Theses and Dissertations at Montana State University (MSU)
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Item Ostomy adjustment in the first year following surgery(Montana State University - Bozeman, College of Nursing, 1996) Graves, Kelle MariaItem Identification of the physical and psychosocial needs of head-injured individuals residing in rural Montana(Montana State University - Bozeman, College of Nursing, 1985) Hill, MichelleItem Sexual rehabilitative needs of postmyocardial infarction patients(Montana State University - Bozeman, College of Nursing, 1982) Schultz, Connie MargaretItem A description of sleep patterns and sleep hygiene practices for adults in cardiac rehabilitation programs in Southern Montana(Montana State University - Bozeman, College of Nursing, 2009) Barker, Tina Marie; Chairperson, Graduate Committee: Rita E. CheekDespite the importance of coronary heart disease (CHD) as a major health problem and cardiac rehabilitation as a means of secondary prevention, no previous studies have been found which describe sleep patterns and sleep hygiene practices in this population. Sleep is essential for mental and physical well being and good sleep hygiene practices promote high quality sleep. Poor sleep quality can increase the risk of a myocardial infarction in persons with CHD. The purpose of this descriptive study was to describe sleep patterns and practices of adults diagnosed with CHD and participating in a cardiac rehabilitation program. Two survey tools, the Pittsburgh Sleep Quality Index and the Sleep Hygiene Index, were used to collect data on a convenience sample of 31 adults participating in cardiac rehabilitation programs located in southern Montana. The questionnaires were returned with a response rate of 69.3%. Study results indicate poor sleep quality in this sample population which was primarily due to poor sleep efficiency and sleep disturbance. Sleep hygiene practices of this sample were relatively good, with only a few areas of deficiencies observed. The findings from this study provide a basis for future research. Future research needs to approach the cardiac rehabilitation population on a larger scale and determine if specific sleep hygiene practices correlate with poor sleep quality. Nurse practitioners and other providers can incorporate this knowledge into interventions to promote sleep and sleep hygiene practices.Item Barriers to participation in cardiac rehabilitation : a rural perspective(Montana State University - Bozeman, College of Nursing, 2007) Echeverri, Rebecca Chloe; Chairperson, Graduate Committee: Charlene WintersCardiovascular disease is a significant health problem in rural states and complicated by the lack of access to specialized health care services such as cardiac rehabilitation programs. Researchers have documented that education, counseling, and behavioral interventions are important elements of cardiac rehabilitation (CR) that lead to decreased mortality and increased quality of life. Despite the known benefits of participation, only 10-20% of eligible persons in the United States participate in CR. While evidence exists to partially explain participation in cardiac rehabilitation programs, a major limitation of most studies reported in the literature is that they were conducted primarily in large urban areas. As a result, findings from these studies cannot be generalized to rural dwellers resulting in limited research examining participation in cardiac rehabilitation amongst rural persons.Item Delivery methods for cardiac rehabilitation : an integrative review(Montana State University - Bozeman, College of Nursing, 2011) Luft, April Lee; Chairperson, Graduate Committee: Susan LuparellCardiovascular disease is a major cause of death in the United States. It is estimated that over 800,000 deaths were caused by cardiovascular disease in 2006. Mortality rates have decreased since 2000, but hospital discharges associated with a cardiovascular diagnosis remained relatively constant over that same time frame. Upon discharge cardiac rehabilitation is available for individuals with cardiovascular disease. Cardiac rehabilitation is a medically prescribed program designed to aid in recovery, improve a cardiac patients' function both physically and psychologically, and prevent further cardiac complication and progression of atherosclerotic processes. However, geographic distribution of cardiac rehabilitation programs can be a barrier for program attendance. In rural areas like Montana, there could be many miles between a patient's home and a cardiac rehabilitation program. The mean geographic density for cardiac rehabilitation programs in the United States is 1 program per 1282 square miles of land area. These statistics indicate the serious potential of poor access for patients recovering from cardiac interventions in various parts of the United States. Alternative delivery methods for cardiac rehabilitation may be a solution for overcoming the geographic distribution barrier. The purpose of this integrative review was to evaluate the effectiveness of various delivery methods for cardiac rehabilitation programs on thirteen specific variables of interest related to patient outcomes. Databases were searched for empirical literature from January 2000 to August 2011, and all study design types were included in the search for literature. One reviewer selected the 49 studies used in the review, and extracted data using a standardized form. Exercise capacity and quality of life were two variables of interest found to be improved by every delivery method. A variety of delivery methods for cardiac rehabilitation were found to be as effective as center- based cardiac rehabilitation, and in most studies were significantly more effective than usual care or a control group.