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dc.contributor.authorHatmaker, Debra D
dc.date.accessioned2019-06-13T00:01:57Z
dc.date.available2019-06-13T00:01:57Z
dc.date.issued1993-09
dc.identifier.urien
dc.identifier.urihttp://hdl.handle.net/10675.2/622391
dc.description.abstractThe purpose of this study was to examine selected individual fact·ors which may influence the pregnant woman's engagement in health-promotion behaviors and maternal-infant health. The theoretical framework evolved from the Health Promotion Model (Pender, 1987) and the cognitive-transactional theory' of stress and coping (Lazarus & Folkman, 1984). A convenience sample of 63 low-risk and 53 high-risk pregnant women was selected for this study. The concept of high-risk in this study was na'rrowed to those women undergoing home uterine activity monitoring who were at risk for pr~term delivery. Individual factors included self-efficacy, degree of threat, perceived social support, and perceived health status. The construct of reported health-promoting behaviors was used to describe an active approach toward improved well-being. As outcome measures of health, three concepts were used as an overall index of maternal-infant health: subjective wellbeing (positive and negative affect), maternal weight gain, and infant birth weight. Regression analyses revealed that women who reported fewer negative health symptoms and a higher number of health behaviors reported higher positive affect. The change in positive affect over time for the high-risk group reflected an increase in positive mood and social engagement. A high-risk status, high degree of threat, high perceived conflict, and a higher number of negative health symptoms we're predictive of higher negative affect. Negative mood and anxiety for the high-risk group were reflected in their higher scores. The high-risk group felt greater threat from their pregnancy status, had a more negative outlook for their pregnancy, and felt less in control of the situation than did the low-risk group. While the two groups did not differ on overall reported health-promoting behaviors, the high-risk group scored significantly higher on health responsibility and lower on exercise than the low-risk group. Significant implications for nurses working with pregnant women and their families include: awareness of the need for prenatal assessment of anxiety and the meaning of the highris~ label, the need for ·improved risk assessment, continued education regarding expected physical and psychological changes "during pregnancy, and education regarding positive health behaviors.en_US
dc.rightsCopyright protected. Unauthorized reproduction or use beyond the exceptions granted by the Fair Use clause of U.S. Copyright law may violate federal law.en_US
dc.subjectWeighten_US
dc.subjectInfant Healthen_US
dc.subjectOutcome Assesmenten_US
dc.subjectcognitionen_US
dc.titleThe Effects of Individual Factors and Health Promotion During Pregnancy on Maternal-Infant Healthen_US
dc.typeDissertationen_US
dc.typeDissertationen
dc.contributor.departmentSchool of Nursingen_US
dc.description.advisorChair: Kemp, Virginiaen_US
dc.description.degreeDoctor of Philosophyen_US
dc.description.committeeN/Aen_US
refterms.dateFOA2019-06-13T00:01:57Z


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