Browsing Masters Dissertations by Subjects
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An exploration of psychosocial adjustment to cardiopulmonary transplantationThe aims of this assessment of needs research were: to explore psychosocial adjustment to cardiopulmonary transplantation among a sample of recipients; to gain an insight into the importance of psychosocial support for recipients; and to reveal any differences within demographic data, with regards to psychosocial adjustment. The research strategy employed was quantitative, and a cross-sectional study was undertaken, using the Psychosocial Adjustment to Illness Scale (Derogatis, 1983). A purposeful sample of 69 recipients were invited to participate in the research, and data was analysed using a variety of statistical tests within the Statistical Package for the Social Sciences (SPSS) Version 12. A total response rate of 47.8% (n=33) was achieved, with results indicating that 69.7% of recipients who participated in this research reflected 'maladjustment' or 'maladjustment within the clinical range' to cardiopulmonary transplantation. The clinical and statistical significance of results identified groups of patients at higher risk for maladjustment to cardiopulmonary transplantation, namely, those who were unemployed, those who lived further away from the transplant unit, and those who were between one and three years post-transplant. These findings may be useful to the cardiopulmonary transplant unit where the research took place, and to other units and health care institutions throughout the United Kingdom. The results have the potential to influence policy decisions regarding health promotion interventions which may reduce the risk of maladjustment to cardiopulmonary transplantation. Furthermore, expansion of multi-disciplinary team services offered to cardiopulmonary transplant recipients may be considered. The findings may also have resonance with other chronic conditions with regards to the psychosocial support and intervention necessary to facilitate appropriate adjustment to illness and optimum patient recovery.
An exploration of women’s experiences of emotional ambivalence during their first trimester of pregnancy and their perceptions of psychosocial support during that timeThe first trimester is a vital stage of pregnancy. Many important developmental changes take place for both mother and baby during this time. These changes are vast and fast paced and encompass changes to a woman’s body, their emotional and also their social wellbeing. This qualitative study aimed to gain insight into women’s experiences of emotional ambivalence and their perception of psychosocial support during the stage of the first trimester of pregnancy. Through Interpretative Phenomenological Analysis (IPA), super-ordinate themes and sub-ordinate themes were identified. Hearing first-hand accounts of four women’s lived experiences highlighted the prevalence of emotional ambivalence during the first trimester. It also exposed the reality and impact of perceived support that was deemed beneficial including support from significant relationships and support that was considered lacking including emotional holding and individually-led support. This study has added to the conversation that there is scope for further research with the view to addressing women’s mental and emotional wellbeing and the standard of perceived support they receive during the first trimester of pregnancy.