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Research Papers
- Influence of Illness Uncertainty on Health Behavior in Individuals with Coronary Artery Disease: A Path Analysis
- Jeong, Hyesun , Lee, Yesul , Park, Jin Sup , Lee, Yoonju
- J Korean Acad Nurs 2024;54(2):162-177. Published online May 31, 2024
- DOI: https://doi.org/10.4040/jkan.23136
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Abstract
PDF - Purpose
This study aimed to investigate the influence of uncertainty-related factors on the health behavior of individuals with coronary artery disease (CAD) based on Mishel’s uncertainty in illness theory (UIT).
Methods
We conducted a cross-sectional study and path analysis to investigate uncertainty and factors related to health behavior. The study participants were 228 CAD patients who visited the outpatient cardiology department between September 2020 and June 2021. We used SPSS 25.0 and AMOS 25.0 software to analyze the data.
Results
The final model demonstrated a good fit with the data. Eleven of the twelve paths were significant. Uncertainty positively affected danger and negatively affected self-efficacy and opportunity. Danger had a positive effect on perceived risk. Opportunity positively affected social support, self-efficacy, perceived benefit and intention, whereas it negatively affected perceived risk. Social support, self-efficacy, perceived benefit and intention had a positive effect on health behavior. We found that perceived benefit and intention had the most significant direct effects, whereas self-efficacy indirectly affected the relationship between uncertainty and health behavior.
Conclusion
The path model is suitable for predicting the health behavior of CAD patients who experience uncertainty. When patients experience uncertainty, interventions to increase their self-efficacy are required first. Additionally, we need to develop programs that quickly shift to appraisal uncertainty as an opportunity, increase perceived benefits of health behavior, and improve intentions. -
Citations
Citations to this article as recorded by
- Association between Coping Profiles and Cardiac Health Behavior among Patients with Coronary Artery Disease: A Latent Profile Analysis
Yesul Lee, Yoonju Lee, Jeong Cheon Choe, Hyesun Jeong, Sunyoung Jung
Korean Journal of Adult Nursing.2024; 36(3): 228. CrossRef
- Association between Coping Profiles and Cardiac Health Behavior among Patients with Coronary Artery Disease: A Latent Profile Analysis
- 393 View
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- 1 Crossref
- Factors Influencing the Intention for Continual Fertility Treatments by the Women Undergoing Assisted Reproductive Technology Procedures: A Cross-Sectional Study
- Kim, Miok , Kim, Minkyung , Ban, Minkyung
- J Korean Acad Nurs 2024;54(1):59-72. Published online February 29, 2024
- DOI: https://doi.org/10.4040/jkan.23095
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Abstract
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- Purpose
This cross-sectional study aimed to identify factors influencing the intention for continual fertility treatments among women undergoing assisted reproductive technology (ART).
Methods
A total of 197 women were recruited through convenience sample from fertility hospitals in Gyeonggi-do and Busan, South Korea. Data were collected using a self-report questionnaire incorporating measures of uncertainty; Depression Anxiety Stress Scales; Fatigue Severity Scale; Coping Scale for Infertility-Women; spousal support; treatment environment; and intention for continual fertility treatment. Descriptive statistics, chi-square tests, t-tests, and logistic regression analysis were conducted using IBM SPSS 26.0.
Results
As many as 70.6% of the participants expressed an intention for continual fertility treatments. Logistic regression analysis revealed that factors such as uncertainty (odds ratio [OR] = 0.44, 95% confidence interval [CI] 0.20~0.95), active coping (OR = 4.04, 95% CI 1.11~14.71), treatment environment (OR = 2.77, 95% CI 1.26~6.07), and the duration of marriage (OR = 2.61, 95% CI 1.24~5.49) were significantly related with this intention.
Conclusion
These findings underscore the significance of uncertainty management, having proactive coping strategies, having supportive treatment environments, and considering the duration of marriage concerning women’s intention for continual fertility treatment in the context of ART. The implications of these results extend to the development of nursing intervention programs aimed at providing crucial support for women undergoing ART and seeking to continue their infertility treatment. -
Citations
Citations to this article as recorded by- Psychiatric Considerations of Infertility
Yoon Jung Hwang, Junhee Lee, Jihyun Hwang, Hyeonhee Sim, Namwoo Kim, Tae-Suk Kim
Psychiatry Investigation.2024; 21(11): 1175. CrossRef
- Psychiatric Considerations of Infertility
- 492 View
- 37 Download
- 1 Web of Science
- 1 Crossref
- Structural Equation Modeling for Quality of Life of Mothers of Children with Developmental Disabilities: Focusing on the Self-Help Model
- Yang, Mi Ran , Yu, Mi
- J Korean Acad Nurs 2022;52(3):308-323. Published online June 30, 2022
- DOI: https://doi.org/10.4040/jkan.22013
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Abstract
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- Purpose
This study aimed to construct and test a predictive model for the quality of life (QOL) in mothers of children with developmental disabilities (DB). The hypothesized model included severity of illness, distress, uncertainty, self-help, and parenting efficacy as influencing factors, QOL as a consequence based on the Braden’s Self-Help Model.
Methods
The data were collected through a direct and online surveys from 206 mothers in 8 locations, including welfare or daycare centers, developmental treatment centers, and The Parents’ Coalition for the Disabled located in two provinces of Korea. Data were analysed using SPSS/WIN 23.0 and AMOS 21.0 program.
Results
The fit indices of the predictive model satisfied recommended levels; χ2 = 165.79 (p < .001), normed χ2 (χ2 /df) = 2.44, RMR = .04, RMSEA = .08, GFI = .90, AGFI = .85, NFI = .91, TLI = .93, CFI = .95. Among the variables, distress (β = - .46, p < .001), parenting efficacy (β = .22, p < .001), and self-help (β = .17, p = .018) had direct effects on QOL. Severity of illness (β = - .61, p = .010) and uncertainty (β = - .08, p = .014) showed indirect effects. The explanatory power of variables was 61.0%.
Conclusion
The study results confirm the utility of Braden’s Self-Help Model. They provide a theoretical basis for improving QOL in mothers of children with DB. Nursing intervention strategies that can relieve mothers’ distress and uncertainty related to disease and enhance parenting efficacy and self-help behavior should be considered. -
Citations
Citations to this article as recorded by- Moderating role of informational support in the relationship between credible authority and parental uncertainty in developmental disabilities: a preliminary study
Heejung Choi, GyeongAe Seomun, Sung-Min Son
Disability and Rehabilitation.2025; : 1. CrossRef - Adaptation and validation of the Korean version of the parental perception of uncertainty scale (K-PPUS) in parents of children with developmental disabilities
Heejung Choi, GyeongAe Seomun
Journal of Pediatric Nursing.2025; 82: 47. CrossRef - The Relation among Uncertainty, Social Support, Care Burden of Mothers having Children with Developmental Disabilities
Kyoung Eun Jeong, Min Hyun Suk
Research in Community and Public Health Nursing.2023; 34: 117. CrossRef
- Moderating role of informational support in the relationship between credible authority and parental uncertainty in developmental disabilities: a preliminary study
- 346 View
- 14 Download
- 2 Web of Science
- 3 Crossref
Original Articles
- Effects of Mobile Navigation Program in Colorectal Cancer Patients based on Uncertainty Theory
- Kyengjin Kim, Wanju Park
- J Korean Acad Nurs 2019;49(3):274-285. Published online January 15, 2019
- DOI: https://doi.org/10.4040/jkan.2019.49.3.274
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Abstract
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Abstract Purpose This study aimed to examine the effects of a mobile navigation program on uncertainty, resilience, and growth through uncertainty in colorectal cancer patients.
Methods To verify the effectiveness of the mobile navigation program, 61 participants diagnosed with colorectal cancer undergoing surgery were selected. A nonequivalent control group nonsynchronized design was used to evaluate the program. Uncertainty was measured using the Korean version of the Uncertainty in Illness Scale, resilience was measured using the Korean version of the Connor-Davidson Resilience Scale, and growth through uncertainty was measured using the Growth through Uncertainty Scale.
Results Compared with the control group, patients in the mobile navigation program group showed significant differences in scores for uncertainty (F=7.22,
p =.009) and resilience (F=4.31,p =.042), but not for growth through uncertainty (F=2.76,p =.102).Conclusion These results suggest that the mobile navigation program has positive effects on decreasing uncertainty and increasing resilience among colorectal cancer patients. The mobile navigation program could play a significant role in assisting colorectal cancer patients in regard to the continuity and usability of the program.
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Citations
Citations to this article as recorded by- Developing and Evaluating a Mobile Application Self-management Program for Patients with Implantable Cardioverter-Defibrillators
Eunhee Jo, Hwang Rahyeon, Jeong-Lim Ryu, Chunja Yoo
CIN: Computers, Informatics, Nursing.2025;[Epub] CrossRef - Effects of a Video-based Education Program for Cerebral Angiography on Patients’ Outcomes: A Randomized Controlled Trial
Sung-Hyun Tark, Jee-In Hwang
Quality Improvement in Health Care.2024; 30(1): 76. CrossRef - Influence of Illness Uncertainty on Health Behavior in Individuals with Coronary Artery Disease: A Path Analysis
Hyesun Jeong, Yesul Lee, Jin Sup Park, Yoonju Lee
Journal of Korean Academy of Nursing.2024; 54(2): 162. CrossRef - The Influence of Uncertainty in Illness and Coping on Quality of Life in Colorectal Cancer Patients Receiving Chemotherapy
Jin Ah Kim, Juyoun Yu
Asian Oncology Nursing.2024; 24(2): 63. CrossRef - Development of a nurse navigation program for cancer pain
Miyoung Yoo, Eunyoung E. Suh, Mi Jang, Sunsil Kang
Asia-Pacific Journal of Oncology Nursing.2024; 11(7): 100528. CrossRef - Mobile App for Gynecologic Cancer Support for Patients With Gynecologic Cancer Receiving Chemotherapy in China: Multicenter Randomized Controlled Trial
Huicong Lin, Mingzhu Ye, Yanjuan Lin, Fuhong Chen, Sally Chan, Hongxia Cai, Jiemin Zhu
Journal of Medical Internet Research.2023; 25: e49939. CrossRef - Effects of an interactive coaching intervention on quality of life and psychological factors for colorectal cancer survivors: A single group pre and posttest design
Jaehee Yoon, HyunHae Lee, Heesook Son
European Journal of Oncology Nursing.2023; 66: 102413. CrossRef - The Development of a Mobile Application for Older Adults for Rehabilitation Instructions After Hip Fracture Surgery
YoungJi Ko, Jong-Moon Hwang, Seung-Hoon Baek
Geriatric Orthopaedic Surgery & Rehabilitation.2021;[Epub] CrossRef - Essential Role of Theory in Nursing Research for Advancement of Nursing Science
Soyoung Yu, Ju-Eun Song
Journal of Korean Academy of Nursing.2021; 51(4): 391. CrossRef - A multi‐centre randomized controlled trial of mobile gynaecological cancer support program for patients with gynaecological cancer undergoing chemotherapy: Study protocol
Huicong Lin, Sally Wai‐chi Chan, Mingzhu Ye, Yanlong Wang, Hongli Liu, Min Li, Shengjie Liu, Jiemin Zhu
Journal of Advanced Nursing.2021; 77(5): 2539. CrossRef - The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
Kyungmi Lee, Semi Lim
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421. CrossRef
- Developing and Evaluating a Mobile Application Self-management Program for Patients with Implantable Cardioverter-Defibrillators
- 375 View
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- 9 Web of Science
- 11 Crossref
- Impact of Uncertainty on the Anxiety of Hospitalized Pregnant Women Diagnosed with Preterm Labor: Focusing on Mediating Effect of Uncertainty Appraisal and Coping Style
- Eun Mi Kim, Sehoon Hong
- J Korean Acad Nurs 2018;48(4):485-496. Published online January 15, 2018
- DOI: https://doi.org/10.4040/jkan.2018.48.4.485
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Abstract
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Abstract Purpose This study aimed to test the mediating effect of uncertainty appraisal and coping style in the relation between uncertainty and anxiety in hospitalized pregnant women diagnosed with preterm labor.
Methods The participants were 105 pregnant women diagnosed with preterm labor in hospitals in Korea. Data were collected from July to October 2017. The measurements included the Uncertainty in Illness Scale, Uncertainty Appraisal Scale, Coping Style Scale, and State Anxiety Inventory. Data were analyzed using descriptive statistics, an independent t-test, correlation, and multiple regression following the Baron and Kenny method and Sobel test for mediation.
Results The mean score for anxiety was 2.29 out of 4.00 points and for uncertainty it was 2.46 out of 5.00 points. There were significant correlations among uncertainty, uncertainty danger appraisal, uncertainty opportunity appraisal, problem-focused coping, emotion-focused coping, and anxiety. Uncertainty danger appraisal (β=.64,
p <.001) had a complete mediating effect in the relation between uncertainty and anxiety (Z=4.54,p <.001). Uncertainty opportunity appraisal (β=-.45,p <.001) had a complete mediating effect in the relation between uncertainty and anxiety (Z=3.28,p <.001). Emotion-focused coping (β=-.23,p =.021) had a partial mediating effect in the relation between uncertainty and anxiety (Z=2.02,p =.044).Conclusion Nursing intervention programs focusing on managing uncertainty appraisal and improving emotion-focused coping are highly recommended to decrease anxiety in hospitalized pregnant women diagnosed with preterm labor.
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Citations
Citations to this article as recorded by- Serial mediation effects of social support and antepartum depression on the relationship between fetal attachment and anxiety in high-risk pregnant couples of South Korea
Mihyeon Park, Sukhee Ahn
Journal of Korean Academy of Nursing.2025; 55(1): 19. CrossRef - High-risk Pregnancy Nursing: Analyzing the Impact of Prenatal Stress, Maternal-Fetal Attachment, and Social Support on Prenatal Depression
Jae Hui Choe, Sun Jeong Yun, Hye Young Kim
The Open Nursing Journal.2024;[Epub] CrossRef - Path analysis of illness uncertainty and psychosocial adaptation of patients with Marfan syndrome
Sujin Kim, Yeonsoo Jang, JiYeon Choi, Kijun Song, Jae-kwan Song, Mona Choi
European Journal of Cardiovascular Nursing.2024; 23(2): 197. CrossRef - An explanatory model of quality of life in high-risk pregnant women in Korea: a structural equation model
Mihyeon Park, Sukhee Ahn
Korean Journal of Women Health Nursing.2023; 29(4): 302. CrossRef - The effects of music therapy on labor pain, childbirth experience, and self-esteem during epidural labor analgesia in primiparas: a non-randomized experimental study
Seong Yeon An, Eun Ji Park, Yu Ri Moon, Bo Young Lee, Eunbyul Lee, Dong Yeon Kim, Seong Hee Jeong, Jin Kyung Kim
Korean Journal of Women Health Nursing.2023; 29(2): 137. CrossRef - Anxiety, depression, and uncertainty appraisal and factors affecting uncertainty risk and opportunity appraisal of health care workers in Korea during the COVID-19 outbreak
Soo Young An, Jong Sun Ok, Hyeongsu Kim
Health Psychology and Behavioral Medicine.2023;[Epub] CrossRef - Development and effects of a high-risk pregnancy emotive role-play program for nursing students: a quasi-experimental study
Bo Gyeong Lee, Sun-Hee Kim
Korean Journal of Women Health Nursing.2022; 28(4): 317. CrossRef - Psychological Responses According to Gender during the Early Stage of COVID-19 in Spain
Lucía del Río-Casanova, Milagrosa Sánchez-Martín, Ana García-Dantas, Anabel González-Vázquez, Ania Justo
International Journal of Environmental Research and Public Health.2021; 18(7): 3731. CrossRef - Experiences of hospitalization among pregnant women with preterm labor in Korea: a phenomenological study
Joon-Young Lee, Yeoungsuk Song
Korean Journal of Women Health Nursing.2021; 27(3): 209. CrossRef - Effects of a supportive program on uncertainty, anxiety, and maternal-fetal attachment in women with high-risk pregnancy
Hyun Jin Kim, Nami Chun
Korean Journal of Women Health Nursing.2020; 26(2): 180. CrossRef - Qualitative Study on the Experience of Patients with Meniere Disease
Woo Joung Joung
Journal of Korean Academy of Nursing.2020; 50(5): 699. CrossRef
- Serial mediation effects of social support and antepartum depression on the relationship between fetal attachment and anxiety in high-risk pregnant couples of South Korea
- 340 View
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- 11 Crossref
- Impact of Uncertainty on the Quality of Life of Young Breast Cancer Patients: Focusing on Mediating Effect of Marital Intimacy
- Yeong Kyong Oh, Seon Young Hwang
- J Korean Acad Nurs 2018;48(1):50-58. Published online January 15, 2018
- DOI: https://doi.org/10.4040/jkan.2018.48.1.50
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Abstract
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Abstract Purpose The purpose of this study was to examine the mediating effect of marital intimacy on the impact of uncertainty on the quality of life (QoL) of young breast cancer patients.
Methods This study used a pathway analysis with 154 young breast cancer cases in their early diagnosis stage at a medical center in Korea. Data were collected from November 2016 to February 2017 and analyzed using correlation analysis and pathway analysis.
Results Uncertainty, marital intimacy, and 4 sub-scales of QoL showed a significant correlation. Marital intimacy was directly affected by uncertainty (b=-.39,
p =.013) and 4 sub-scales of QoL were also affected by uncertainty. Among the 4 sub-scales of QoL, physical well-being (PWB) (b=.17,p =.026), social well-being (SWB) (b=.49,p =.010), and functional well-being (FWB) (b=.38,p =.009) were affected by marital intimacy but emotional well-being (EWB) was not affected by it. The mediating effect of marital intimacy on the impact of uncertainty on QoL was confirmed. Marital intimacy showed a significant indirect effect on PWB (b=-.07,p =.024), SWB (b=-.19,p =.008), and FWB (b=-.15,p =.005), and it means that marital intimacy has a partial mediating effect on the impact of uncertainty on PWB, SWB, and FWB.Conclusion Effects of uncertainty on QoL was mediated by marital intimacy of young breast cancer patients in their early diagnosis stage. It suggests that marital intimacy needs to be considered in providing nursing intervention for young breast cancer patients.
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Citations
Citations to this article as recorded by- Incertidumbre en mujeres diagnosticadas con cáncer de mama: estudio transversal
Rosa Herminia Pastuña-Doicela, Olivia Inés Sanhueza-Alvarado
Escola Anna Nery.2024;[Epub] CrossRef - Uncertainty in women diagnosed with breast cancer: a cross-sectional study
Rosa Herminia Pastuña-Doicela, Olivia Inés Sanhueza-Alvarado
Escola Anna Nery.2024;[Epub] CrossRef - Body change stress, sexual function, and marital intimacy in korean patients with breast cancer receiving adjuvant chemotherapy: A cross-sectional study
Hyesoon Lee, Hyeon Gyeong Yoon
Asia-Pacific Journal of Oncology Nursing.2023; 10(5): 100228. CrossRef - Factors influencing the supportive care needs of female patients with genital cancer in South Korea
Yu-Jung Son, Keum-Hee Nam, JaeLan Shim
Medicine.2023; 102(51): e36650. CrossRef - An explanatory model of quality of life in high-risk pregnant women in Korea: a structural equation model
Mihyeon Park, Sukhee Ahn
Korean Journal of Women Health Nursing.2023; 29(4): 302. CrossRef - Impacts of Uncertainty and Social Support on the Quality of Life of Breast Cancer Survivors after Chemotherapy: Based on Self-help Group Participants
Hyenam Hwang, Yoonshin Lee
Asian Oncology Nursing.2023; 23(4): 177. CrossRef - A hermeneutic phenomenological study on the disease experience among young women with breast cancer
Jeonghee Ahn, Kyoung-eun Lee
Asia-Pacific Journal of Oncology Nursing.2023; 10(10): 100310. CrossRef - Psychological variables associated with quality of life in patients with head and neck cancer: the role of body image distress
Silvia Cerea, Maria Sansoni, Giovanni Scarzello, Elena Groff, Marta Ghisi
Supportive Care in Cancer.2022; 30(11): 9127. CrossRef - Relationships among sexual function, marital intimacy, type D personality and quality of life in patients with ovarian cancer, with spouses
Ju‐Hee Nho, Sung Reul Kim, Won Ku Choi
European Journal of Cancer Care.2022;[Epub] CrossRef - The Relationships among Social Support, Bowel Function Symptoms and Uncertainty in Rectal Cancer Patients
Kyungmi Lee, Semi Lim
Journal of Korean Academy of Fundamentals of Nursing.2021; 28(4): 421. CrossRef - The development of a lifestyle modification mobile application, “Health for You” for overweight and obese breast cancer survivors in Korea
Su-Jin Seo, Ju-Hee Nho, Youngsam Park
Korean Journal of Women Health Nursing.2021; 27(3): 243. CrossRef - Mediating and Moderating Factors of Adherence to Nutrition and Physical Activity Guidelines, Breastfeeding Experience, and Spousal Support on the Relationship between Stress and Quality of Life in Breast Cancer Survivors
Nam Mi Kang, Won-Ho Hahn, Suyeon Park, Jung Eun Lee, Young Bum Yoo, Chung Ja Ryoo
International Journal of Environmental Research and Public Health.2020; 17(20): 7532. CrossRef - Effects of uncertainty and spousal support on infertility-related quality of life in women undergoing assisted reproductive technologies
Hye Shin Lee, Sunjoo Boo, Jeong-Ah Ahn, Ju-Eun Song
Korean Journal of Women Health Nursing.2020; 26(1): 72. CrossRef - Impact of Psycho-Social Factors on Fatigue among Breast Cancer Patients Who Are Currently Undergoing Radiotherapy
Hyesun Park, Kisook Kim
International Journal of Environmental Research and Public Health.2020; 17(17): 6092. CrossRef - Health care Utilization of Cancer patient Women at Nursing Hospital
Hye-Sun Park, Kyung-Sook Park
Journal of Digital Contents Society.2018; 19(11): 2139. CrossRef
- Incertidumbre en mujeres diagnosticadas con cáncer de mama: estudio transversal
- 292 View
- 7 Download
- 15 Crossref
- The Effects of an Empowerment Education Program for Kidney Transplantation Patients
- Sung Hee Kim, Hye Sook You
- J Korean Acad Nurs 2017;47(4):445-455. Published online August 31, 2017
- DOI: https://doi.org/10.4040/jkan.2017.47.4.445
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Abstract
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Purpose This study was conducted to develop an Empowerment Education Program (EEP) for kidney transplant patients and to test the program's effects on uncertainty, self-care ability, and compliance.
Methods The research was conducted using a nonequivalent control group with a pretest-posttest design. The participants were 53 outpatients (experimental group: 25, control group: 28) who were receiving hospital treatment after kidney transplants. After the pre-test, patients in the experimental group underwent a weekly EEP for six weeks. The post-test was conducted immediately after, and four weeks after the program's completion in the same manner as the pre-test. For the control group, we conducted a post-test six and ten weeks after the pre-test, without and program intervention. A repeated measure ANOVA was performed to compare the change scores on main outcomes.
Results Uncertainty was significantly lower in the experimental group than in the control group, both immediately after (t=-3.84,
p =<.001) and 4 weeks after (t=-4.51p =<.001) the program, whereas self-care ability (t=5.81,p =<.001), (t=5.84,p =<.001) and compliance (t=5.07,p =<.001), (t=5.45,p =<.001) were significantly higher.Conclusion Kidney transplant patients who underwent an EEP showed a decrease in uncertainty and an improvement in self-care ability and compliance. Thus, our findings confirmed that an EEP can be an independent intervention method for improving and maintaining the health of kidney transplant patients.
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Citations
Citations to this article as recorded by- The effectiveness of nurse-led interventions on quality of life, medication adherence, anxiety, and depression in kidney transplant recipients: A systematic review and meta-analysis
Seung Yeon Park, Lee Hwa Kwak
The Journal of Korean Academic Society of Nursing Education.2024; 30(3): 263. CrossRef - An integrative literature review of kidney transplantation knowledge tools
Chan Mi Kang, Hyejin Lee, Justyna Gołębiewska
PLOS ONE.2023; 18(1): e0281073. CrossRef - Empowering patients to self-control and self-management of anticoagulant therapy
Andreja Hrovat Bukovšek, Bojana Filej
Pielegniarstwo XXI wieku / Nursing in the 21st Century.2023; 22(2): 79. CrossRef - The Effect of Empowering Education Combined With Mindfulness Meditation Training on Negative Emotion and Quality of Life in Patients With Inflammatory Bowel Disease
Wei-Zhen Xi, Chong-Wu Xu, Ling-Ling Wang
Frontiers in Behavioral Neuroscience.2022;[Epub] CrossRef - Clinical outcomes of a nurse-led post-discharge education program for heart-transplant recipients: A retrospective cohort study
Ji Hyeon Lee, Seok-Min Kang, Young Ah. Kim, Sang Hui Chu
Applied Nursing Research.2021; 59: 151427. CrossRef - Development and evaluation of the Coronary Artery Disease Empowerment Scale (CADES) in Korea
Jiyoung Kim, Nayeon Shin, Kyungmi Lee
Clinical Nursing Research.2021; 30(8): 1241. CrossRef - Development of a Mobile App-Based Self-care Health Diary for Heart Transplant Recipients
Hye Jin Yoo, Eunyoung E. Suh
CIN: Computers, Informatics, Nursing.2021; 39(11): 804. CrossRef - Structural Equation Modeling of Self-Care Behaviors in Kidney Transplant Patients Based on Self-Determination Theory
Hye Won Jeong, Hyang Sook So
Journal of Korean Academy of Nursing.2018; 48(6): 731. CrossRef
- The effectiveness of nurse-led interventions on quality of life, medication adherence, anxiety, and depression in kidney transplant recipients: A systematic review and meta-analysis
- 324 View
- 4 Download
- 8 Crossref
- Uncertainty in Patients Newly Diagnosed with Atrial Fibrillation
- Younhee Kang
- Journal of Korean Academy of Nursing 2002;32(7):960-966. Published online March 29, 2017
- DOI: https://doi.org/10.4040/jkan.2002.32.7.960
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Abstract
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PURPOSE OF THE STUDY: Atrial fibrillation is the most common sustained cardiac rhythm disturbance encountered in clinical practice. In contrast to its high prevalence and the associated high number of hospital admissions, there is a paucity of published studies that have evaluated the perspective of patients with atrial fibrillation or patients' perceptions or responses to diagnosis, treatment, or prognosis of atrial fibrillation in health care literature and clinical studies. This study aimed to explore uncertainty in diagnosis, treatment, and prognosis of atrial fibrillation.
METHODS
This study employed a descriptive cross-sectional survey design using a face-to-face interview method to explore uncertainty. Patients with atrial fibrillation confirmed by 12-lead ECG were interviewed. Uncertainty was measured by the Mishel Uncertainty in Illness Scale-Community Form (MUIS-C), and the data collected were analyzed by the Statistical Package for Social Science software program.
RESULTS
A total of 81 subjects were included in this study and their mean score of uncertainty was 62.60 with the standard deviation of 10.81. Uncertainty in patients with atrial fibrillation was higher than that reported in other disease populations such as bowel resection surgery, breast cancer, myocardial infarction, and so forth. However, it was lower than the level of uncertainty in patients with cardiac arrest and HIV disease.
CONCLUSION
From the findings of the present study, it was demonstrated that uncertainty existed in patients with atrial fibrillation, and this was considered to be part of patients' responses to atrial fibrillation. In terms of nursing practice and nursing research, uncertainty was explored and described as one of the most relevant phenomena in patients newly diagnosed with atrial fibrillation.-
Citations
Citations to this article as recorded by- Effect of Uncertainty on Depression in Patients With Newly Diagnosed Atrial Fibrillation
Younhee Kang
Progress in Cardiovascular Nursing.2006; 21(2): 83. CrossRef - Effects of uncertainty on perceived health status in patients with atrial fibrillation
Younhee Kang
Nursing in Critical Care.2005; 10(4): 184. CrossRef
- Effect of Uncertainty on Depression in Patients With Newly Diagnosed Atrial Fibrillation
- 100 View
- 1 Download
- 2 Crossref
- A Correlational Study on Uncertainty, Coping and Depression of Cancer Patients
- Yun Jung Lee, Eun Mi Ham, Kum Sun Kim
- Journal of Korean Academy of Nursing 2001;31(2):244-256. Published online March 29, 2017
- DOI: https://doi.org/10.4040/jkan.2001.31.2.244
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Abstract
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The purpose of this study was to investigate the effects of coping mechanisms on uncertainty and depression. The subjects were 71 cancer patients selected from Junbook National University Hospital, and the data collection period was from June 21 to October 19 of 2000. Uncertainty was measured by using Mishel's Uncertainty Scale, problem- focused coping, and emotional-focused coping. The data was collected by a questionnaire developed by Lee (1984), and then depression measured by using Beck's depression scale. Data was analyzed with SPSS/WIN 7.5 program by Pearson Correlation Coefficients, and Path analysis. The results were as follows : 1. The mean uncertainty score was 59.17, the mean problem-focused coping score was 48.78, the mean emotional-focused coping score was 42.52. 2. The mean depression score was 15.77. 3. Uncertainty in illness was significantly related to depression (p=0.003) and emotional-focused coping (p=0.028), but uncertainty was not associated with coping mechanisms. 4. When analyzed multiple regression between uncertainty, problem-focused coping, emotional- focused coping, and depression, more specifically emotional-focused coping showed a stronger association with depression than problem-focused coping. 5. Depression was highly correlated with economic status (p=0.015), educational background (p=0.005), duration of disease (p=0.045). 6. Problem-focused coping and emotional-focused coping appeared to function as moderators instead mediators on the relation between uncertainty and depression. In addition, as a whole, uncertainty showed a significant moderating effect on depression, while problem-focused coping did on depression. Finally, limitation of present findings were discussed and implications for future studies are suggested.
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Citations
Citations to this article as recorded by- Influence of Duration of Prophylactic Antibiotics Therapy on Uncertainty of Recovery in Elective Laparoscopic Uterine Myomectomy Patients
Mi Young Jung, Kyung-Yeon Park
Journal of Korean Academy of Fundamentals of Nursing.2018; 25(4): 240. CrossRef - Factors Influencing the quality of life in thyroid cancer patients after thyroidectomy
Jeong-Sook Jeong, In-Sook Kim, Eun-Seon Lee
Journal of the Korea Academia-Industrial cooperation Society.2015; 16(8): 5442. CrossRef - Uncertainty in Elderly Women with Osteoarthritis: Relationship to Pain, Self-care Agency and Health Conservation
Jiran Nam, Kiwol Sung
Journal of Korean Gerontological Nursing.2014; 16(3): 201. CrossRef - A Study on the Uncertainty and Depression in Mothers of Hospitalized Children
Kyung Hee Yoo
The Journal of Korean Academic Society of Nursing Education.2013; 19(2): 265. CrossRef - A Structural Model for Psychosocial Adjustment in Patients with Early Breast Cancer
Hye Young Kim, Hyang Sook So
Journal of Korean Academy of Nursing.2012; 42(1): 105. CrossRef - The Influence of Uncertainty and Social Support on General Well-being among Hemodialysis Patients
Youn-Jin Kim, Hee-Jung Choi
The Korean Journal of Rehabilitation Nursing.2012; 15(1): 20. CrossRef - Level and Correlation Factors of Uncertainty in Members of Families of a Patient with Mental Illness
In-Ohg Oh, Eui Geum Oh, Sunah Kim
Journal of Korean Academy of Psychiatric and Mental Health Nursing.2012; 21(2): 158. CrossRef
- Influence of Duration of Prophylactic Antibiotics Therapy on Uncertainty of Recovery in Elective Laparoscopic Uterine Myomectomy Patients
- 98 View
- 5 Download
- 7 Crossref
- Uncertainty, Anxiety and Coping with Mastectomy for Breast Cancer
- Ok Hee Cho
- Journal of Korean Academy of Nursing 2000;30(4):1006-1017. Published online March 29, 2017
- DOI: https://doi.org/10.4040/jkan.2000.30.4.1006
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The purpose of this study was to provide basic information for developing a nursing intervention that helps patients learn how to acquire coping to reduce post operation uncertainty and anxiety by investigating the level of uncertainty and anxiety experienced by mastectomy patients. The subjects were 134 patients selected from St. Mary's Kangnam and St. Mary's hospital, and the data collection period was from October to December of 1998. Uncertainty was measured by using Mishel Uncertainty in Illness Scale (MUIS), anxiety measured by using State-Trait Anxiety Inventory(STAI), and coping by using a questionnaire developed by Kim & Yoo (1996). Data were analyzed with SAS program by t-test, ANOVA, Duncan's multiple range test, Pearson correlation coefficients, and stepwise multiple regression. The results were as follows: 1. The mean uncertainty score was 57.6. The results of the correlation between the compliance of medical regimen and demographic characteristics were as follows ; Those who monthly income over 2,010,000 won had lower than above 1,000,000 won, and those with the experience of chemotherapy had higher than those without, and the patient who has 7~12 months(1 yr.) post operation period had higher than the one below 6months, 25~36 months(3 yrs.), 37~60 months(5 yrs.), and over 61 months. 2. The mean anxiety score was 45.9. Anxiety tended to be increased slightly in subjects with low educational background, poor monthly income, experience of chemotherapy, and 7~12 months(1 yr.) post operation period, but there was no significant difference by general characteristics. 3. The mean value of the coping score was 100.7. The study revealed higher score in problem-focused coping than emotion-focused coping. In regard to coping by demographic characteristics were as follows ; those who had monthly income over 2,010,000 won had higher level of coping than those whose monthly income was between 1,010,000 and 2,000,000 won. In terms of problem- focused coping, those who had 25~36 months of post operation period showed significantly lower level of coping than those below 6 months or 37~60 months(5 yrs.) or over 61 months of post operation period. Regarding the emotion-focused coping, those with the christianity had significantly lower level of coping than those without it. Also, those whose monthly income over 2,010,000 won had significantly higher coping level than those with income of between 1,010,000 and 2,000,000 won. 4. A positive relationship was found between uncertainty and anxiety. Patients who experienced more uncertainty also showed more anxiety. Problem-focused coping was inversely related to uncertainty and anxiety. 5. The major variable that affected uncertainty was anxiety, explaining 63.3% of the uncertainty. In addition to this, it would explain 66.4% in total when experience of chemotherapy was added.
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Jin-Hyang Yang
Korean Journal of Adult Nursing.2013; 25(6): 597. CrossRef - Anxiety, Depression and Uncertainty in Cancer Patients Participating in Clinical Trial of Anticancer Drugs
Haejin Kim, Myungsun Yi
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Su Jung Yun, Young Hee Lee
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Hye Young Kim, Hyang Sook So
Journal of Korean Academy of Nursing.2012; 42(1): 105. CrossRef
- Understanding mental health in breast cancer from screening to Survivorship: an integrative phasic Model and tool
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- A Correlational Study on Uncertainty, Mastery and Appraisal of Uncertainty in Hospitalized Children's Mothers
- Kyung Hee Yoo
- Journal of Korean Academy of Nursing 2007;37(4):594-602. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2007.37.4.594
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Abstract
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Purpose This study was conducted to investigate the correlation among uncertainty, mastery and appraisal of uncertainty in hospitalized children's mothers.
Methods Self report questionnaires were used to measure the variables. Variables were uncertainty, mastery and appraisal of uncertainty. In data analysis, the SPSSWIN 12.0 program was utilized for descriptive statistics, Pearson's correlation coefficients, and regression analysis.
Results Reliability of the instruments was cronbach's alpha=.84~.94. Mastery negatively correlated with uncertainty(r=-.444, p=.000) and danger appraisal of uncertainty(r=-.514, p=.000). In regression of danger appraisal of uncertainty, uncertainty and mastery were significant predictors explaining 39.9%.
Conclusion Mastery was a significant mediating factor between uncertainty and danger appraisal of uncertainty in hospitalized children's mothers. Therefore, nursing interventions which improve mastery must be developed for hospitalized children's mothers.
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Soo Young An, Jong Sun Ok, Hyeongsu Kim
Health Psychology and Behavioral Medicine.2023;[Epub] CrossRef - Impact of Uncertainty on Resilience in Cancer Patients
Kyungsuk Cha, Kyunghee Kim
Asian Oncology Nursing.2012; 12(2): 139. CrossRef - Development of a Questionnaire to Measure Resilience in Children with Chronic Diseases
Dong Hee Kim, Il Young Yoo
Journal of Korean Academy of Nursing.2010; 40(2): 236. CrossRef
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- The Relationship of Uncertainty, Hope and Quality of Life in Patients with Breast Cancer
- Kae Hwa Jo, Bo Kyung Son
- Journal of Korean Academy of Nursing 2004;34(7):1184-1193. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2004.34.7.1184
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Purpose The purpose of this study was to explore the relationship of uncertainty, hope and quality of life in patients with breast cancer.
Method The subjects of the study were 113 breast cancer patients treated at 3 university hospitals in Daegu and Busan from June 1 to September 30, 2003. Uncertainty was measured by the Mishel Uncertainty in Illness Scale (MUIS), Hope was measured by Nowotny's Hope Scale, and quality of life by Ro's Korean Quality of Life(QOL). Data was analyzed with the SPSS program by t-test, ANOVA, Spearman's rank correlation and Multiple Regression Analysis.
Result The scores of uncertainty were negatively correlated with hope and QOL(all p's<0.05). Uncertainty revealed that there was a negative correlation among subitems of hope such as confidence, relationship with others, possibility of future, and inner motivation(r=-.333, p=.000; r=-.230, p=.015; r=-.260, p=.006; r=-.291, p=.003). Uncertainty also showed a negative correlation among subitems of QOL such as emotional status, self esteem, and relationship with family(r=-.29, p=.004; r=-.326, p=.000; r=-.197, p=.044), whereas hope revealed a positive correlation among subitems of QOL such as emotional status, self esteem, relationship with neighbor, and relationship with family(r=.243, p=.011; r=.487, p=.000; r=.29, p=.001; r=.29, p=.001). The score of uncertainty was low in graduate school students and subjects using problem solving as a coping method. However, the score of hope was high in college students and subjects using a problem solving method, and the score of QOL was high in professionals.
Conclusion Based on the study results, breast cancer patients experienced living with uncertainty and maintaining hope. Thus the study's findings can be useful in directing a comprehensive nursing care plan to improve QOL of breast cancer patients.
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- Testing the Mediating Effect of Appraisal in the Model of Uncertainty in Illness study
- Younhee Kang
- Journal of Korean Academy of Nursing 2003;33(8):1127-1134. Published online March 28, 2017
- DOI: https://doi.org/10.4040/jkan.2003.33.8.1127
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Abstract
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Background Although there have been a great number of research studies based on the model of uncertainty in illness, few studies have considered the appraisal portion of model.
Purpose The purpose of this study was to test the mediating effect of appraisal in the model of uncertainty in illness. Additionally, this study aimed to examine the relationships among uncertainty, symptom severity, appraisal, and anxiety in patients newly diagnosed with atrial fibrillation.
Methods This study employed a descriptive correlational and cross-sectional survey design using a face-to-face interview method. Patients diagnosed with atrial fibrillation within the previous 6 months prior to data collection were interviewed by Mishel Uncertainty in Illness Scale-Community Form, appraisal scale, Symptom Checklist-Severity V.3, and State Anxiety Inventory.
Results A total of 81 patients with atrial fibrillation were recruited from two large urban medical centers in Cleveland, Ohio, U.S.A.. Symptom severity was the significant variable in explaining uncertainty (β=0.34). Individuals with greater symptom severity perceived more uncertainty. Uncertainty was appraised as a danger rather than opportunity, and those with greater uncertainty appraised a greater danger (p<.01). While the appraisal of opportunity had the negative relationship with anxiety (r=-0.25), the appraisal of danger was positively associated with anxiety (r=0.78). The measure of goodness of fit (Q) of the model was .7863, and the significant test (X2) for the Q was statistically significant (df =3, p<.001). Accordingly, the overall mediating model of uncertainty in illness was proven not to be fit to the empirical data of patients with atrial fibrillation. Consequently, the mediating effect of appraisal was not supported by the empirical data of this study.
Conclusion The findings of this study were discussed in terms of their relevance compared with those of previous studies or theoretical framework and the plausible explanations on study findings. Lastly, in order to expand the present body of knowledge on uncertainty in illness model, recommendations for the future nursing studies were included.
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Ilya Kagan, Yoram Bar‐Tal
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- A Concept Analysis of Uncertainty in Epilepsy
- Juna Lee, Insook Lee
- J Korean Acad Nurs 2017;47(4):499-513. Published online January 15, 2017
- DOI: https://doi.org/10.4040/jkan.2017.47.4.499
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Abstract Purpose This concept analysis was done to clarify ‘uncertainty in epilepsy’.
Methods Walker and Avant's methodology guided the analysis. In addition, the concept was compared with uncertainty in other health problems.
Results ‘Uncertainty in epilepsy’ was defined as being in the condition as seen from the epilepsy experience where cues were difficult to understand because they changed, were in discord with past ones, or they had two or more contradictory values at the same time. Uncertainty in epilepsy is evolved from appraisal of the epilepsy experience. As a result, uncertainty leads epilepsy patients, their family or health care providers to impaired functioning and proactive/passive coping behavior.
Conclusion Epilepsy patients with uncertainty need to be supported by nursing strategies for proactive, rational coping behavior. This achievement has implications for interventions aimed at changing perception of epilepsy patients, their families or health care providers who must deal with uncertainty.
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Hyun-Mee Cho, Eun Joung Choi, Hyun-Ju Choi, Eun-Ju Cho
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- Influence of Uncertainty and Uncertainty Appraisal on Self-management in Hemodialysis Patients
- Hyung Suk Jang, Chang Suk Lee, Young Hee Yang
- J Korean Acad Nurs 2015;45(2):271-279. Published online April 30, 2015
- DOI: https://doi.org/10.4040/jkan.2015.45.2.271
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Abstract
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Purpose This study was done to examine the relation of uncertainty, uncertainty appraisal, and self-management in patients undergoing hemodialysis, and to identify factors influencing self-management.
Methods A convenience sample of 92 patients receiving hemodialysis was selected. Data were collected using a structured questionnaire and medical records. The collected data were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlations and multiple regression analysis with the SPSS/WIN 20.0 program.
Results The participants showed a moderate level of uncertainty with the highest score being for ambiguity among the four uncertainty subdomains. Scores for uncertainty danger or opportunity appraisals were under the mid points. The participants were found to perform a high level of self-management such as diet control, management of arteriovenous fistula, exercise, medication, physical management, measurements of body weight and blood pressure, and social activity. The self-management of participants undergoing hemodialysis showed a significant relationship with uncertainty and uncertainty appraisal. The significant factors influencing self-management were uncertainty, uncertainty opportunity appraisal, hemodialysis duration, and having a spouse. These variables explained 32.8% of the variance in self-management.
Conclusion The results suggest that intervention programs to reduce the level of uncertainty and to increase the level of uncertainty opportunity appraisal among patients would improve the self-management of hemodialysis patients.
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- A Structural Model for Psychosocial Adjustment in Patients with Early Breast Cancer
- Hye Young Kim, Hyang Sook So
- J Korean Acad Nurs 2012;42(1):105-115. Published online February 29, 2012
- DOI: https://doi.org/10.4040/jkan.2012.42.1.105
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Abstract
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Purpose This study was done to propose a structural model to explain and predict psychosocial adjustment in patients with early breast cancer and to test the model. The model was based on the Stress-Coping Model of Lazarus and Folkman (1984).
Methods Data were collected from February 18 to March 18, 2009. For data analysis, 198 data sets were analyzed using SPSS/WIN12 and AMOS 7.0 version.
Results Social support, uncertainty, symptom experience, and coping had statistically significant direct, indirect and total effects on psychosocial adjustment, and optimism had significant indirect and total effects on psychosocial adjustment. These variables explained 57% of total variance of the psychosocial adjustment in patients with early breast cancer.
Conclusion The results of the study indicate a need to enhance psychosocial adjustment of patients with early breast cancer by providing detailed structured information and various symptom alleviation programs to reduce perceived stresses such as uncertainty and symptom experience. They also suggest the need to establish support systems through participation of medical personnel and families in such programs, and to apply interventions strengthening coping methods to give the patients positive and optimistic beliefs.
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- Quality of Life and the Related Factors in Patients with Dizziness
- Hyun Jung Lee, Smi Choi-Kwon
- J Korean Acad Nurs 2009;39(5):751-758. Published online October 31, 2009
- DOI: https://doi.org/10.4040/jkan.2009.39.5.751
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Abstract
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Purpose The purpose of this study was to investigate the Quality of Life (QOL) and related factors in the patients with dizziness.
Methods The data were collected between March and June 2008 for 200 individuals who agreed to participate in the study. Uncertainty (Uncertainty in illness scale), anxiety, depression (Hospital anxiety & depression scale) and Vestibular disability activities of daily living (Vestibular disability-activities of daily living [ADL] scale) as well as QOL (Dizziness Handicap Inventory) were measured.
Results The mean QOL score was 37.5 (±23.0). Monthly income, etiology of, frequency of, and total duration of dizziness were the significant factors related to QOL in these patients. Having had a fall, anxiety, depression, uncertainty and vestibular disability in daily living were also significant factors influencing QOL. In multiple regression analysis, anxiety, vestibular disability-ADL, falls, total duration of symptoms, uncertainty, and etiology of dizziness explained 41% of variance of QOL.
Conclusion The level of QOL in our patients was moderate as compared to those in previous studies. Anxiety and vestibular disability were the most important factors predicting low QOL. Use of nursing intervention programs designed to relieve these factors should also result in improving the QOL in the patients with dizziness.
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Citations
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