Thesis (M.Soc.Sc.)--University of Hong Kong, 1989. / Also available in print.

Subarachnoid hemorrhage (SAH) causes 5% of all strokes and is responsible for about 18,000 deaths per year in the United States (Aneurysmal Subarachnoid Hemorrhage, 2008). The incidence of SAH has been estimated at 6 to 8 per 100,000 persons per year (Linn, Rinkel, Algra, & van Gijn, 1996). In nearly 15% (range 5–34%) of patients with SAH, no source of hemorrhage can be identified via four-vessel cerebral angiography (Alen et al., 2003; Gupta et al., 2009), resulting in two major types of SAH: aneurysmal (ASAH) and nonaneurysmal (NASAH). Anecdotal evidence and contradictory research suggest that patients with NASAH experience some of the same health-related quality of life (HRQOL) issues as patients with ASAH. The purpose of this quantitative survey design study was to compare health-related quality of life (HRQOL) 1 to 3 years post-hemorrhage in patients who have experienced a NASAH to those who have experienced an ASAH. This is the first US study to specifically investigate HRQOL in NASAH and the second study comparing HRQOL outcomes between aneurysmal and nonaneurysmal subarachnoid hemorrhage patients. Our results are comparable to the first study by Hutter and Gilsbach, (1995), which also found that the two groups are much more similar than different. There were no significant differences between 28 of the 36 demographic and clinical characteristics examined in this study. Our study confirms previous findings that there is a significant impact on employment for both hemorrhage groups and an even greater inability to return to work for the NASAH patients. The nonaneurysmal group had more physical symptom complaints while the aneurysmal group had more emotional symptoms. Lastly, both groups had low levels of PTSD, and these levels did not differ significantly between groups. However, PTSD and social support were shown by regression analysis to impact HRQOL for both groups. We recommend that clinicians assess for PTSD in all subarachnoid hemorrhage patients and institute treatment early, which will decrease the negative effects on HRQOL. This may include offering psychological services or social work early in the hospital course to all SAH patients. Further research and policy changes are needed to assist in interventions that improve vocational reintegration after SAH. NASAH patients should no longer be referred to as having suffered a “benign hemorrhage.” They have had a life changing hemorrhage that may forever change their lives and impact their HRQOL.

Thesis (Ph. D.)--University of Wisconsin--Madison, 2003. / Includes bibliographical references. Also available on the Internet.

Diss. (sammanfattning) Umeå : Umeå universitet, 2005. / Härtill 5 uppsatser.

Thesis (Ph. D.)--University of Wisconsin--Madison, 2003. / eContent provider-neutral record in process. Description based on print version record. Includes bibliographical references.

Thesis (Ph. D.)--Virginia Commonwealth University, 2006. / Prepared for: School of Nursing. Bibliography: leaves 119-128. Also available online.

Thesis (Ph. D.)--University of Washington, 2006. / Vita. Includes bibliographical references (leaves 110-114).

The purpose of this research was to construct and test two instruments to measure concepts in the Revelation Readiness Model of Lifestyle Change, a nursing theory generated from previous research. The Marsh Revelation Readiness Index (MRRI) referenced readiness for revelation and measured eight concepts. The Marsh Revelation Scale (MRS), referenced the revelation construct and measured three concepts. Three groups of well adults (N = 132) who were making or had made health lifestyle changes were tested. Testing consisted of completing the MRRI, and MRS and other instruments that were used in estimating validity. Reliability testing included tests of stability and internal consistency. Test-retest coefficients for the MRRI ranged from .57 to .82. Alpha coefficients ranged from .23 to .79, and theta coefficients ranged from .34 to .80. To improve consistency the MRRI was revised. Reliability testing of the revised scale, revealed test-retest coefficients of .73 to .75. Alpha coefficients of .74 and .86, and theta coefficients of .77 and .87. Reliability testing of the MRS revealed test-retest coefficients of .64 to.83, alpha coefficients of .65 to .91, and theta coefficients of .68 to .91. Criterion related validity between the MRS and the Power as Knowing Participation in Change Test was estimated with correlations ranging from .19 to .43. The MRRI and the Cantril Ladder of Life Satisfaction demonstrated convergence on the Readiness construct (r = -.44 to -.52, and r =.33). Construct validity was estimated on both instruments by factor analysis and predictive modeling. Three components of the MRRI reflected the two predicted theoretical components. Five underlying factors of the MRS indicated that the theoretical components were not explained as predicted. Failure of predictive modeling to meet theoretical expectations was discussed in relation to violation of the method's underlying assumptions.

No description available.

by Yuen Yiu Keung. / Includes questionaire in Chinese. / Thesis (M.Phil.)--Chinese University of Hong Kong, 1993. / Includes bibliographical references (leaves 165-172). / "LIST OF CONTENTS, TABLES AND FIGURES" --- p.4 / ABSTRACT --- p.10 / Chapter CHAPTER 1 --- Introduction --- p.13 / Chapter CHAPTER 2 --- Method --- p.23 / Chapter I. --- Research Design --- p.23 / Chapter II. --- Sampling Procedure and Sample Size --- p.23 / Chapter 1. --- Sample Sources --- p.23 / Chapter 2. --- Sampling Procedure --- p.24 / Chapter III. --- Data Collection --- p.28 / Chapter 1. --- Questionnaire Construction --- p.28 / Chapter 2. --- Pilot Study --- p.29 / Chapter 3. --- Content of Questionnaire --- p.29 / Chapter 4. --- Training of Interviewers --- p.31 / Chapter 5. --- Collection of Data --- p.32 / Chapter 6. --- Validity and Reliability --- p.33 / Chapter IV. --- Data Analysis --- p.33 / Chapter CHAPTER 3 --- The Sociodemographic and Health Profiles of the Hong Kong Old-OLD --- p.35 / Chapter 3.1 --- Age and Sex Distribution of the Respondents --- p.35 / Chapter 3.2 --- "Marital Status, Working Status and Education" --- p.36 / Chapter 3.3 --- Income and Accommodation --- p.39 / Chapter 3.3.1. --- Sources of Income and Major Source of Income --- p.39 / Chapter 3.3.2. --- Personal Monthly Income --- p.41 / Chapter 3.3.3. --- Type of Residence --- p.42 / Chapter 3.3.4. --- Household Composition --- p.44 / Chapter 3.4 --- Mental Function --- p.45 / Chapter 3.4.1. --- Mental Status --- p.45 / Chapter 3.4.2. --- Geriatric Depression Scale --- p.47 / Chapter 3.5 --- Functional Disability --- p.49 / Chapter 3.6 --- Physical Health --- p.53 / Chapter 3.6.1. --- Self-Perceived Health --- p.53 / Chapter 3.6.2. --- Chronic Disease --- p.54 / Chapter 3.7 --- Physical Impairment --- p.57 / Chapter 3.7.1 --- Sensory Perception Problem --- p.57 / Chapter 3.7.2 --- Skeletal Problems --- p.61 / Chapter 3.8 --- Cardio-vascular Complaints --- p.65 / Chapter 3.9 --- Respiratory Problems --- p.67 / Chapter 3.10 --- Drug Taking --- p.69 / Chapter 3.11 --- Health Habits --- p.73 / Chapter 3.12 --- Use of Health Services --- p.77 / Chapter CHAPTER 4 / Chapter I.) --- Factors Associated With Functional Dependence --- p.80 / Chapter 4.1 --- Sociodemographic profile by Barthel Index --- p.80 / Chapter 4.1.1. --- "Differences in Age, Sex, Marital Status and Educational Levels" --- p.80 / Chapter 4.1.2. --- "Differences in major income, total monthly income, and household composition" --- p.82 / Chapter 4.2 --- Mental Health Status by Barthel ADL Index --- p.84 / Chapter 4.3 --- Physical Health by Barthel ADL Index --- p.85 / Chapter 4.4 --- Physical Impairment by Barthel Index --- p.87 / Chapter 4.5 --- Drugs Taking by Barthel Index --- p.89 / Chapter 4.6 --- Health Habits by Barthel Index --- p.90 / Chapter 4.7 --- Use of Health Services by Barthel Index --- p.92 / Chapter II.) --- Findings of Risk Factors for Disability --- p.94 / Chapter 4.8 --- Sociodemographic Factors --- p.94 / Chapter 4.9 --- Mental Health --- p.98 / Chapter 4.10 --- Health Status --- p.99 / Chapter 4.11 --- Physical Impairment --- p.101 / Chapter 4.12 --- Drug --- p.104 / Chapter 4.13 --- Health Service --- p.105 / Chapter 4.14 --- Final Regression Model --- p.106 / Chapter CHAPTER 5 / Chapter I.) --- Factors Associated with Institutionalization --- p.109 / Chapter 5.1 --- Sociodemographic profile by Residential Types --- p.109 / Chapter 5.1.1.) --- "Age, Sex, Marital Status and Educational Levels" --- p.109 / Chapter 5.1.2.) --- Major Income and Total Monthly Income --- p.111 / Chapter 5.2 --- Mental Health Status by Residential Types --- p.113 / Chapter 5.3 --- Severity of Functional Disability --- p.114 / Chapter 5.4 --- Physical Health --- p.116 / Chapter 5.5 --- Differences in Physical Impairment --- p.118 / Chapter 5.6 --- Drugs Taking --- p.121 / Chapter 5.7 --- Differences in Health Habits --- p.122 / Chapter 5.8 --- Difference in Use of Health Services --- p.124 / Chapter II.) --- Findings of Risk Factors for Institutionalization --- p.126 / Chapter 5.9.1 --- Sociodemographic Factors --- p.126 / Chapter 5.10 --- Mental Health --- p.128 / Chapter 5.11 --- Physical Dependence --- p.129 / Chapter 5.12 --- Health Status --- p.131 / Chapter 5.13 --- "Physical Impairment Sensory Perception, Skeletal, Cardiac and Respiratory Problems" --- p.133 / Chapter 5.14 --- Drug --- p.136 / Chapter 5.15 --- Health Service --- p.137 / Chapter 5.16 --- Final Regression Model --- p.138 / Chapter CHAPTER 6 --- Limitations of this study --- p.140 / Chapter CHAPTER 7 --- Discussion and Conclusion --- p.151 / Chapter I.) --- Discussion --- p.151 / Chapter II.) --- Conclusion --- p.164 / REFERENCE --- p.165 / LIST OF RESEARCH ASSISTANTS AND INTERVIEWERS --- p.173 / Chapter APPENDIX --- The Questionnaire Used at the Home Interviews / English Version / Chinese Version