Self-Care Knowledge: Relations Among the Concepts Support, Hope, Control, Satisfaction with Daily Life and Physical Health Status (Giving-Up, Helplessness, Hopelessness).

Three aims were addressed in this study of Self-Care Knowledge. The first aim was to determine what individuals perceived as the cause of their illness and what would help them feel better. The second aim was to explore relationships among these perceptions and the third was to explore relationships among these perceptions and physical health status. The McKennell, three stage model was used. A qualitative pilot addressed the first aim. Three subjects were interviewed. Data were analyzed by the comparative analysis method (Glaser and Straus, 1967). Patterns among the concepts support, control, hope, and satisfaction with daily life distinguished individuals from one another. Findings from this study were integrated with knowledge acquired from the literature; three structural models were proposed. The first postulated that support would be a predictor for hope, support and hope would be predictors for control, and control would be a predictor for physical health status. The second model postulated the same relationships among hope, support and control and also postulated satisfaction with daily life as an intervening variable between control and physical health status. The third model postulated the same relationships as well as another between satisfaction with daily life and perceived health. Seventy-nine r and omly assigned subjects were studied. Items in the Goldberg Health Questionnaire were used to measure the concepts. Cluster, factor, and alpha techniques were used to develop the scales and to establish reliability and validity. The models were tested using stepwise multiple regression analyses. Generally, the hypothesized relations were supported. However, reciprocal relationships between support and control, as well as between control and hope, were also found. When the predicted relationship between satisfaction with daily life and physical health status were replicated with four subgroups, further analyses of this concept was undertaken. It was concluded that the content of this concept included the giving-up given-up syndrome described by Engel (1962). This measure explained sixteen percent of the variance in the variable physical health status. Forty-six percent of this concept was explained by perceived control.PhDNursingUniversity of Michiganhttp://deepblue.lib.umich.edu/bitstream/2027.42/159928/1/8412136.pd