Duke University School of Nursing, Durham, North Carolina.
Res Nurs Health. 2010 Oct;33(5):465-73. doi: 10.1002/nur.20397.
We identified trajectories of illness uncertainty in chronic hepatitis C patients and examined their association with fatigue levels during 12 months of disease monitoring without treatment (watchful waiting). Sixty-two men and 63 women completed uncertainty and fatigue measures. Groups were formed by uncertainty scores (high, medium, and low) at baseline. Baseline fatigue levels were higher in the high uncertainty group than in the medium and low groups. Over time, uncertainty levels did not change. Fatigue levels in the low uncertainty group remained constant, increased in the medium, and decreased in the high groups. Findings suggest that uncertainty and fatigue do not remit spontaneously. Being aware of this may help nurses identify those patients needing support for these two concerns.
我们在慢性丙型肝炎患者中确定了疾病不确定性轨迹，并在不进行治疗（观察等待）的情况下监测疾病 12 个月期间，研究了它们与疲劳水平的关联。62 名男性和 63 名女性完成了不确定性和疲劳测量。根据基线时的不确定性评分（高、中、低）分组。基线疲劳水平在高不确定性组高于中、低不确定性组。随着时间的推移，不确定性水平没有变化。低不确定性组的疲劳水平保持不变，中不确定性组增加，高不确定性组减少。研究结果表明，不确定性和疲劳不会自发缓解。了解这一点可能有助于护士识别出需要关注这两个问题的患者。
