Kang Younhee, Daly Barbara J, Kim Jeong-Sun
College of Nursing Science, Ewha Womans University, Seoul, Korea.
West J Nurs Res. 2004 Nov;26(7):770-83. doi: 10.1177/0193945904265815.
The aim of this descriptive, correlational, and cross-sectional survey was to explore uncertainty in patients with atrial fibrillation and to examine the relationships between uncertainty and its antecedents, including education, social support, and perceived seriousness of illness in patients newly diagnosed with atrial fibrillation. The theoretical framework of the study was Mishel's middle-range nursing theory of uncertainty in illness. A convenience sample of 81 participants recruited from two academic medical centers over 10 months was interviewed. Uncertainty was moderately high in patients with atrial fibrillation compared to other clinical populations. Among antecedents of uncertainty, higher education was significantly associated with less uncertainty (beta = -.21 to -.25). Except for tangible support, persons with greater social supports perceived less uncertainty (beta= -.25 to -.27), and individuals with greater perceived seriousness of illness reported greater uncertainty (beta= .30 to .33).
这项描述性、相关性和横断面调查的目的是探讨心房颤动患者的不确定性,并研究不确定性与其前因之间的关系,这些前因包括教育程度、社会支持以及新诊断为心房颤动患者对疾病严重性的认知。该研究的理论框架是米舍尔的疾病不确定性中层护理理论。在10个月的时间里,从两个学术医疗中心招募了81名参与者作为便利样本进行访谈。与其他临床人群相比,心房颤动患者的不确定性处于中等偏高水平。在不确定性的前因中,高等教育与较低的不确定性显著相关(β = -0.21至-0.25)。除了实际支持外,社会支持较多的人感受到的不确定性较低(β = -0.25至-0.27),而认为疾病严重性较高的个体报告的不确定性较大(β = 0.30至0.33)。