No description available.

Most prior research on stress and hemodialysis has focused on physical, psychological and staff-patient dimensions. Little research has been conducted on the correlates of stress experienced by dialysis patients in th~ context of the family. The purposes of this investigation were to operationalize 12 propositions from a model synthesizing 50 years of family stress research and to determine the applicability of the propositions for a population of in-center dialysis patients. The two dependent variables were family vulnerability to stress and family regenerative power. The independent variables were selected on the basis of the relative absence in the dialysis literature, and the applicability to dialysis patients and their families. A 41-item closed-ended interview schedule was designed by the investigator, analyzed for validity and reliability by a panel of experts, and pretested on a small group of dialysis patients. Six dialysis centers in Western Virginia participated in the investigation and 207 of a possible 215 patient interviews were completed. Pearson product-moment correlation coefficients were calculated for each of the relationships within the hypotheses. Four hypotheses received strong support: the greater the amount of crisis, the greater the vulnerability; the greater the family positional influence, the less the vulnerability; the greater the personal influence, the greater the vulnerability; and, the greater the marital adjustment, the greater the regenerative power. Four hypotheses received moderate support: the greater the positional influence, the lower the family regenerative power; the greater the anticipation socialization, the less the vulnerability; the greater the extended familism, the greater the regenerative power; and, the greater the regenerative power, the greater the family level of reorganization. Several additional correlations were reported which helped explain the findings related to the hypothesis testing. Methodological, theoretical and practical implications were discussed and recommendations for future research were made. / Ph. D.

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Thesis (M.A. Education (Community and Continuing Education)) -- University of Limpopo, 2015 / This report describes the research conducted at Kgotlelelang Basadi Home-based Care centre, in the Capricorn District Limpopo Province of South Africa. The centre serves four villages: Ngwanamago, Makata, Matobole and Thaba. Statement of the problem It seems the home-based caregivers of chronic patients at Kgotlelelang Basadi HBC centre do not have the necessary qualifications, knowledge, skills, and health care and protective resources such as gloves, thermometers and masks. It looks like the homebased caregivers are not adequately and continuously trained as there are always new discoveries and developments with regard to the treatment of diseases. It apprears they perform their duties without sufficient support by relevant institutions like clinics and hospitals. Furthermore, it appears the home-based caregivers are not recognised, and are also undermined. The aim of the study is to explore the educational needs and assets of home-based caregivers for homebound chronic patients at Kgotlelelang Basadi Home-based Care centre. After establishing the educational needs and assets of home-based caregivers I recommended the formulation of possible relevant educational programmes. In an attempt to achieve the said aims, the following research questions were formulated and put forward in chapter 1. Objectives  To establish the existing qualifications of home-based caregivers for home-bound chronic patients at Kgotlelelang Basadi HBC Centre.  To determine the relevancy of the existing educational programmes of home-based caregivers for home-bound chronic patients.  To contribute towards formulating relevant educational programmes of home-based caregivers for home-bound chronic patients.

Die gesin is die sentrum waarbinne die kind se vorming tot volwaardige volwassenheid plaasvind. Indien een van die ouers met 'n chroniese fisieke siektetoestand gediagnoseer word, mag dit moontlike implikasies inhou vir die ouer, die kind, maar ook ander gesinslede. Die chroniese siektetoestand en die implikasies wat dit vir die siek persoon inhou is bestudeer. Daarbenewens is die dinamiek van die gesin, waarbinne die ouer en die kind met mekaar in interaksie is, ontleed. Om te bepaal wat die effek van die chroniese fisieke siektetoestand van die ouer op die kind is, is 'n literatuurstudie onderneem. Dit is daarna geverifieer met gevallestudies wat ondemeem is. Die gevallestudies het die bevindinge van die literatuurstudie bevestig. Dit blyk dat die chroniese siektetoestand van die ouer 'n invloed op die wording van die kind het. Die siektetoestand is 'n voortdurende stressor binne die gesin, wat veroorsaak dat kind(ers) affektiewe-, kognitiewe-, gedrags- en sosiale probleme manifesteer. Daar moet aanpassings gemaak word om die stres binne die gesin te minimaliseer. Riglyne is saamgestel om die terapeut, wat hierdie kind(ers) en gesinne begelei, te help. / The family is the system within which the child develops and eventually attains maturity. When a patient is diagnosed with chronic disease, it has certain implications not only for the parent, but also for children and other members of that family. A liteature study was undertaken to determine the impact of the chronically ill parent on the child. This study was then verified with specific case studies done by the author. These case studies confinned the findings of the literature study. It would seem that the chronic illness of a parent has a definite impact on the development of a child. The parent's illness is a constant stressor within the family, causing children to manifest affective, cognitive, behavioral as well as social problems. Certain adjustments have to be made to minimize stress within such a family. Guidelines are provided to assist the therapist in dealing with these children and families. / Psychology of Education / M. Ed. (Voorligting)

published_or_final_version / Psychology / Doctoral / Doctor of Philosophy

The purpose of the current study was to examine the relationship between parent and child factors for mothers of children diagnosed with cystic fibrosis to predict mother's psychological distress. Mothers were surveyed to identify measurement models in areas of Child and Parental characteristics and a Full Causal Model of Maternal distress. Factors related to Child Characteristics include general parental stressors and cystic fibrosis specific parental stressors. Factors related to Parental Characteristics include the mother's sense of parental competence and self-esteem. Additional factors related to the Full Causal Model include social support, major and minor life events, and demographics. Results were analyzed using LISREL IV structural equation modeling. Measurement model analysis found a good fit for the Child Characteristics model (Chi Square = 6.85, df = 4, JD = .144, Goodness of Fit Indices = .972) and Parental Characteristics model (Chi Square = 5.89, df = 3, p = .117, Goodness of Fit Indices = .971), but not for the full causal model of maternal distress (Chi Square = 114.98, df = 66, E = .000, Goodness of Fit Indices = .853)

published_or_final_version / Nursing Studies / Master / Master of Nursing in Advanced Practice

No description available.