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SYMPTOMS, POWER, AND SELF-CARE IN INDIVIDUALS WITH CHRONIC VENOUS LEG ULCERS

LaValey, Collette, LaValey
http://rave.ohiolink.edu/etdc/view?acc_num=akron1468840791

Abstract Details

2016, Doctor of Philosophy, University of Akron, Nursing.
Chronic Venous Leg Ulcers (CVLU) have been overlooked as a chronic condition in the U.S. CVLU is characterized by cycles of healing and ulcer recurrence and debilitating symptoms. Ulcer management is typically directed by health care providers and organizational guidelines with the person often a passive recipient of care. Encouraging self-care in this population may alleviate the burden. Orem’s Self-Care Deficit Nursing Theory was used to guide an examination of the relationship between symptoms, power, and CVLU self-care in a population of individuals with CVLU. Measurement tools include the symptom subscale of the Venous Insufficiency Epidemiological and Economic Study-Quality of Life and Symptom Severity (VEINES-QOL/Sym) providing information about types and frequency of symptoms, the Appraisal of Self-Care Agency Scale-Revised (ASAS-R) to measure power, and the CVLU Self-Care survey to measure the level of self-care performed. Data for a final sample of 83 adults was used in the the analysis. Findings indicated that symptoms were not associated with power or self-care. Power was not a mediator between symptoms and CVLU self-care with analysis with and without the inclusion of the covariates income, education, number of comorbidities, and chronicity of the leg ulcer. There was a significant moderate to strong positive correlation between the total power score and total CVLU self-care score. A high frequency of symptoms was found in this population but there was no relationship between symptoms and individual’s assessment of capability for self-care or performance of self-care. Self-care activities related to reducing leg edema were low. Identifying individuals with low levels of power or low levels of self-care will facilitate programs and nursing interventions to improve self-care in this population.
Marlene Huff, Dr. (Advisor)
Mary Anthony, Dr. (Committee Member)
Sheau-Huey Chiu, Dr. (Committee Member)
Linda Shanks, Dr. (Committee Member)
Sandra Hudak, Dr. (Committee Member)
Nursing
self-care; chronic venous leg ulcer

Recommended Citations

Citations

  • LaValey, LaValey, C. (2016). SYMPTOMS, POWER, AND SELF-CARE IN INDIVIDUALS WITH CHRONIC VENOUS LEG ULCERS [Doctoral dissertation, University of Akron]. OhioLINK Electronic Theses and Dissertations Center. http://rave.ohiolink.edu/etdc/view?acc_num=akron1468840791

    APA Style (7th edition)

  • LaValey, LaValey, Collette. SYMPTOMS, POWER, AND SELF-CARE IN INDIVIDUALS WITH CHRONIC VENOUS LEG ULCERS . 2016. University of Akron, Doctoral dissertation. OhioLINK Electronic Theses and Dissertations Center, http://rave.ohiolink.edu/etdc/view?acc_num=akron1468840791.

    MLA Style (8th edition)

  • LaValey, LaValey, Collette. "SYMPTOMS, POWER, AND SELF-CARE IN INDIVIDUALS WITH CHRONIC VENOUS LEG ULCERS ." Doctoral dissertation, University of Akron, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=akron1468840791

    Chicago Manual of Style (17th edition)

akron1468840791
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© 2016, all rights reserved.
This open access ETD is published by University of Akron and OhioLINK.