With the decreasing length of hospitalization for the Coronary Artery Bypass Graft (CABG) patient population, it is becoming increasingly difficult to provide patients with necessary education. The purpose of this study was to examine patients' perceptions of the importance of patient teaching information, and how realistic they perceive it is to learn the information following CABG surgery. Patients' learning and understanding are increased when the information is perceived as important.The findings of this study indicated that CABG patients rated the areas of medication, diet and activity information as the most important to learn during the early recovery period. The patients indicated that it was less realistic to learn in the areas of anatomy and physiology, risk factors, medications, diet, activity, post surgical care, psychological factors, and other pertinent information during the early recovery period. The information gained from this study could be used to enhance educational content for patients who have undertaken CABG surgeries. / School of Nursing

Coronary Artery Bypass Graft(CABG) Surgery increases blood flow to the endangered myocardium but does not slow the process of atherosclerosis. The only way to slow the process of coronary artery disease is to acknowledge the risk factors present and minimize or totally eliminate them from an individual's lifestyle. Men and women respond differently to stress and lifestyle modifications. The purpose of this study was to determine if there was a difference between genders in compliance to a heart healthy lifestyle pre and post CABG surgery.Thirty men and thirty women who had CABG surgery at least one year earlier were interviewed to assess coronary artery disease risk. The procedure for the protection of human subjects were followed. The instrument used was the RISKO Heart Hazard Appraisal Tool. This instrument was developed in 1985 by the American Heart Association and scored individuals on systolic blood pressure, weight, serum cholesterol level and cigarette smoking habits. Pre-operative records were also reviewed using the same tool to assess individuals preoperative risk. The research design used was 2 x 2 repeated measures. Data were analyzed using 2 x 2 repeated measures analysis of variance (ANOVA).Two findings were discovered. First there was a statistically significant difference between men and women (F=5.82 p=0.019) with men scoring lower RISKO scores than women, indicating lower risk and better compliance to a heart healthy lifestyle, both pre- and postoperatively. Second there was a significant difference between preand postoperative RISKO scores in the total population (F=8.77 p=0.004). Postoperative RISKO scores were lower indicating an improvement in heart healthy lifestyle. There was no statistically significant difference between genders in the difference of pre- and postoperative RISKO scores (F=2.56 p<.115). The significance of this study was that it looked specifically at gender differences and assessed disparities in cardiovascular risk factors and the impact of surgery on men and women.This study found that overall, men had lower RISKO scores than women. Both genders also had improved RISKO scores postoperatively from preoperatively. No statistically significant difference between genders of the RISKO scores from preoperatively to postoperatively was found. Education needs to continue to play a big part in the cardiac rehabilitation process for both genders and specifically women need to become the target of further research and education to improve compliance to a heart healthy lifestyle. / School of Nursing

This doctoral portfolio presents two separate but related research study reports on ‘self-care practices of adults with poorly controlled diabetes in Malaysia’. It is comprised of five sections. Section one which is the introduction begins with a general discussion on diabetes mellitus (henceforth referred to as diabetes), a common, growing, serious and costly health problem. The importance of self-care in the management of diabetes and its many disabling long-term complications are emphasised. This is followed by a specific discussion of diabetes in Malaysia - its prevalence, the quality of care, cost and the need for research to uncover new information to improve the care provided to Malaysians with diabetes. Section two is the report on the first research study that investigates the four cornerstones of diabetes self-care practices, namely: dietary intakes, medication adherence, physical activity and self-monitoring of blood glucose in Malaysian adults with poorly controlled diabetes. It also explores the factors that influence these self-care practices. Section three is the report on the second research study that assessed the efficacy of an out-patient diabetes educational program based on a self-efficacy theoretical approach to improve firstly, self-care practices and secondly, clinical outcomes of adults with poorly controlled diabetes in Malaysia. It also identified some of the factors that facilitate or impede such a programme in the Malaysian context. Section four integrates the findings of the two related research studies - the first defining the problem and the second providing possible solutions in the Malaysian context. It points out limited diabetes knowledge on self-care can compromise or create problems regarding self-care practices for Malaysians with poor glycaemic control. It also identifies possible areas of research that can uncover new knowledge that may improve the quality of diabetes care and enhance the quality of life of Malaysian with diabetes. Section five includes publication originating from this work. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1374559 / Thesis (D.Nurs.) -- University of Adelaide, School of Population Health and Clinical Practice, 2009

This doctoral portfolio presents two separate but related research study reports on ‘self-care practices of adults with poorly controlled diabetes in Malaysia’. It is comprised of five sections. Section one which is the introduction begins with a general discussion on diabetes mellitus (henceforth referred to as diabetes), a common, growing, serious and costly health problem. The importance of self-care in the management of diabetes and its many disabling long-term complications are emphasised. This is followed by a specific discussion of diabetes in Malaysia - its prevalence, the quality of care, cost and the need for research to uncover new information to improve the care provided to Malaysians with diabetes. Section two is the report on the first research study that investigates the four cornerstones of diabetes self-care practices, namely: dietary intakes, medication adherence, physical activity and self-monitoring of blood glucose in Malaysian adults with poorly controlled diabetes. It also explores the factors that influence these self-care practices. Section three is the report on the second research study that assessed the efficacy of an out-patient diabetes educational program based on a self-efficacy theoretical approach to improve firstly, self-care practices and secondly, clinical outcomes of adults with poorly controlled diabetes in Malaysia. It also identified some of the factors that facilitate or impede such a programme in the Malaysian context. Section four integrates the findings of the two related research studies - the first defining the problem and the second providing possible solutions in the Malaysian context. It points out limited diabetes knowledge on self-care can compromise or create problems regarding self-care practices for Malaysians with poor glycaemic control. It also identifies possible areas of research that can uncover new knowledge that may improve the quality of diabetes care and enhance the quality of life of Malaysian with diabetes. Section five includes publication originating from this work. / http://proxy.library.adelaide.edu.au/login?url= http://library.adelaide.edu.au/cgi-bin/Pwebrecon.cgi?BBID=1374559 / Thesis (D.Nurs.) -- University of Adelaide, School of Population Health and Clinical Practice, 2009

Thesis (Ph.D.) -- University of Montana, 2008. / Title from author supplied metadata. Description based on contents viewed on June 15, 2009. ETD number: etd-03262009-133921. Author supplied keywords: Native Americans ; Medicine Wheel ; Alcohol misuse ; Substance Misuse ; Transtheoretical Model of Change. Includes bibliographical references.

Thesis (Ph.D.)--University of Western Sydney, 2007. / A thesis presented to the University of Western Sydney, College of Health and Science, School of Nursing, in fulfilment of the requirements for the degree of Doctor of Philosophy. Includes bibliographies.

Thesis (M.S.)--University of Michigan, 1983.

Thesis (M.S.)--University of Michigan, 1977.

Thesis (M.S.)--University of Michigan, 1988.

Thesis (M.S.)--University of Michigan, 1988.