Thesis (MA)--University of Stellenbosch, 2000. / ENGLISH ABSTRACT: It is well known that coronary bypass graft surgery influences the psycho-social
adjustment of the patient, but little is known about the effect of bypass surgery on
the family members of the patient. The primary aim of this study was to assess the
effect of coronary bypass graft surgery on certain aspects of the marital
relationship and family functioning of the patient. The secondary aim was to
determine which coping strategies families used during the two months after the
operation. An experimental pre-test and post-test research design was used. Data
during the first measure was collected by means of Biographical, Enriching and
Nurturing Relationship Issues, Communication and Happiness (ENRICH)- and
Family Adaptability and Cohesion Evaluation Scale-II (FACES II)-questionnaires,
which were completed by the patient, the spouse of the patient and the eldest
child still living with the parents. ENRICH-, FACES 11-and Family Crisis Oriented
Personal Evaluation Scales (F-COPES)-questionnaires were used during the
second measure which was conducted two months after the operation. The
results indicated that bypass surgery affected the patients' marital satisfaction and
communication negatively and changed their attitudes toward the division of new
roles in the marriage and family. Bypass surgery had a further negative influence
on the emotional bonding of the patients and their spouses with other members of
the family. The patients' adaptability regarding new challenges facing the family
was also negatively affected. The patients in the experimental group who were still
working also showed a greater decline than the retired patients with regards to
some of the measured variables. The coping strategies most often used by the
families were the seeking of spiritual support and the reframing of the problem.
Correlation coefficients between changes in the marital and family variables of the
patient and the coping strategies used indicated that if passive appraisal was
used, the patients' marital satisfaction would decrease and if reframing of the
problem was used, the patients' adaptability regarding new challenges facing the
family would increase. / AFRIKAANSE OPSOMMING: Alhoewel kroonaarsiektes die psigo-sosiale aanpassing van die pasiënt beïnvloed,
bestaan daar min inligting oor die invloed wat kroonaarhartomleidingchirurgie op
die huweliksverhouding en gesinsfunksionering van die pasiënt het. Die doel van
hierdie ondersoek is om te bepaal hoe kroonaarhartomleidingchirurgie sekere
aspekte van die pasiënt se huweliks- en gesinslewe beïnvloed. Verder het die
ondersoek ten doelom te bepaal watter coping-strategieë die gesin post-operatief
gebruik. Daar is van 'n eksperimentele voor- en na-metingnavorsingsontwerp
gebruik gemaak. Data is ingesamel met Biografiese, Enriching and Nurturing
Relationship Issues, Communication and Happiness (ENRICH)- en Family
Adaptability and Cohesion Evaluation Scale-II (FACES II)-vraelyste wat
gedurende 'n voormetingsgeleentheid deur die pasiënt, huweliksmaat van die
pasiënt en oudste kind wat nog in die huis bly, voltooi is. Die na-meting, wat
bestaan het uit die voltooing van ENRICH-, FACES 11-en Family Crisis Oriented
Personal Evaluation Scales (F-COPES)-vraelyste, het twee maande na die
operasie plaasgevind. Die resultate toon dat kroonaarhartomleidingchirurgie die
pasiënte se huwelikstevredenheid en -kommunikasie nadelige beïnvloed het en 'n
veranderinge in hul houding oor die rolverdeling in die huwelik en gesin teweeg
gebring het. Verder het die operasie 'n nadelige effek op die pasiënte en hul
huweliksmaats se gevoel van emosionele binding met ander gesinslede gehad.
Die pasiënte se vermoë om by nuwe eise en uitdagings wat aan die gesin gestel
word aan te pas, is ook nadelig beïnvloed. Verder is bevind dat die werkende
pasiënte 'n groter verandering as die afgetrede pasiënte ten opsigte van sekere
van die gemete veranderlikes getoon het. Die coping-strategieë wat die meeste
deur die gesinne gebruik is, is die soeke na geestelike ondersteuning en die
herdefiniëring van die probleem. Die resultate het ook aangedui dat as passiewe
waardering as coping-strategie gebruik word, die pasiënte se tevredenheid met
hul huwelik sal afneem. Verder sal gesinne se vermoë om by nuwe eise en
uitdagings wat aan die gesin gestel word aan te pas, toeneem indien
herdefiniëring van die probleem as coping-strategie gebruik word.
| Identifer | oai:union.ndltd.org:netd.ac.za/oai:union.ndltd.org:sun/oai:scholar.sun.ac.za:10019.1/51709 |
| Date | 12 1900 |
| Creators | Van der Poel, Alette |
| Contributors | Greeff, A. P., Stellenbosch University. Faculty of Arts and Social Sciences. Dept. of Psychology . |
| Publisher | Stellenbosch : Stellenbosch University |
| Source Sets | South African National ETD Portal |
| Language | af_ZA |
| Detected Language | Unknown |
| Type | Thesis |
| Format | 76 p. |
| Rights | Stellenbosch University |
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