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Biomedical subjects

V H Kemp

Publications and source records attributed to V H Kemp.

15 recordsLinked to original sources
PubMed1998

Perception of threat and subjective well-being in low-risk and high-risk pregnant women.

The article reports a study examining the relationship between perceived threat and subjective well-being (positive and negative affect) in pregnant women. Subjects were multiparas classified as having low-risk or high-risk pregnancies and receiving prenatal care from private obstetricians. High-risk women were using home uterine activity monitoring and receiving nursing contact by telephone and home visit. By means of repeated measure analysis of variance, significant risk group differences were found in negative affect and degree of perceived threat. The event of the high-risk pregnancy appeared to be stressful to the high-risk group, with high-risk pregnant women indicating more negative emotions. Based on the findings of this study, interventions to assist women in managing stress should be focused on the second trimester. A balance between personal support and technologic intervention is necessary.

Adult↗
PubMed1998

Intervening with prenatal crack cocaine users.

Nurses in primary care, maternal child health, and community health practice settings are in a unique position to intervene with clients who are prenatal crack cocaine users. Clinical assessment is considered in both the context of the pregnancy and the crack cocaine use. A synthesis model of intervention related to both the pregnancy and the drug use are outlined to support a healthy baby and a healthy recovery.

Crack Cocaine↗
PubMed1992

A comparison between adolescent and adult women on prenatal anxiety and self-confidence.

The purpose of this study was to investigate anxiety and self-confidence in adolescent and adult pregnant women. Thirty-five adolescents, ages 13 to 16, and 58 adult women, ages 21 to 33, participated in this study. The majority of the sample was black and unmarried, and all attended a low-risk prenatal clinic for a first pregnancy. Spielberger's State-Trait Anxiety Inventory (STAI) and Pharis' Self-Confidence Scale were administered during the women's second trimester of pregnancy. Results indicated significant negative correlations for both state and trait anxiety during pregnancy and self-confidence for all women, but no significant differences in anxiety and self-confidence between the two groups. Results indicate the need for nurses to develop and implement plans for decreasing anxiety and enhancing self-confidence of all pregnant women.

Adolescent↗
PubMed1990

A comparison of adolescent and adult mothers on factors affecting maternal role attainment.

The purpose of the study was to investigate relationships among maternal age, maternal prenatal attachment, perception of birth experience, and maternal role attainment. The sample consisted of Black and Caucasian low-income women. Twenty adolescents, 16 years and younger, and 32 adult pregnant women, 21 years and older, completed Cranley's (1981) Prenatal Attachment Tool in their second or third trimester of pregnancy. In the postpartum period while the mothers and infants were hospitalized, they were videotaped and the Maternal-Infant Adaptation Scale (MIAS) (Price, 1983) was used to evaluate maternal role attainment. The mothers also completed a questionnaire describing their experiences with pregnancy, labor and delivery, and their preparation for motherhood. Using t-tests, there were no significant differences in the means of the two groups on the prenatal attachment tool or the MIAS.

Adolescent↗
PubMed1989

Stress and social support in high-risk pregnancy.

Relationships of stress, social support, and risk in pregnancy were tested in low-income women receiving outpatient antepartal care. Nineteen high-risk and 20 low-risk women completed the State Anxiety Inventory and Brown's Support Behavior Inventory. Urinary catecholamine levels from a single morning urine sample, determined using High Performance Liquid Chromatography, were used as the indicator of physiological stress. There was a significant difference between the groups in epinephrine level, but not in norepinephrine level, anxiety, or social support scores. In the high-risk group, norepinephrine level and partner support were negatively correlated; there were no other significant correlations. In the low-risk group, epinephrine level was positively correlated with norepinephrine level and age; anxiety was negatively correlated with partner support and age.

Catecholamines↗
PubMed1987

Maternal self-esteem and prenatal attachment in high-risk pregnancy.

Results of a study concerned with maternal self-esteem and prenatal attachment in women experiencing a high-risk pregnancy and women experiencing a normal pregnancy are presented. A statistically significant difference between the two groups was found in self-esteem as measured by scores on the Rosenberg Self-Esteem Scale. No significant differences were found on prenatal attachment as measured by a subscale of the Prenatal Tool developed by Rees.

Adolescent↗
PubMedDate not supplied

The psychosocial impact of a high-risk pregnancy on the family.

A conceptual model for guiding the nurse in assessing the psychosocial impact of a high-risk pregnancy on and planning care for the family is described. The model depicts four major concepts that the nurse must consider in determining how the family is integrating, interpreting, and adapting to the high-risk pregnancy: health status of the pregnancy, the family's perception of the high-risk pregnancy, support available to the family, and the family's adaptation to a high-risk pregnancy are discussed.

Adaptation, Psychological↗
PubMedDate not supplied

Maternal prenatal attachment in normal and high-risk pregnancies.

The purposes of this study were to compare maternal-fetal attachment in normal and high-risk pregnancies and to identify variables affecting the maternal attachment process during pregnancy. Fifty-three women experiencing normal pregnancies and thirty-two women with high-risk pregnancies completed Cranley's prenatal attachment tool and a questionnaire providing data specific to the current pregnancy during the third trimester. The results of a two-tailed, pooled t-test indicated no significant differences (at p less than or equal to .05) in the scores of the normal and high-risk groups on prenatal attachment. No significant correlations (at p less than or equal to .05) were found between the attachment scores and educational level, age, race, whether the pregnancy was planned, whether the women had a sonogram, or the ordinal position of the infant.

Adolescent↗
PubMedDate not supplied

Health practices and anxiety in low-income, high and low-risk pregnant women.

OBJECTIVE: To evaluate anxiety and health-protective and health-promoting behaviors in low- and high-risk, low-income pregnant women. DESIGN: Nonrandomized descriptive study. SETTING: Low- and high-risk prenatal clinics at a tertiary-care center. PARTICIPANTS: Sixty-five black and white low-income women between 20 and 41 weeks of pregnancy. MAIN OUTCOME MEASURES: Anxiety and health-promoting behavior. RESULTS: No significant differences were found in anxiety levels. A significant difference was found between the two groups in overall Health-Promoting Lifestyle Profile (HPLP) scores. Women in the low-risk group scored higher on all HPLP subscales, with significant differences on self-actualization and health responsibility. CONCLUSION: Findings support the need for nurses to assess high-risk pregnant women for their health practices during pregnancy. Although a major focus on nursing care during pregnancy is teaching the promotion of health, only limited research exists on the effectiveness of such interventions.

Adult↗
PubMedDate not supplied

Role play. Providing care to children and their families in the emergency center.

The collaborative model has many benefits for children and families, physicians, nurses, staff, and NPs. The model of care can be structured to charge lower fees for nonacute problems, thereby saving money. Various studies have reported savings of 20% to 38% in the cost of visits when patients were seen by NPs instead of physicians (Salkever, Skinner, Steinwach, & Katz, 1982). With appropriate triaging, waiting time may be reduced for children and families with nonacute problems. Perhaps the most important benefit is the teaching that the NP is able to provide for families in terms of managing particular health problems, safety needs, and preventive interventions and maintenance of wellness for children.

Child↗