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The Relationship Among Spirituality, Self-efficacy, And Quality Of Life In Adults With Sickle Cell Disease

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The Relationship Among Spirituality, Self-efficacy, And Quality Of Life In Adults With Sickle Cell Disease

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Title: The Relationship Among Spirituality, Self-efficacy, And Quality Of Life In Adults With Sickle Cell Disease
Author: Adegbola, Maxine Andrea
Abstract: For the individual with sickle cell disease (SCD), the lifespan is increasing but adults report decreased quality of life (QOL), low self-efficacy, and ineffective coping skills. The care of adult patients with SCD requires a complex multidisciplinary team approach with focus not only on physiological, psychological, and social needs, but also on spiritual needs. Quality of life, spirituality, and self-efficacy have been sparsely and separately studied in individuals with SCD. These three constructs have never been combined in one study in the adult SCD population. Objective: The purpose of this study was to explore and describe the relationships among spirituality, self-efficacy, and QOL in adults with SCD. The specific aims were to: 1) describe the relationships among spirituality, self-efficacy, and QOL in adults with SCD, and 2) explore variation in these relationships based on selected demographic characteristics. Methods: This study used a descriptive correlational design. Prospective participants, 18 years and older, with SCD who receive services from Sickle Cell Disease Associations were invited to participate in the study through a mail out and electronic survey. The instruments that were used include the Functional Assessment of Cancer Therapy-General (FACT-G) to measure QOL, the Functional Assessment of Chronic Illness Therapy-Spirituality (FACIT-Sp) to measure spirituality, and the Sickle Cell Self-efficacy Scale (SCSES) to measure self-efficacy. Results: Individuals who reported high levels of spirituality and self-efficacy reported high levels of QOL. Reports of self-efficacy and spirituality predict QOL among adults with SCD. Spirituality and self-efficacy accounted for more than fifty percent, a significant amount of QOL variability. Spirituality accounted for 6.6%, and self-efficacy accounted for 34.6% of total variance in QOL. The ANOVA indicated no significant interaction between selected demographic variables and the study variables. There was strong correlation between spirituality, self-efficacy, and QOL, with correlation coefficients of .63 to .68. Implications: This study provides information about the role that spirituality, self-efficacy, and QOL play in the lives of adults with SCD, and gives direction for developing holistic interventions with the inclusion of spirituality.
URI: http://hdl.handle.net/10106/755
Date: 2008-04-22
External Link: https://www.uta.edu/ra/real/editprofile.php?onlyview=1&pid=1421

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