Factors related to Negative Beliefs about Symptom Management and Their Influence on Self-efficacy in Community-dwelling Older Women

여성노인의 증상관리에 대한 부정적 신념과 관련요인이 자기효능감에 미치는 영향

  • Published : 2013.04.30

Abstract

Purpose: The purposes of this study were to examine the factors associated with age-related negative beliefs about symptom management and to investigate the influence of age-related negative beliefs about symptom management on self-efficacy among community-dwelling older women. Methods: For this study a descriptive design was used with a convenience sample of 134 older women. The data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and hierarchical multiple regression analyses. Results: The mean score for age-related negative beliefs about symptom management was 3.25. The level of age-related negative beliefs about symptom management was significantly different according to demographic characteristics including age, education, marital and living status and a diagnosis of chronic illnesses such as osteoarthritis and diabetes. Hierarchical regression analyses indicated that, after controlling for the covariates, the level of age-related negative beliefs about symptom management was a significant factor decreasing self-efficacy (${\beta}$=-.233, p= .012). Conclusion: The results of this study indicate that there is a detrimental influence of age-related negative beliefs about symptom management on self-efficacy. The findings imply a need for nursing interventions to modify negatively stereotyped beliefs in managing symptoms and to facilitate positive attitudes about aging by older adults.

Keywords

References

  1. Bandura, A. (1982). Self-efficacy mechanism in human agency. American Psychologist, 37, 122-147. https://doi.org/10.1037/0003-066X.37.2.122
  2. Choi, E., Kim, J., & Kim, H. (2003). The correlational study on health-promoting behavior, life satisfaction and family support of elderly people. Journal of Korean Gerontological Nursing, 5 (1), 7-16
  3. Chou, K. L., & Chi, I. (2002). Successful aging among the youngold, old-old, and oldest-old Chinese. International Journal of Aging and Human Development, 54 (1), 1-14. https://doi.org/10.2190/9K7T-6KXM-C0C6-3D64
  4. Dawson, R., Sellers, D. E., Spross, J. A., Jablonski, E. S., Hoyer, D. R., & Solomon, M. Z. (2005). Do patients' beliefs act as barriers to effective pain management behaviors and outcomes in patients with cancer-related or noncancer-related pain? Oncology Nursing Forum, 32 (2), 363-374. https://doi.org/10.1188/05.ONF.363-374
  5. Heidrich, S. M., Brown, R. L., Egan, J. J., Perez, O. A., Phelan, C. H., Yeom, H., et al. (2009) An individualized representational intervention to improve symptom management (IRIS) in older breast cancer survivors: Three pilot studies. Oncology Nursing Forum, 36 (3), 133-143. https://doi.org/10.1188/09.ONF.133
  6. Heidrich, S. M., Egan, J. J., Hengudomsub, P., & Randolph, S. M. (2006). Symptoms, symptom beliefs, and quality of life of older breast cancer survivors: A comparative study. Oncology Nursing Forum, 33 (2), 315-322. https://doi.org/10.1188/06.ONF.315-322
  7. Jeong, Y. H. (2012, December 5). The life expectancy and healthadjusted life expectancy of Koreans. Health-Welfare Policy Forum, 193, 5-18.
  8. Kim, S. (2007). The association between expectations regarding aging and health-promoting behaviors among Korean older adults. Journal of Korean Academy of Nursing, 37 (6), 932- 940.
  9. Korea National Health and Nutrition Examination Survey data. (2010). Ministry Health & Welfare, Retrieved October 1, 2012, from http://knhanes.cdc.go.kr/knhanes/sub04/sub04_ 03.do?classType=7#
  10. Levy, B. R., & Myers, L. M. (2004). Preventive health behaviors influenced by self-perceptions of aging. Preventive Medicine, 39 (3), 625-629. https://doi.org/10.1016/j.ypmed.2004.02.029
  11. Levy, B. R., Slade, M. D., Kunkel, S. R., & Kasl, S. V. (2002). Longevity increased by positive self-perceptions of aging. Journal of Personality and Social Psychology, 83 (2), 261- 270. https://doi.org/10.1037/0022-3514.83.2.261
  12. Locher, J. L., Burgio, K. L., Goode, P. S., Roth, D. L., & Rodriguez, E. (2002). Effects of age and causal attribution to aging on health-related behaviors associated with urinary incontinence in older women. The Gerontologist, 42 (4), 515-521. https://doi.org/10.1093/geront/42.4.515
  13. Mandelblatt, J., Figueiredo, M., & Cullen, J. (2003). Outcomes and quality of life following breast cancer treatment in older women: when, why, how much, and what do women want? Health and Quality of Life Outcomes, 1, 45. http://dx.doi. org/10.1186/1477-7525-1-45.
  14. Mayer, D. K., Terrin, N. C., Kreps, G. L., Menon, U., McCance, K., Parsons, S. K., et al. (2007). Cancer survivors information seeking behaviors: A comparison of survivors who do and do not seek information about cancer. Patient Education and Counseling, 65 (3), 342-350. https://doi.org/10.1016/j.pec.2006.08.015
  15. Mobily, P. R., Herr, K. A., Clark, M. K., Wallace, R. B. (1994). An epidemiologic analysis of pain in the elderly. Journal of Aging and Health, 6 (2), 139-154. https://doi.org/10.1177/089826439400600201
  16. Morgan, R., Pendleton, N., Clague, J. E., & Horan, M. A. (1997). Older people's perceptions about symptoms. British Journal of General Practice, 47 (420), 427-430.
  17. Nelson, T. D. (2002). Ageism: Stereotyping and prejudice against older persons. Cambridge, MA: MIT Press.
  18. Ory, M., Kinney Hoffman, M., Hawkins, M., Sanner, B., & Mockenhaupt, R. (2003). Challenging aging stereotypes: Strategies for creating a more active society. American Journal of Preventive Medicine, 25 (3), Suppl 2, 164-171. https://doi.org/10.1016/S0749-3797(03)00181-8
  19. Royer, H. R., Phelan, C. H., & Heidrich, S. M. (2009). Older breast cancer survivors' symptom beliefs. Oncology Nursing Forum, 36 (4), 463-470. https://doi.org/10.1188/09.ONF.463-470
  20. Sanchez Palacios, C., Trianes Torres, M. V., & Blanca Mena, M. J. (2009). Negative aging stereotypes and their relation with psychosocial variables in the elderly population. Archives of Gerontology and Geriatrics, 48 (3), 385-390. https://doi.org/10.1016/j.archger.2008.03.007
  21. Sarkisian, C. A., Prohaska, T. R., Wong, M. D., Hirsch, S., & Mangione, C. M. (2005). The relationship between expectations for aging and physical activity among older adults. Journal of General Internal Medicine, 20 (10), 911-915. https://doi.org/10.1111/j.1525-1497.2005.0204.x
  22. Sarkisian, C. A., Hays, R. D., & Mangione, C. M. (2002). Do older adults expect to age successfully? The association between expectations regarding aging and beliefs regarding healthcare seeking among older adults. Journal of the American Geriatrics Society, 50 (11), 1837-1843. https://doi.org/10.1046/j.1532-5415.2002.50513.x
  23. Seo, H. M. (2001). Construction of health promoting behaviors model in elderly. Unpublished doctoral dissertation, Seoul National University, Seoul.
  24. Sherer, M., Maddux, J. E., Mercadante, B., Prentice-Dunn, S., Jacobs, B., & Rogers, R. W. (1982). The self-efficacy scale: Construction and validation. Psychological Reports, 51 (2), 663-671. https://doi.org/10.2466/pr0.1982.51.2.663
  25. Yeom, H. E., & Heidrich, S. M. (2009). Effect of perceived barriers to symptom management on quality of life in older breast cancer survivors. Cancer Nursing, 32 (4), 309-316. https://doi.org/10.1097/NCC.0b013e31819e239e
  26. Woo, J. W. (2003). Successful aging. Journal of Korean Geriatric Psychiatry, 7 (2), 99-104.