The relationship of work, self-care, and quality of life in a sample of older working adults with cardiovascular disease

Details

• Personal Author:
  Deal J ; Dickson VV ; Howe A ; McCarthy MM
• Description:
  OBJECTIVE: The study objective was to describe the self-care behaviors of adherence to medication, diet, exercise, and symptom monitoring of older workers with cardiovascular disease (CVD) and explore the relationship among job characteristics (job demands, job control, and workplace support), self-care, and quality of life. More than 3.5 million workers have CVD with significant work limitations and increased disability. Workers must meet the challenges of today's work processes that include increased stress and intense production demands while managing the complexities of their CVD. METHODS: A total of 129 workers (aged = 45 years) with CVD completed standardized instruments about self-care (Specific Adherence Scale a = .74), job characteristics (Job Content Questionnaire a = .71), and quality of life (MacNew health-related quality of life a = .84). Regression analyses were used to examine relationships between variables. RESULTS: The sample had a mean age of 59.16 +/- 8.83 years, 56.3% were female, and 36.5% were African-American. Self-care behaviors varied. Most workers (71.4%) reported medication adherence, and few adhered to diet (27%), exercise (18%), or symptom monitoring (31.3%). Psychologic job demands were negatively correlated to self-care (r = -.217, P = .02). Better adherence was reported by those with workplace support (r = .313, P = .001). Job characteristics explained 22% of variance in self-care adherence behaviors. Adherence was a significant determinant of general quality of life. CONCLUSION: Because job characteristics may interfere with self-care, clinicians should assess job demands and discuss stress management with employed patients. Interventions that foster worksite programs and facilitate self-care among workers with CVD are needed. [Description provided by NIOSH]
• Subjects:
  Age Factors Aging Behavior Biopharmaceutics Cardiovascular Diseases Cardiovascular System Decision Making Diet Health Care Facilities Workforce And Services Men Mental Health Occupational Health Quality Control Safety Stress, Psychological Surveys And Questionnaires Women Workload

  More +
• Keywords:
  Adaptation Age-factors Aging Workforce Author Keywords: Adherence Behavior-patterns Cardiovascular-system-disorders Cardiovascular Disease Decision-making Disabled-workers Health-care Health-surveys Heart Humans Job-analysis Job-stress Job Characteristics Mathematical-models Medical-monitoring Pharmaceuticals Physical-exercise Psychological-adaptation Quality-standards Quality Of Life Questionnaires Self-care Statistical-analysis Stress Work-capability Work-capacity Worker-health

  More +
• ISSN:
  0147-9563
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  5-14
• Volume:
  41
• Issue:
  1
• NIOSHTIC Number:
  nn:20040765
• Citation:
  Heart Lung 2012 Jan-Feb; 41(1):5-14
• Contact Point Address:
  Victoria Vaughan Dickson, PhD, CRNP, New York University College of Nursing, 726 Broadway, 10th Floor, New York, NY 10003
• Email:
  vdickson@nyu.edu
• Federal Fiscal Year:
  2012
• Performing Organization:
  Mount Sinai School of Medicine
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Heart & Lung: The Journal of Acute and Critical Care
• End Date:
  20270630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:bb79dc27853299cd3f261be3a0c27b6eae10507b8757b9fb3c1d2519dba5b691be31ee3701d0d6a86d729c3d93674578d9300d031e7da1f34bc6c4f8dfcafd43
• Download URL:
  https://stacks.cdc.gov/view/cdc/193517/cdc_193517_DS1.pdf
• File Type:
  [PDF - 532.90 KB ]