The Relationship Between the Perception of Nurse Caring, and the Phase II Cardiac Rehabilitation Patients' Depression, Anxiety, and Adherence.

摘要

The purpose of this study was to determine if there was a relationship between perception of nurse caring and Phase II cardiac rehabilitation (CR) participant's depression, anxiety, and adherence. Duffy and Hoskins (2003) Quality-caring model © was used as a theoretical framework to guide the descriptive correlational study. A convenience sample of 109 outpatients lived in the mid-Atlantic portion of the United States. The four data collection instruments included the Center for Epidemiological Studies-Depression Scale (CES-D), State-Trait Anxiety Inventory-Y-1 (STAI-Y-1), Caring Assessment Tool-IV (CAT-IV), and a Phase II CR Patient's Program Data Sheet. Pearson's product-moment correlational analysis was used to determine the relationship between participants' perceptions of nurse caring, depression, anxiety, and adherence. Findings: a) the perception of nurse caring had an inverse relationship with depression (r = - 0.22, p = 0.05 one-tailed); b) the perception of nurse caring had an inverse relationship with anxiety (r = - 0.18, p = 0.05 one-tailed); c) the perception of nurse caring did not have a direct relationship with adherence (r = 0.09, p = 0.05 one-tailed); d) there was a strong correlation between depression and anxiety (r = 0.75, p = 0.05 one-tailed); e) there was a small inverse relationship between depression and adherence (r = - 0.26, p = 0.05 one-tailed). Pearson product-moment correlational analysis was also completed to determine the relationship between participants' perception of nurse caring based on eight nurse caring factors (Duffy, Hoskins, & Seifert, 2007). Data suggested that seven nurse caring factors were identified by participants: a) Mutual Problem solving, b) Attentive Reassurance, c) Human Respect, d) Encouraging Manner, e) Healing Environment, f) Affiliation Needs, and g) Basic Human Needs.