients used confrontation significantly more than did nonlife-threatened patients in dealing with their illness. Acceptance-resignation was used least of all by each of the groups. Findings appear to support those theorists who conceptualize coping behavior in dealing with life-threat as being shaped more by situational context than by personal style.

Adaptation, Psychological↗
PubMed1984

Cognitive predictors of compliance in chronic disease patients.

Variables derived from the health locus of control construct and the Health Belief Model were used to predict compliance with medical regimen in chronically ill patients (adult-onset diabetics, hypertensives, and pulmonary disease patients). Stepwise multiple regression analyses were conducted with predictor variables: age, socioeconomic status, Internal Health Locus of Control (HLC), powerful others HLC, chance HLC, perceived severity of illness, outlook on illness, experienced symptoms, satisfaction with treatment, family support, and support of others. Dependent variables included three measures of compliance with medication regimen and two measures of compliance with self-management regimen. Patient satisfaction was a significant predictor of medication compliance, and lack of symptoms was most strongly associated with self-management compliance. Limitations of cognitive variables in predicting compliance in many chronic disease patients are discussed.

Attitude to Health↗
PubMedDate not supplied

Coping strategies and associated features of medically ill patients.

This study examined the psychological and behavioral correlates of three major coping strategies used by medically ill patients in dealing with their illness; namely, confrontation, avoidance, and acceptance-resignation. The subjects consisted of 223 male medical patients with a variety of life-threatening and chronic illnesses. Coping responses were measured by the Medical Coping Modes Questionnaire, while other variables were tapped by a variety of self-report and test measures, as well as by interview data. Significant correlates were found for each of the coping strategies accounting for 10 to 53% of the variance. These included demographic, illness, and psychological variables. Employment of acceptance-resignation as a coping strategy was particularly evident in patients with little expectation of recovery and a lack of hope. Effectiveness of coping appeared to be negatively linked to frequent use of avoidance and acceptance-resignation in life-threatened patients. Overall, it seems that a variety of variables across several domains accompany the use of a particular coping strategy; that choice of a specific strategy is most likely multidetermined; and that the configuration of variables associated with a particular strategy is likely to be different for each coping strategy. Coping behavior is a subtle, multifashioned expression the complete grasp of which demands an integrative approach.

Adaptation, Psychological↗