Key result
Post-MI patients favor problem-oriented over affective coping behaviors regardless of locus of control.
Why the study?
The relationship between beliefs about locus of control and the types of coping strategies used after the onset of an acute MI required examination.
Does locus of control (internal vs. external) influence the types of coping strategies (problem-oriented vs. affective-oriented) used in patients following an acute myocardial infarction?
Cross-Sectional (n=58)
Does locus of control (internal vs. external) influence the types of coping strategies (problem-oriented vs. affective-oriented) used in patients following an acute myocardial infarction?
Answers are grounded in this paper and cite their sources.
Patients hospitalized for an acute myocardial infarction predominantly utilize problem-oriented coping strategies regardless of their health locus of control, which can help guide individualized nursing care and patient education.
Fifty-eight clients admitted to two critical and intermediate units with the diagnosis of myocardial infarction (MI) completed a Heart Disease Locus of Control (LOC) Scale and the Jalowiec Coping Scale. A descriptive correlational design was used to examine the relationship between persons' beliefs about control and the types of coping strategies used after the onset of an acute MI. It was hypothesized that clients with an internal LOC would use problem-oriented more extensively than affective-oriented coping behaviors and that clients with an external LOC would use affective-oriented more extensively than problem-oriented coping behaviors. Imogene King's conceptual framework for nursing provided the theoretical framework for this study.; It was found that persons, regardless of LOC, in the event of an acute MI, reported more extensive use of problem-oriented coping behaviors. The knowledge that MI clients reported a high usage of problem-oriented behaviors to cope with the event is of value to the nurse in planning and implementing individualized nursing care and teaching with MI patients.
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Kathryn Niemeyer (1990) conducted a cross-sectional in Acute myocardial infarction (MI) (n=58). Internal locus of control vs. External locus of control was evaluated on Types of coping strategies (problem-oriented vs. affective-oriented coping behaviors) measured by the Jalowiec Coping Scale. In 58 acute MI patients, both internal and external locus of control groups reported more extensive use of problem-oriented than affective-oriented coping behaviors.
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