Righter B M
J Wound Ostomy Continence Nurs. 1995 Mar;22(2):100-4. doi: 10.1097/00152192-199503000-00011.
The associated stress of an ostomy experience can threaten a patient's security and sense of control. One major stressor is the influence of uncertainty, when patients lack a clear perception of what will happen and are unable to define meaning or personally interpret information bombarding them from the complex health care system. Mishel's Uncertainty in Illness Theory offers the ET nurse a practical framework for understanding how the patient attaches meaning to illness cues and how the ET nurse can positively affect the desired adaptation process. Because the patient trusts the ET nurse's expertise and experience, the nurse can help the patient to understand the ostomy experience and perceive its structure. As a credible authority, the ET nurse has the expert power to facilitate patient coping and adaptation by minimizing ambiguity through individualized education, counseling, and support while simultaneously constructing a sense of order and predictability for both patient and family.
造口术经历带来的相关压力可能会威胁患者的安全感和控制感。一个主要的压力源是不确定性的影响，即患者对将会发生什么缺乏清晰的认知，并且无法界定意义或对来自复杂医疗保健系统的大量信息进行个人解读。米舍尔的疾病不确定性理论为造口治疗师护士提供了一个实用的框架，有助于理解患者如何赋予疾病线索以意义，以及造口治疗师护士如何积极影响预期的适应过程。由于患者信任造口治疗师护士的专业知识和经验，护士可以帮助患者理解造口术经历并认识其结构。作为可靠的权威，造口治疗师护士拥有专家权力，通过个性化教育、咨询和支持来减少不确定性，同时为患者及其家人构建秩序感和可预测性，从而促进患者应对和适应。
