More than 30,000 theses and dissertations produced at the University of Arizona are included in the UA Theses and Dissertations collections. These items are available open access, and are full-text searchable. A small percentage of items are under embargo (restricted).

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  • Prevalence of depression in Mexican American women

    Loyola, Gladys (The University of Arizona., 2001)
    The purpose of this study was to ( 1) find the prevalence of depression in Mexican American women in Pima County and (2) to determine the relationship and significance between depression and biological and psychosocial variables. The biological variables measures included female gender, age, and reproductive phase (premenopause, perimenopause, postmenopause ). The psychosocial variables were marital status, place of birth, living arrangements, income level, educational attainment, employment status, and language preference. A descriptive cross sectional design was utilized to answer the research questions. The convenience sample consisted of 63 female subjects. The Statistical Package for the Social Sciences (SPSS) statistical program was used to analyze data. A priori, the cut off rate for the depressed group was set at~ 16 points on the Center for Epidemiologic Scale (CESD) as determined by the instrument developers and previous researchers. The rate of depression found in the evaluated Mexican American population was 62.9%, which is extremely high compared to previous studies. Significant relationships were found between depression, educational attainment, income, being married, and being employed. The findings from this study suggest that the prevalence of depression in Mexican American women could be higher than was previously suggested.
  • Health as perceived by gang members

    Beren, Dorice Dreany (The University of Arizona., 2000)
    The purpose of this study was to explore the health perceptions of gang members. Participant observation and ethnographic interviews were used to determine these perceptions. The interviews were conducted in a charter school in Tucson, Arizona. Three gang members and one nongang member participated in these interviews. Six domains resulted from this study. These doma.ins were: Exercise Practices Associated with Health, Eating Habits Associated with Health, Substance Abuse, Perceptions of a Future, Behaviors Associated with Safety and SelfProtection, and Social Support Systems. Four cultural themes were also identified from this study. The cultural themes are: Health is not important to gang members, gang members have a structure of time that is very now focused, gang members have a strong sense of hopelessness and choicelessness, and finally, lack of social support turns youth towards gang membership and, thus, a higher risk for poor health. Recommendations for health care providers are presented. Suggestions for future studies are also given.
  • Outcomes of an enhanced cross-continuum program of care

    Warmbrodt, Sarah Margaret (The University of Arizona., 1998)
    A comparative descriptive design was used to describe two outcomes, the patients' postoperative mobility and satisfaction with care-related services of a new Enhanced Cross-Continuum Care Program (ECCP) of Care for the total hip joint replacement patient from preadmission screening through discharge from home health, including a preoperative visit that was conducted by a home health registered nurse, physical therapist and an orthopedic nurse case manager in the home. Sixteen subjects having a total hip joint replacement were assigned to either the ECCP group (n = 9) or the Standard Care Program (SCP) (n = 7). Insurance plans dictated the group to which the patients were assigned. Patients having Medicare Part A as their primary insurance were able to participate in the ECCP. Self-report questionnaires and a satisfaction telephone survey were used to obtain outcome data. There was no significant difference between the two groups on mobility or satisfaction.
  • Perceived educational priorities of rural pregnant adolescents and teen mothers

    Henry, Dawn Ann (The University of Arizona., 2001)
    The purpose of this study was to identify perceived educational priorities of pregnant adolescents and teen mothers in a rural area in Southwest Arizona. The data for this descriptive comparative study was gathered with structured interviews and survey questionnaires. The data were utilized to compare perceived educational priorities of pregnant adolescents and adolescent mothers. A sample of5 pregnant adolescent's (14- 17 years) and 5 adolescent mothers ( 15-17 years) were recruited from a teenage pregnancy and parenting program in a small rural community, at least 10-20 miles from a healthcare facility, with no public transportation availability. The results identified many similarities of perceived educational priorities between rural pregnant adolescents and teen mothers, however there was a significant difference in relation to maternal role function. The pregnant adolescents requested more information on infant care and when to call the baby's doctor than teen mothers. Pregnant adolescents also requested more information or felt it was more important then the teen mothers across all categories except physical changes of the body after birth. Both groups felt self-concept and family support were of highest importance. Participants from a teenage pregnant and parenting program in this study provided educational priorities of a rural area. These results provide a step toward obtaining information that would benefit an educational program for rural teens in the Southwest.
  • The relationship between depression and menopausal phase in working Filipino American midlife women

    Munoz, Maribel Concepcion (The University of Arizona., 2001)
    This was a secondary analysis of data obtained in a descriptive, cross-sectional study of the perimenopausal transition of Filipino American midlife won1en. The purpose of the study was to explore the association between depression and menopause, specifically addressing the research question "What is the relationship between perimenopausal status (premenopausal, perimenopausal, menopausal/postmenopausal) and depression as measured by a score of 2:16 on the Center for Epidemiological Studies Depression Scale (CES-D) in Filipino American midlife women age 35-56 years?". The total sample consisted of 159 self-identified Filipino American women who spoke, read, and understood English. Research data was obtained utilizing the Women's Health Questionnaire (WHQ), for demographic and health history data, and the Center for Epidemiological Studies Depression Scale (CES-D), for depressive symptomology data. Data was then analyzed and categorized by perimenopausal phase [premenopausal (n=80), permenopausal (n=33), and menopausal/postmenopausal (n-46)]. Conclusive results of the secondary analysis indicated that there was no relationship between menopausal phase and depression [X^2(2, n=159)=.35, p=.84] More research and education is required within the science of women's studies.
  • Social support and help-seeking in adolescent pregnancy

    Surakitbanharn, Puongpen (The University of Arizona., 1997)
    This study was a description of pregnant female adolescents' perception of social support and help-seeking during pregnancy, including how social support relates to entry into prenatal care, perceived barriers, and ease of getting help. Secondary data analysis was conducted on data from an original study that used a cross-sectional, descriptive design. Data were collected via a questionnaire, using the Norbeck Social Support Questionnaire (NSSQ), demographic questions, and a help-seeking semi-structured interview. The sample consisted of 31 unmarried pregnant adolescents. Content analysis was used to quantify adolescents' perceptions of barriers and ease of getting help during pregnancy. There was a statistically significant relationship between perceived social support and perceived barriers to getting help, with subjects with high social support perceiving more barriers than the low social support group. There was no relationship between perceived social support and entry into prenatal care and perceived ease of getting help.
  • Spirituality and postpartum adaptation among adult single mothers

    Calderon, Deborah Susan (The University of Arizona., 2000)
    The purpose of this study was to describe the relationship between spirituality and postpartum adaptation among adult mothers who were single at the time of their child's birth. Ten mothers were interviewed for this study. Adaptation was measured using frequencies of nursing diagnoses in the physiological and psychosocial modes. These nursing diagnoses were then correlated to the spirituality scores. The average number of nursing diagnoses was 7.2 for the 10 mothers. The average spirituality score was 45 out of 60.
  • Social function among persons with schizophrenia

    McDonald, Jennifer (The University of Arizona., 2001)
    The purposes of this study were to describe the social function of persons with schizophrenia (PWS) aged 38 to 48 years who are receiving regional mental health services, and to discuss treatment implications based on social function concerns. Social function is defined by an individual's perceptions, motivations, attitudes, and behaviors, and external circumstances such as quality of life (QOL) that may or may not be related to health. A qualitative case study method was used to examine the data. The research questions asked were: 1) what is the social function ofPWS? And 2) what are the implications for treatment based on social function concerns? Four PWS were chosen as illustrative examples for this study. The average age was 43 years, with equal numbers of male (n=2) and female (n=2) subjects. The average patient was white and with about 11 years of education living in shelter plus housing. The primary Axis I diagnosis was schizophrenia. This study found four problem areas of limitation in usual social roles, integration, contacts, and intimacy and sexual function. Additionally, treatment implications for each of these four areas were also found. Study conclusions suggest the critical need for the implementation of treatment interventions to improve the social function of PWS.
  • Caffeine consumption and symptom severity among midlife Filipina Americans

    Zitzmann, Lori Jean (The University of Arizona., 2000)
    Caffeine has diverse effects on human physiology. Certain symptoms associated with caffeine consumption are similar to those reported by some women during midlife. Lifestyle factors such as caffeine consumption must be viewed within the context of culture and ethnicity. The Neuman Systems Model provided the theoretical framework for this secondary data analysis. A descriptive cross-sectional survey design was used to examine questions related to study variables. A cluster of symptoms (fatigue, palpitations, insomnia, GI distress) were described through the lens of both perimenopausal transition and caffeine consumption for a sample of 160 midlife Filipina Americans. No significant relationship was found between specific symptoms and symptom clusters and either caffeine consumption or perimenopausal status. Midlife Filipina Americans consume caffeine in low amounts and report mi nimal to mild symptom severity most often. Knowledge gained from this study may be applied to other groups to maintain congruency with ethnicity of clients.
  • School-age hearing siblings' perceptions of parental competency in deaf-parented families

    Busch, Patrice (The University of Arizona., 1996)
    The purpose of this study was to compare the perceptions of parental competency between interpreting school-age hearing siblings and non-interpreting school-age hearing siblings in Deaf-parented families. This study represents a secondary analysis of data obtained in a study titled "Family Functioning: Deaf Parents with Nondeaf Children" (Jones, 1990). In order to fully understand families in which Deaf parents raise hearing children, multiple perspectives were examined. Chapter I discusses hearing impairment from a Functional/Audiological perspective followed by a discussion of hearing impairment from a Socio-Cultural perspective. This approach corresponds to a recent emphasis on a cultural, rather than a pathological, view of Deafness. In this study, the lowercase "deaf" was used to refer to the audiological condition of hearing impairment, and the uppercase "Deaf" referred to a particular group of deaf people who share a language and a culture. (Padden & Humphries, 1988).
  • Factors affecting perceived social support by adolescents with cancer

    Ely, Teresa (The University of Arizona., 1996)
    The purpose of this descriptive research study was to determine if there were differences in perceived social support based on family and health care resources. Family resources were measured by the parent's educational level, marital status and economic status. Health Care Resources were measured by program frequency, attendance, participation and satisfaction in the adolescent support program and the distance the adolescent lived from the health care facility. The study was a secondary data analysis. The participants were 130 adolescents with a diagnosis of cancer. Significant differences were found in perceived social support based on the mothers' level of education, but not in other family resources or health care resources. Based on the findings, nursing intervention and nursing research should focus on further identification of factors that increase the adolescents perceived social support.
  • Low income African American mothers' perceptions of communication with white, non-hispanic care providers during perinatal care : an ethnographic study

    Carnegie, Susan Rebecca (The University of Arizona., 2000)
    The infant mortality rate in the African American cultural group is higher than that of other cultural groups. One possible cause of higher infant mortality rate could be decreased use of perinatal services. Several researchers have suggested that communication problems between white, non-Hispanic providers and African American mothers could cause decreased use of these services. The purpose of this study was to describe low income African American mothers' perceptions of communication with their white, non-Hispanic care providers during perinatal care. Ethnographic intervews were conducted with four mothers to understand the emic perspective of African American mothers. Eight domains of meaning and one cultural theme emerged from data analysis. Examples of domains included ways of making sure and ways of talking to me. The cultural theme was "watching over me" while they were pregnant. Recommendations for health care providers and future research are discussed.
  • Perceptions of adolescent mothers regarding prevention of unintentional injuries to young children

    Linker, Lynda Anne (The University of Arizona., 2000)
    Within the framework of the Theory of Planned Behavior, this study is a description of adolescent maternal attitudes, subjective norms, and perceived behavioral control regarding the prevention of unintentional injuries to young children. Interview guides, developed by the researcher and evaluated by five content experts for content validity, were used for data collection. Research questions were addressed using content analysis of responses from interviews with 20 adolescent mothers. Six categories that emerged from 1405 thematic units were: Childhood Dangers, Detrimental Outcomes, Safeguarding Children, Significance of Safeguarding, Sources of Information, and Desire for Knowledge. Adolescent mothers were able to identify unintentional injuries that commonly occur in the home to young children, verbalize strategies that assist in injury prevention, and express the importance of home safety. Professionals were identified as a major source of information regarding injury prevention. Limited income and unrealistic perceptions of childhood development were some of the barriers that hindered the provision of home safety. Findings from this study provide an opportunity for nurses to develop injury prevention education and support programs specific to adolescent mothers.
  • Depression, quality of life, and exercise capacity in a cardiac rehabilitation population

    Cassidy, Susan Lynn (The University of Arizona., 2000)
    This study determined the prevalence of depression and observed the effects of depression on exercise adherence, exercise capacity and quality of life (QOL) in a cardiac rehabilitation (CR) population. A descriptive, correlational design was used with a sample size of forty. The Beck Depression Inventory and the Medical Outcomes Study 36-ltem Short-Form Survey was administered and exercise capacity was determined upon entry and 12 weeks after the start of CR. Twenty-three percent of the subjects were depressed initially and 17% were depressed after CR. No significant difference was found between the depressed and nondepressed groups respectively in exercise adherence (83% vs. 81 %), change in exercise capacity (106 vs.109 kcal.) or change in QOL (11.1 vs. 16.5). Quality of life was significantly negatively correlated with depressive symptoms (r = -0.5). Screening for depression is recommended before and after CR.
  • Perspectives of shelter workers on their role in assisting homeless persons with latent tuberculosis

    Blackwell, Lizbeth Sue (The University of Arizona., 2000)
    The purpose of this study was to describe the perceptions of shelter workers involved in a treatment program for homeless persons with latent tuberculosis. The conceptual orientation for this study consisted of components of the Health Belief Model. This descriptive study was a secondary data analysis of interviews from homeless shelter workers (N = 14). Analysis of data for five research questions addressing various dimensions of the role of shelter workers helping homeless persons maintain preventive therapy for latent tuberculosis resulted in 484 thematic units. Content analysis was used to group the thematic units in 22 researcher derived subcategories. Major benefits to maintenance of preventive therapy included health care, liaison, education, and outreach. Barriers to therapy maintenance included transience, lack of transportation, lack of education, and non-adherence. Cues to action included eligibility and incentive. Results have the potential to guide nurses' interventions related to shelter workers working with homeless populations.
  • A comparison of Hispanic and Anglo female caregivers mid-life health behaviors

    Bushfield-Kahan, Marcee Boyce (The University of Arizona., 1996)
    The purpose of this research was to compare and contrast the health promotion behaviors that 35- to 64-year-old Anglo-American and Mexican-American female caregivers utilize to maintain their wellness. A comparative descriptive design was used for a secondary analysis of data obtained from a larger study of caregiver-elder relationships (N = 249) (Phillips, Torres De Ardon, Komnenich, Killeen, & Rusinak, 1996). This secondary study used content analysis to sort and examine responses of female caregivers to an open-ended question about their health promotion behaviors. The subjects for this secondary analysis (n = 60) were selected utilizing a table of random numbers. All the subjects were female caregivers between the ages of 35 and 64. Thirty Mexican-Americans and 30 Anglo-Americans residing in Arizona were included in the research sample. This research has practice implications for nurses supporting and educating caregivers.
  • Self-efficacy and physical activity behavior in African Americans with hypertension

    Adams, Marion Meta (The University of Arizona., 2000)
    The high incidence of hypertension among African Americans is multifactorial and includes genetic predisposition, intake of micronutrients, social and psychological variables, obesity, and physical activity patterns all playing a role (Dressler, 1996). The factor most contributory to hypertension is sedentary lifestyle. African Americans have low rates of exercise participation. An individual must feel that incorporating and maintaining physical activity into one's lifestyle must be a worthwhile task and requires both the desire and the belief in the ability to change; self-efficacy. The purpose of this study was to explore the relationship between self-reported physical activity self-efficacy and self-reported physical activity among African Americans with hypertension. There was a statistically significant relationship between self-reported physical activity self-efficacy and self-reported physical activity among African Americans with hypertension. Limitations of the study, implications for nursing, and recommendations for future research are discussed.
  • Perinatal outcomes for women diagnosed with gestational diabetes mellitus who participated in an interdisciplinary gestational diabetes program

    Sears, Kathy Elaine (The University of Arizona., 1997)
    The purpose of this descriptive study was to describe the case management process and report the perinatal outcomes of women in an interdisciplinary gestational diabetes mellitus (GDM) program. This study examined the structure of the team which implemented the program, related the process employed by team members to achieve euglycemia, and analyzed the perinatal outcomes of the participants. This study found there was insufficient documentation of interactions between study participants and team members. This lack of documentation hindered a clear description of the case management process. Outcomes were similar to outcomes reported by other GDM perinatal programs. Important observations included reduction in frequency of blood glucose evaluations by women the week prior to delivery and limited evaluation of blood glucoses during the intrapartum period. To determine the quality and effectiveness of perinatal case management programs further examination of the structure, process, and outcomes of case management must be conducted.
  • Use of preventive health care services by rural young Hispanic women

    Verbridge, Jill Rose (The University of Arizona., 1997)
    This study was a description of the relationship between rural young Hispanic women's use of preventive health care services and their family structure and financial situation. The study also compared use of these services by rural young Hispanic women and rural young Anglo women. The relationship between use of preventive health care services by rural young women and age was also examined. Secondary data analysis was conducted on data collected during the initial survey from the original study, the Comprehensive Multilevel Level Nursing Practice for Rural Hispanics (F erketich, Phillips, & Verran, 1990). There was a statistically significant relationship between use of preventive health care services and age, with fewer blood pressure checks by women 18-29 years of age, than by women 30-40 years of age. However there was not a statistically significant relationship between use of preventive health services and family structure or financial status. Nor was there a statistically significant difference between Anglo and Hispanic young women in this study.
  • Evaluation of a community-based intervention using community health advisors by Hispanic and Anglo participants

    Fraher, Louise (The University of Arizona., 1998)
    The purpose of this study was to determine to what extent the interventions delivered by community health advisors in a specific rural health promotion program met the needs and expectations of the population they served. The theoretical framework used was Kleinman's Explanatory Model of Illness modified for a health promotion focus. Quantitative and qualitative methods were used. Quantitative findings suggested that Health Peers were culturally competent and educational and psychosocial interventions were satisfactorily delivered. Psychosocial interventions, however, were perceived as delivered significantly better than educational interventions. Content analysis of participant responses suggested psychosocial interventions were perceived as more relevant than educational interventions. Additional data from content analysis identified perceived gaps in interventions and positive and negative aspects of the Health Peers and the program in general. These findings are relevant as the more the intervention can coincide with the person's explanatory model, the more likely it is to be successful.

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