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突發性聽力喪失住院病人疾病不確定感及其影響因素之探討

Illness Uncertainty and Related Factors in Patients With Sudden Hearing Loss

摘要


Background: Sudden sensorineural hearing loss occurs mainly in individuals between 40 and 60 years of age. Most sudden hearing loss cases of nonspecific cause lack well-defined treatments and have no predictable progress. Sudden hearing loss symptoms, diagnoses and illness patterns resemble factors that Mishel' Theory of Uncertainty in Illness identify as potential causes of uncertainty. Uncertainty may block communication and affect a patient' ability to adapt to his or her condition and accept treatment.Purpose: This study describes level of uncertainty in illness and explores related factors among patients with sudden hearing loss.Methods: The authors employed a cross-sectional study design and recruited 60 patients with an initial diagnosis of idiopathic sudden sensorineural hearing loss. Data collected using a structured questionnaire included participant demographics and the Chinese version of the Mishel Uncertainty in Illness Scale (MUIS).Results: Results showed: (1) Illness uncertainty in participants was high (M = 71.75, SD = 12.93); (2) Perceived understanding of illness was the only variable significantly related to illness uncertainty (p < .01); and (3) Education, gender, type of occupation, religious belief, perceived illness severity, perceived illness understanding and perceived self-control over symptoms explained 25% of illness uncertainty variance. ”Perceived understanding of illness” was identified as a significant predictor of illness uncertainty (p<.01).Conclusions / Implications for practice: Increasing illness understanding should be a focus of nursing care for sudden hearing loss patients in order to decrease patient illness uncertainty.

並列摘要


Background: Sudden sensorineural hearing loss occurs mainly in individuals between 40 and 60 years of age. Most sudden hearing loss cases of nonspecific cause lack well-defined treatments and have no predictable progress. Sudden hearing loss symptoms, diagnoses and illness patterns resemble factors that Mishel' Theory of Uncertainty in Illness identify as potential causes of uncertainty. Uncertainty may block communication and affect a patient' ability to adapt to his or her condition and accept treatment.Purpose: This study describes level of uncertainty in illness and explores related factors among patients with sudden hearing loss.Methods: The authors employed a cross-sectional study design and recruited 60 patients with an initial diagnosis of idiopathic sudden sensorineural hearing loss. Data collected using a structured questionnaire included participant demographics and the Chinese version of the Mishel Uncertainty in Illness Scale (MUIS).Results: Results showed: (1) Illness uncertainty in participants was high (M = 71.75, SD = 12.93); (2) Perceived understanding of illness was the only variable significantly related to illness uncertainty (p < .01); and (3) Education, gender, type of occupation, religious belief, perceived illness severity, perceived illness understanding and perceived self-control over symptoms explained 25% of illness uncertainty variance. ”Perceived understanding of illness” was identified as a significant predictor of illness uncertainty (p<.01).Conclusions / Implications for practice: Increasing illness understanding should be a focus of nursing care for sudden hearing loss patients in order to decrease patient illness uncertainty.

參考文獻


黃光琪、吳興盛、梁 挋、蔡高宗(2005).骨科患者手術前後焦慮程度與不確定感之相關性研究.台灣復健醫學雜誌,33(1),1-10。
簡淑娟、黃 珊、韓彤珍、郭美玲、余芳娥(2005).乳癌患者不確定感及其相關因素之探討.腫瘤護理雜誌,5(2),1-13。
羅惠敏、徐南麗、邱慧洳、廖惠娥、劉欣怡(2004).癌症病患症狀困擾與不確定感關係之探討.慈濟護理雜誌,3(1),72-79。
羅惠敏、徐南麗、蕭正光、劉雪娥(2003).比較疼痛及非疼痛癌症病患不確定感、症狀困擾、社會支持與生活品質關係.慈濟護理雜誌,2(3),70-76。
葉玫伶、邱豔芬(1998).心肌梗塞病患住院期間發生不確定感內容及其相關因素之探討.護理研究,6(6),501-512。

被引用紀錄


李雅惠、汪慧鈴、李中一、蕭安穗、杜宗陽(2014)。探討護理指導方案經由改變不確定感刺激結構對不確定感之成效-初次罹患突發性聽力喪失病人護理雜誌61(3),36-44。https://doi.org/10.6224%2fJN.61.3.36

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