Functional Mastery in Patients With Inflammatory Bowel Disease
1Ambulatory Care, Outpatient, Austin, Texas.
Background:
Inflammatory bowel disease (IBD) is an incurable autoimmune disease causing overwhelming physical distress and psychological adaptation.
Purpose:
To explore the associations between foundational influences and personal characteristics predictors to the achievement of mastery of health in patients with IBD.
Theory:
Orem's Theory of Self-Care, Resnick's Theory of Self-Efficacy, and Pearlin and Schooler's study of the structure of coping guided this study. The conceptual framework used was the Functional Mastery of Health Ownership (FMHO) model.
Methods:
A predictive correlational study design using self-administered questionnaires was used. A convenience sample of 151 adults with a diagnosis of IBD for at least 1 year was recruited from the patient population of a gastroenterology medical practice.
Results:
Data were analyzed using multiple regression with standard entry factor loading. Portions of the model were found to be significant and account for 44% of the variance (p < .001; R2 = .44, Adjusted R2 = .41). Significant relationships were found among mastery and IBD self-efficacy, perception of mastery, and current health status. Females had higher mastery scores than males.
Significance:
These findings support the use of a modified FMHO model to predict needs that enable individualized stewardship of health for patients with IBD.
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