Abstract
Background. Illness representations and quality of life are important health outcomes for injured patients. A nursing intervention that utilizes cognitive behavioral therapy skills is increasingly being applied to improve injured patients" outcomes, but there is limited evidence of its effectiveness.
Objectives. This study evaluated the long-term effects of a nursing intervention in changing the illness perceptions and quality of life of injured patients.
Design. A prospective randomized controlled trial was used.
Settings. Data were collected at a medical center in Taiwan.
Participants. Participants were screened through the trauma database of the hospital"s computer system. A total of 94 patients were randomly assigned either to the experimental group or the control group.
Methods. Data were collected from 2013 to 2015. Based on a self-regulatory theory, the intervention was conducted by trained nurse practitioners. In recording the outcomes, illness perceptions of injury were measured by the Brief Illness Perception Questionnaire, and quality of life was measured by the World Health Organization's Quality of Life questionnaire. Follow-ups on the experimental and control groups were conducted by telephone to complete the survey at 3, 6, and 12 months after their discharge from the hospital.
Results. The intervention positively changed patients" illness perceptions for "personal control" (B = 1.26, P < 0.05) and "treatment control" (B = 1.50, P < 0.01) 3 months after being injured, and it changed their "emotional representations" 6 months after being injured. The intervention also positively affected the overall illness perceptions 3 months (B = −0.60, P < 0.05) and 6 months (B = −0.82, P < 0.001) after the injury. The intervention also promoted the patients" quality of life in the "social domain" 6 months (B = 1.38, P < 0.01) and 12 months (B = 1.38, P < 0.01) after the injury.
Conclusions. The results indicated the intervention had positively changed the patients" illness representations and quality of life. This study adds new knowledge that proves nursing interventions have longer-term effects on injured patients. A multidisciplinary care plan and retesting of the intervention protocol are needed in the future.
Sigma Membership
Non-member
Type
Poster
Format Type
Text-based Document
Study Design/Type
N/A
Research Approach
N/A
Keywords:
Illness Representations, Nursing Intervention, Injuries
Recommended Citation
Lee, Bih-O and Liang, Mei-fang, "Effects of a nursing intervention on illness perceptions and quality of life in injured patients" (2017). INRC (Congress). 71.
https://www.sigmarepository.org/inrc/2017/posters_2017/71
Conference Name
28th International Nursing Research Congress
Conference Host
Sigma Theta Tau International
Conference Location
Dublin, Ireland
Conference Year
2017
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.
All permission requests should be directed accordingly and not to the Sigma Repository.
All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Acquisition
Proxy-submission
Effects of a nursing intervention on illness perceptions and quality of life in injured patients
Dublin, Ireland
Background. Illness representations and quality of life are important health outcomes for injured patients. A nursing intervention that utilizes cognitive behavioral therapy skills is increasingly being applied to improve injured patients" outcomes, but there is limited evidence of its effectiveness.
Objectives. This study evaluated the long-term effects of a nursing intervention in changing the illness perceptions and quality of life of injured patients.
Design. A prospective randomized controlled trial was used.
Settings. Data were collected at a medical center in Taiwan.
Participants. Participants were screened through the trauma database of the hospital"s computer system. A total of 94 patients were randomly assigned either to the experimental group or the control group.
Methods. Data were collected from 2013 to 2015. Based on a self-regulatory theory, the intervention was conducted by trained nurse practitioners. In recording the outcomes, illness perceptions of injury were measured by the Brief Illness Perception Questionnaire, and quality of life was measured by the World Health Organization's Quality of Life questionnaire. Follow-ups on the experimental and control groups were conducted by telephone to complete the survey at 3, 6, and 12 months after their discharge from the hospital.
Results. The intervention positively changed patients" illness perceptions for "personal control" (B = 1.26, P < 0.05) and "treatment control" (B = 1.50, P < 0.01) 3 months after being injured, and it changed their "emotional representations" 6 months after being injured. The intervention also positively affected the overall illness perceptions 3 months (B = −0.60, P < 0.05) and 6 months (B = −0.82, P < 0.001) after the injury. The intervention also promoted the patients" quality of life in the "social domain" 6 months (B = 1.38, P < 0.01) and 12 months (B = 1.38, P < 0.01) after the injury.
Conclusions. The results indicated the intervention had positively changed the patients" illness representations and quality of life. This study adds new knowledge that proves nursing interventions have longer-term effects on injured patients. A multidisciplinary care plan and retesting of the intervention protocol are needed in the future.