An Exploratory Study on The Uncertainty Contents and The relative Factors of The Patients with Myocardial Infarction during Their Hospital Stay

• Main Author: 葉玫伶
• Other Authors: 邱艷芬
• Format: Others
• Language: zh-TW
• Published: 1997
• Online Access: http://ndltd.ncl.edu.tw/handle/54573140717590314553

碩士 === 慈濟大學 === 護理研究所 === 85 === The purpose of this study was to investigate the contents and related factors of uncertainty of the patients with acute myocardial infarction (AMI) during their hospital stay. It was a two-stage study. In stage I, in-depth interview was conducted to explore the contents of uncertainty an AMI victim experienced in intensive care unit (ICU), in ordinary ward, and prior to their discharge. Three subjects from a regional hospital in Hualien were enrolled and the interviewed contents were processed by content analysis techniques. The uncertainty items concluded from content analysis were used to develop a rating scale which was used in the second stage of the study. Thirty AMI patients admitted to a medical center in Taipei city during the Spring of 1997 were enrolled in second stage of the study. Data were obtained by interview guided by the uncertainty rating scale. The major statistical procedures applied in data management were: frequencies, t-test and ANOVA. The results indicated that patients experienced uncertainty about the disease, their prognosis, and the treatment/diagnostic procedures during their hospital stay. However, the foci of uncertainty varied in different periods. Uncertainty specific to period of ICU stay was related to family adjustment. Uncertainty specific to the period of ordinary ward stay was regard to the treatment/diagnostic procedures and management plan. Uncertainty specific to the time prior to discharge was related to the weakness of physical status and self-care at home to handle the possible recurrent of the disease. Patients with age less than 65y/o, single, currently owned a job, receiving high school education or less, new to AMI, and receiving angioplasty, stent, or thrombolytic therapy had high level of uncertainty during their stay in ICU and ordinary ward (p＜.05). At the time prior to discharge, female patients, with left heart infarction, or ever heard of AMI before had higher level of uncertainty (p＜.05). The findings of this study provided references to identify AMI patients who tend to experience uncertainty and the contents of uncertainty a patients might be. It was suggested to assess and recognize patients' uncertainty in providing care. With a better understanding of patients' uncertainty, nurses might be more capable to help AMI patients cope with the disease.