Abstract

Having lost control of heart rate and rhythm, pacemaker recipients depend on battery-driven mechanical devices for life support. They rely on health professionals for complex care. This loss of control and dependence may influence control beliefs. The relationships among, and the individual effects of health locus of control (HLC), age, and length of time paced on learned helplessness (LH) in cardiac pacemaker recipients were investigated. HLC refers to beliefs about origins of health control, including (a) internal control by personal causation (IHLC), (b) external control by chance (CHLC), and (c) external control by powerful others (PHLC). The Multidimensional Health Locus of Control Scale-Form A (MHLCS-Form A) was used to assess HLC. Learned helplessness (LH) results when previous experience with uncontrollability leads to beliefs that future efforts at control will also prove fruitless. Consequences can include impaired cognition, reduced motivation, depressed affect, and lowered self-esteem. LH was measured using the Learned Helplessness Scale (LHS).

Description

This dissertation has also been disseminated through the ProQuest Dissertations and Theses database. Dissertation/thesis number: 9917158; ProQuest document ID: 304514669. The author still retains copyright.

Author Details

Janice V. Chandler, PhD, RN, APRN-BC

Sigma Membership

Alpha Tau

Type

Dissertation

Format Type

Text-based Document

Study Design/Type

Cross-Sectional

Research Approach

Quantitative Research

Keywords:

Pacemakers, Pacemaker Patients' Feelings, Dependency on Pacemakers

Advisor

Carol N. Hoskins

Degree

PhD

Degree Grantor

New York University

Degree Year

1999

Rights Holder

All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record.

All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

None: Degree-based Submission

Acquisition

Proxy-submission

Date of Issue

2019-05-06

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