Winters C A
Montana State University-Bozeman, College of Nursing, Missoula 59812, USA.
Prog Cardiovasc Nurs. 1999 Summer;14(3):85-91.
Uncertainty has been identified as a significant part of the experience of heart disease and yet no studies have fully explored the experience of uncertainty in persons living with chronic heart failure. The purpose of this study was to describe the uncertainty experienced by men and women with heart failure and to extend the theoretical understanding of uncertainty in chronic illness. Qualitative inquiry was the interpretive approach guiding this study. Data were collected from 22 adults living in urban and rural areas of a rural western state and included audio taped interviews, clinical and demographic information, and scores from the community form of the Mishel Uncertainty in illness Scale (MUIS-C). Three major themes of uncertainty were identified related to symptoms and treatment, attempts to stay well, and quality of life and death. Unique contributions to the uncertainty in illness theory provided by this study include the influence of age related changes on the ability to recognize and respond to symptoms and the presence of cautious trust of health care providers. Nursing implications and recommendations for further study are discussed.
不确定性已被确认为心脏病体验的一个重要部分，但尚无研究充分探讨慢性心力衰竭患者的不确定性体验。本研究的目的是描述心力衰竭患者所经历的不确定性，并扩展对慢性病不确定性的理论理解。定性探究是指导本研究的解释性方法。数据收集自美国西部一个农村州城乡地区的22名成年人，包括录音访谈、临床和人口统计学信息，以及疾病不确定感量表社区版（MUIS-C）的得分。确定了与症状和治疗、保持健康的努力以及生活质量和死亡相关的三个主要不确定性主题。本研究对疾病不确定性理论的独特贡献包括年龄相关变化对识别和应对症状能力的影响，以及对医疗服务提供者的谨慎信任。讨论了护理意义和进一步研究的建议。
