ABSTRACT
The primary purpose of this secondary data analysis was to evaluate the efficacy and suitability of the Memorial Symptom Assessment Scale (MSAS) for use with patients with severe chronic obstructive pulmonary disease (COPD). Symptoms experienced by patients with severe COPD were assessed in the original investigation using the 32-item MSAS. The sample consisted of 72 individuals with COPD ranging in age from 36 to 79 years. To increase its efficiency for use with severely ill COPD patients, the original MSAS was shortened to include the 19 most frequently reported symptoms. Reliability of the revised tool remained high (Cronbach's alpha = .86). Content and convergent validity of the revised tool were also established. The revised MSAS appears to be an appropriate measure of the multidimensional, multisymptom experience of patients with severe COPD.
Subject(s)
Attitude to Health , Nursing Assessment/methods , Pulmonary Disease, Chronic Obstructive/psychology , Surveys and Questionnaires/standards , Activities of Daily Living/psychology , Adult , Aged , Anxiety/etiology , Discriminant Analysis , Dyspnea/etiology , Fatigue/etiology , Female , Forced Expiratory Volume , Health Status , Humans , Male , Middle Aged , New England , Nursing Assessment/standards , Nursing Evaluation Research , Nursing Methodology Research , Psychometrics , Pulmonary Disease, Chronic Obstructive/complications , Pulmonary Disease, Chronic Obstructive/diagnosis , Quality of Life/psychology , Severity of Illness IndexABSTRACT
Torsion of the uterus is a rare obstetric complication. This report describes a 270-degree uterine torsion associated with placental abruption, maternal shock, and fetal demise. At laparotomy, the uterus and ovaries were necrotic. This patient presented in a manner typically managed by labor induction, thus delaying her diagnosis of uterine torsion.
Subject(s)
Pregnancy Complications/diagnosis , Uterine Diseases/diagnosis , Adult , Diagnosis, Differential , Female , Fetal Death/etiology , Gravidity , Humans , Pregnancy , Pregnancy Complications/pathology , Pregnancy Trimester, Third , Shock/etiology , Torsion Abnormality/complications , Torsion Abnormality/diagnosis , Torsion Abnormality/pathology , Uterine Diseases/complications , Uterine Diseases/pathologyABSTRACT
People who verify a negative self-view expose themselves to criticism and rejection. Because people with low global self-esteem are hurt more by negative feedback than are people with high global self-esteem, the authors predicted that they would be less apt to verify a negative self-view in a more specific domain. Three investigations found support for this hypothesis. In all 3 investigations, high self-esteem participants sought (or tended to seek) self-verifying feedback, even if it was negative, but low self-esteem participants sought (or tended to seek) positive feedback, even if it was nonself-verifying. These findings show that low self-esteem people are especially concerned with self-protection and that global self-esteem and specific self-views interact to guide people's responses to self-evaluative feedback.
Subject(s)
Feedback , Self Concept , Female , Humans , Surveys and QuestionnairesABSTRACT
Two experiments investigated how self-esteem guides people's emotional responses to changing evaluative feedback. In both experiments, participants received an initial evaluation (either positive or negative) followed by a second evaluation (either positive or negative). Emotional reactions to the second evaluation were then assessed. High self-esteem participants found feedback that was consistently negative to be most distressing, whereas low self-esteem participants were most disturbed by feedback that changed from positive to negative. The theoretical and practical implications of the findings are discussed.
