Thesis (M.S.)--University of Michigan, 1991.

Thesis (M.S.)--University of Michigan, 1991.

Submitted by Silvana Teresinha Dornelles Studzinski (sstudzinski) on 2015-10-27T15:18:35Z No. of bitstreams: 1 Viviane Altenhofen_.pdf: 761664 bytes, checksum: a05ecd5634ac3306aaadce42d85d6387 (MD5) / Made available in DSpace on 2015-10-27T15:18:35Z (GMT). No. of bitstreams: 1 Viviane Altenhofen_.pdf: 761664 bytes, checksum: a05ecd5634ac3306aaadce42d85d6387 (MD5) Previous issue date: 2015-08-28 / Nenhuma / Esta dissertação é composta por dois artigos, um de revisão sistemática e um empírico. No primeiro artigo, o objetivo foi realizar uma revisão sistemática da literatura que investigou a percepção da doença cardíaca a partir do Modelo Teórico do Senso Comum (MSC). Dezesseis estudos corresponderam aos critérios de busca. Os resultados mostraram que as percepções e/ou crenças do paciente a respeito da doença cardíaca exercem um papel importante nas medidas de enfrentamento. Pode-se concluir que, em geral, a maioria dos estudos mostrou que a percepção da doença cardíaca é associada a consequências graves à vida do paciente com causas atribuídas a fatores independentes dos comportamentos do indivíduo (causas psicológicas, hereditariedade, vírus, má sorte etc.). Além disso, os resultados indicaram que a maior parte dos pacientes cardíacos atribui maior peso ao tratamento para o controle da doença do que ao seu controle pessoal. No segundo artigo, o objetivo foi avaliar a percepção da doença em indivíduos cardíacos e sua relação com a percepção das sete dimensões do Modelo de Senso Comum (MSC) identificadas na comunicação do seu diagnóstico. Foram utilizados os instrumentos: Questionário Sociodemográfico; Revised Illness Perception Questionnaire (IPQ-R) e Questionário das Percepções das Informações Fornecidas no Diagnóstico. Os resultados mostraram que as percepções sobre a doença do paciente cardíaco não se relacionaram com as informações transmitidas pelo médico no momento da comunicação do diagnóstico. / This thesis consists of two articles; one of them is a systematic review, and the other one, an empirical article. The first one aimed at conducting a systematic literature review that investigated the perception of heart disease based on the theory of the Common-Sense Model (MSC). Sixteen studies matched the search criteria. The results showed that the perceptions and /or the patient's beliefs about heart disease play an important role in coping measures. It has been concluded that, in general, most studies showed that the perception of heart disease is associated with serious consequences to the patient's life, with causes connected to factors regardless of individuals´ behavior (psychological causes, heredity, viruses, bad luck etc.). In addition to that, results indicated that most cardiac patients assign greater relevance to treatment for disease control than to their personal control. In the second article, we attempted to assess the perception of the disease in cardiac patients and their relationship to communicating the seven disease perception dimensions, identified by the patient when communicating the diagnosis. The instruments used were: sociodemographic questionnaire; Revised Illness Perception Questionnaire (IPQ-R) and Survey of Perceptions of Information Provided in diagnosis. The results showed that perceptions of the illness by the heart patient are not related to the information provided by the doctor at the time of communicating the diagnosis.

Chronic diseases are a significant cause of illness and mortality in the United States. Hereditary predisposition to chronic diseases is a useful indicator for identifying people at risk for disease development. An ideal tool for determining this predisposition is the CDC, NIH, and AAFP recommended third-degree family health history (FHH). The aim of this quantitative, cross-sectional study, based on the theoretical frameworks of social constructivism and the health belief model, was to assess the possible influence between the completed third-degree FHH and the participant's perception of disease risk. Two-hundred seventy-three participants were recruited from health care facilities and from the general population using convenience sampling. Bivariate and multivariate tests were applied to analyze the obtained data. Binary regression indicated a statistically significant association between the presence of heart disease, stroke, breast cancer, ovarian/cervical cancer, prostate cancer, colon cancer, and diabetes, and the perception of risk for the particular disease as noted in the FHH. A familial history of stroke appeared to be the strongest predictor of perception of disease risk. Moreover, increasing age, particularly within the age range of 40 to 57, was associated with increasing levels of perception of disease risk for heart disease, stroke, and prostate cancer. Individuals from the general population significantly indicated higher-than-average risk for colon cancer compared to those from health care facilities. Social change implication of this study may be the widespread implementation of a familial health history questionnaire that leads to an impactful, higher degree of disease risk awareness, prompting preventive action on the part of the individual, and leading to improved individual and population health.