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Sociale steun bij hartrevalidanten - Een observationeel onderzoek naar de beleving van sociale steun en relaties van sociale steun met doelmanagement, depressieve symptomen en kwaliteit van leven bij volwassen hartrevalidanten

Groot, Irene de (2011) Sociale steun bij hartrevalidanten - Een observationeel onderzoek naar de beleving van sociale steun en relaties van sociale steun met doelmanagement, depressieve symptomen en kwaliteit van leven bij volwassen hartrevalidanten.

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Abstract:Background: Within heart rehabilitation a lack of support is an independent risk factor for the development and prognosis of heart diseases. A lack of support is complex and associated with a lack of structural and functional aspects. There is little known which aspects according to social support are the most hazardous for heart rehabilitation patients. This research will strive for more understanding about how heart rehabilitation patients perceive social support from their social network and which relations there are between social support and other outcomes like personal and heart rehabilitation goals, depressive symptoms and health related quality of life for improving their quality of life. Research sample and method: In a rehabilitation centre eight heart rehabilitation patients (5 men and 3 women) were selected and interviewed for the qualitative research and from 46 other heart rehabilitation patients (28 men and 18 women) there has been done a quantitative research. Both researches had a cross section design. The quantitative research existed of analyzing the lack of social support between men and women, a correlation and regression analysis between social support, depressive symptoms and healthrelated quality of life. For this purpose the results of heart revalidation goals and validated measure instruments PSSS, PHQ-9 and KvL-H were used from the intake questionnaires. Results: In the qualitative research a lack of social support was found when respondents felt moments of emotional loneliness or little empathy. Women had a lower satisfaction and a smaller social network than men in this sample. Respondents found emotional support and instrumental support from their social network the most important support for physical and mental recovery. Respondents believed that social support was not a threat for reaching their personal goals. From the heart rehabilitation goals the respondents had experienced the most emotional and informational support from the rehabilitation centre. Employers provided according to respondents too little informational support when being ill or going back to work. In the quantitative research respondents scored moderate on the perceived social support. There were no significant differences found between men and women. 41 Respondents had perceived a negative correlation between social support of a ‘special person’ and depressive symptoms (rs = -.443, p = .002). Between social support of friends and emotional dimension of health related quality of life there was found for 37 respondents the most positive correlation (rs = .446, p = .003). But the strongest negative correlation was found for 40 respondents between depressive symptoms and the emotional dimension of health related quality of life (rs = -.715, p ≤ .000). Conclusion: This research suggest that respondents experience different types of social support as positive dependently from different social relations for reaching their personal and heart rehabilitation goals. The lack of support was associated with moments of emotional loneliness and emotional support, more depressive symptoms and a lower quality of life. Key words: social support, rehabilitation, heart disease, depression, quality of life, goal management.
Item Type:Essay (Master)
Clients:
Revalidatiecentrum Reade
Faculty:BMS: Behavioural, Management and Social Sciences
Subject:77 psychology
Programme:Psychology MSc (66604)
Link to this item:https://purl.utwente.nl/essays/61205
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