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The Role of Hope in Self-care in Persons with Heart Failure
Van Kuiken, Debra M.

2008, PhD, University of Cincinnati, Nursing : Nursing, Doctoral Program.

Background: Over 5 million Americans have Heart failure (HF) and must take medications, monitor for symptoms and make major changes in life-style. Nurses need to understand the factors that influence self-care in this population. Hope has been linked with problem-focused coping, positive health behaviors and goal achievement and may be linked with self-care. The Modeling and Role Modeling (MRM) Self-care Model guided this study on the role of hope as a self-care resource in affecting self-care behaviors.


Methods: This was two-phased cross-sectional anonymous survey. Phase I gave information on the feasibility and needed sample size. Phase II surveys were distributed to adults with heart failure from Cincinnati area heart failure and cardiology clinics. Patients with a history of heart transplant, cognitive disorders, and non-English reader/ writers were excluded. Hope was measured with the Herth Hope Index (Herth, 1991) and the Hope Scale (Snyder, 1994). Self-care was measured with the European Heart Failure Self-care behaviors Scale (Jaarsma et al., 2003). Possible covariates of control, coherence and mood were measured with the Illness Perception Questionnaire …ldquo; Revised and the Profile of Mood States …ldquo; short form.


Results: Respondents (N= 67) were white (74.6%), males (53.7%) average of 59.5 years old (SD = 12.4). Personal control and illness coherence were significant predictors of Hope and explained 23% of the variance in hope. Age and hope were significant predictors of self-care and explained 20% of the variance in self-care behaviors. Mood disturbance was strongly and negatively related to both hope and self-care, but was not a significant predictor of self-care.


Conclusions: Promoting client's sense of personal control and understanding of the disease through MRM may increase hope and self-care. Mood disturbance is inversely related to hope and self-care, although the relationships are unclear. Longitudinal studies are needed to test causality and to explore possible feedback mechanisms. The multidimensional aspects of hope were not supported, but qualitative methods may be useful in exploring this complex concept.


Linda Baas, PhD, RN (Committee Chair)
Devon Berry, PhD, RN (Committee Member)
Wei Pan, PhD (Committee Member)
164 p.

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Van Kuiken, D. (2008). The Role of Hope in Self-care in Persons with Heart Failure. (Electronic Thesis or Dissertation). Retrieved from https://etd.ohiolink.edu/

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Van Kuiken, Debra. "The Role of Hope in Self-care in Persons with Heart Failure." Electronic Thesis or Dissertation. University of Cincinnati, 2008. OhioLINK Electronic Theses and Dissertations Center. 16 Dec 2017.

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Van Kuiken, Debra "The Role of Hope in Self-care in Persons with Heart Failure." Electronic Thesis or Dissertation. University of Cincinnati, 2008. https://etd.ohiolink.edu/

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