The Relation Between Uncertainty and Psychosocial Adjustment Among Implantable Cardioverter Defibrillator Recipients

2.50
Hdl Handle:
http://hdl.handle.net/10755/153524
Type:
Presentation
Title:
The Relation Between Uncertainty and Psychosocial Adjustment Among Implantable Cardioverter Defibrillator Recipients
Abstract:
The Relation Between Uncertainty and Psychosocial Adjustment Among Implantable Cardioverter Defibrillator Recipients
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Mauro, Ann Marie P., PhD, RN
P.I. Institution Name:Seton Hall University
Title:Assistant Professor
Background/Problem: Mishel?s uncertainty in illness model was the theoretical framework for this study. Uncertainty and psychosocial adjustment (PSA) problems have been documented among implantable cardioverter defibrillator recipients; however, little is known about the relation between uncertainty and PSA in this population. The purpose was to explore the relation between uncertainty and PSA during the first two months following ICD implant. Five research questions were posed. Method: Ninety-four adult, first-time ICD recipients recruited from four New England hospitals were studied using a repeated measures, correlational survey design. At one and eight weeks (S1 and S2) following discharge, the Mishel Uncertainty in Illness Scale, Psychosocial Adjustment to Illness Scale, and a demographic questionnaire were administered. Data were analyzed using descriptive and inferential statistics, including Pearson correlations, repeated measures analysis of variance, multivariate canonical analysis, multiple regression, and one-way analysis of variance. Results: There was no significant change in the nature of uncertainty from S1 to S2. Uncertainty at S1 explained a significant amount (39%) of the variance in overall PSA at S2. PSA domains at S1 explained a very large proportion (62%) of the variance in overall PSA at S2. At S2, recipients with less education had greater ambiguity than those with more education. Education, employment status, and functional status explained a significant proportion (21%) of the variance in uncertainty at S2. Younger participants, people with a lower functional status, and those who were disabled had more PSA problems. Time since discharge was not correlated with uncertainty or PSA. Uncertainty accounted for 21% and 45% of the variance in PSA at S1 and S2, respectively. Conclusions: The results support the relation between uncertainty and PSA during the first two months among first time ICD recipients. Longitudinal studies using larger samples are needed to determine the relation between uncertainty and PSA over time.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Relation Between Uncertainty and Psychosocial Adjustment Among Implantable Cardioverter Defibrillator Recipientsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/153524-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Relation Between Uncertainty and Psychosocial Adjustment Among Implantable Cardioverter Defibrillator Recipients</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Mauro, Ann Marie P., PhD, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Seton Hall University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Assistant Professor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">mauroann@shu.edu</td></tr><tr><td colspan="2" class="item-abstract">Background/Problem: Mishel?s uncertainty in illness model was the theoretical framework for this study. Uncertainty and psychosocial adjustment (PSA) problems have been documented among implantable cardioverter defibrillator recipients; however, little is known about the relation between uncertainty and PSA in this population. The purpose was to explore the relation between uncertainty and PSA during the first two months following ICD implant. Five research questions were posed. Method: Ninety-four adult, first-time ICD recipients recruited from four New England hospitals were studied using a repeated measures, correlational survey design. At one and eight weeks (S1 and S2) following discharge, the Mishel Uncertainty in Illness Scale, Psychosocial Adjustment to Illness Scale, and a demographic questionnaire were administered. Data were analyzed using descriptive and inferential statistics, including Pearson correlations, repeated measures analysis of variance, multivariate canonical analysis, multiple regression, and one-way analysis of variance. Results: There was no significant change in the nature of uncertainty from S1 to S2. Uncertainty at S1 explained a significant amount (39%) of the variance in overall PSA at S2. PSA domains at S1 explained a very large proportion (62%) of the variance in overall PSA at S2. At S2, recipients with less education had greater ambiguity than those with more education. Education, employment status, and functional status explained a significant proportion (21%) of the variance in uncertainty at S2. Younger participants, people with a lower functional status, and those who were disabled had more PSA problems. Time since discharge was not correlated with uncertainty or PSA. Uncertainty accounted for 21% and 45% of the variance in PSA at S1 and S2, respectively. Conclusions: The results support the relation between uncertainty and PSA during the first two months among first time ICD recipients. Longitudinal studies using larger samples are needed to determine the relation between uncertainty and PSA over time.</td></tr></table>en_GB
dc.date.available2011-10-26T12:19:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:19:52Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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