Nabi Foodani Mahdi, Abbasi Dolatabadi Zahra, Rahbariyan Amir, Rasti Arezoo, Jafaryparvar Zakiyeh, Zakerimoghadam Masoumeh
Department of Medical Surgical Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Ph.D. Candidate of Nursing Research, Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
SAGE Open Nurs. 2024 Mar 11;10:23779608241234980. doi: 10.1177/23779608241234980. eCollection 2024 Jan-Dec.
Disease uncertainty refers to the inability to assign meaning to events related to the illness. Uncertainty of the disease can affect various aspects of human life such as psychological aspects.
This study aims to examine the relationship between disease uncertainty and perceived stress in COVID-19 patients.
An analytical cross-sectional study was conducted on 212 hospitalized COVID-19 patients who were initially admitted to the intensive care units (ICUs) and later transferred to general wards within the same hospitals. Three instruments were utilized to collect data for this study. The Demographic Information Questionnaire, Mishel Uncertainty in Illness Scale (MUIS) for disease uncertainty, and Perceived Stress Questionnaire. For data analysis, both descriptive and inferential statistics were employed using IBM SPSS Statistics version 25.
The Pearson correlation coefficient matrix results showed a positive and significant relationship between uncertainty about the illness ( < .001, r = 0.829), ambiguity ( < .001, r = 0.795), complexity ( < .001, = 0.835), inconsistency or instability ( < .001, = 0.787), and unpredictability ( < .001, = 0.776) with perceived stress in COVID-19 patients transferred from the intensive care units.
Based on the findings of the current study, both uncertainty and perceived stress are elevated among COVID-19 patients, and a significant and direct relationship exists between these two variables. Healthcare providers, particularly nurses, should address the uncertainties surrounding emerging diseases, both at the hospital and community levels.
疾病不确定性是指无法赋予与疾病相关事件以意义。疾病的不确定性会影响人类生活的各个方面，如心理方面。
本研究旨在探讨新冠病毒疾病患者的疾病不确定性与感知压力之间的关系。
对212名住院的新冠病毒疾病患者进行了一项分析性横断面研究，这些患者最初被收治入重症监护病房（ICU），随后转至同一家医院的普通病房。本研究使用了三种工具来收集数据。人口统计学信息问卷、用于疾病不确定性的米舍尔疾病不确定感量表（MUIS）和感知压力问卷。数据分析使用IBM SPSS Statistics 25版本，采用描述性和推断性统计方法。
Pearson相关系数矩阵结果显示，从重症监护病房转出的新冠病毒疾病患者的疾病不确定性（<.001，r = 0.829）、模糊性（<.001，r = 0.795）、复杂性（<.001，r = 0.835）、不一致性或不稳定性（<.001，r = 0.787）以及不可预测性（<.001，r = 0.776）与感知压力之间存在显著正相关。
基于本研究的结果，新冠病毒疾病患者的不确定性和感知压力均有所升高，且这两个变量之间存在显著的直接关系。医疗服务提供者，尤其是护士，应在医院和社区层面应对围绕新发疾病的不确定性。
