Theory of quality of life of stroke survivors (TQLOSS)
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This study tested a theoretical model of quality of life of stroke survivors derived from King's conceptual framework for nursing. The model proposed that stroke survivors' perceptual integrity (cognition), social support, and perception of level of disability would predict their quality of life. In addition, the relative contribution of age, time since stroke, and number of strokes to the stroke survivor's quality of life was investigated. Participants were 102 adult stroke survivors who attended one of two clinics affiliated with an urban university; ages ranging from 43 to 93 years the mean was 63.21 (S D = 10.54). Study measures used included the Cognitive subscales of the Functional Independence Measures, the Social Support Questionnaire Short Form, a Visual Analog Scale, and the Stroke-Specific Quality of Life Scale. A pilot study was conducted with 20 participants to validate procedure and measures. Structural equation model (SEM) analysis was used to examine the proposed model and to test the proposed hypotheses. The overall model fit was assessed and re-specification of the model was statistically judged and tested again to allow fro a meaningful interpretation. Results revealed that perception of level of disability was a significant predictor of quality of life and explained 27% of the variance. Cognition had a negative and significant effect on perception of level of disability. Cognition also had a significant indirect effect on quality of life through perception of level of disability. However, cognition showed a positive but nonsignificant relationship with social support, a positive but nonsignificant relationship with quality of life, and a nonsignificant indirect relationship with quality of life through social support. Perception of level of disability showed a negative and significant on quality of life. Social support showed a positive nonsignificant effect on quality of life and perception of level of disability. Age and time since stroke were not significantly related to quality of life. Number of strokes had an indirect and significant effect through perception of level of disability on quality of life. These findings have implications for nursing practice in the assessment and planning of interventions to improve the quality of life of stroke survivors. The findings provide empirical support for the middle range theory of quality of life of stroke survivors and lend credibility to King's conceptual framework.
This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 3071777; ProQuest document ID: 276383476. The author still retains copyright.
This item has not gone through this repository's peer-review process, but has been accepted by the indicated university or college in partial fulfillment of the requirements for the specified degree.
Type | Dissertation |
Acquisition | Proxy-submission |
Review Type | None: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Descriptive/Correlational |
Research Approach | Quantitative Research |
Keywords | Stroke Survivors; Vascular Nursing; Middle Age Patients |
CINAHL Subject(s) | Models, Theoretical; Stroke; Quality of Life; Models, Theoretical--Evaluation |
Grantor | Wayne State University |
Advisor | Cavanagh, Stephen |
Level | PhD |
Year | 2002 |
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