Uncertainty and Psychosocial Adjustment Following Implantation of a Cardioverter Defibrillator

2.50
Hdl Handle:
http://hdl.handle.net/10755/153631
Type:
Presentation
Title:
Uncertainty and Psychosocial Adjustment Following Implantation of a Cardioverter Defibrillator
Abstract:
Uncertainty and Psychosocial Adjustment Following Implantation of a Cardioverter Defibrillator
Conference Sponsor:Sigma Theta Tau International
Conference Year:2005
Author:Mauro, Ann Marie P., PhD, RN
P.I. Institution Name:Seton Hall University
Title:Assistant Professor
Background/Problem: Mishel's uncertainty in illness theory was the study's framework. The model theorizes that when a person cannot diminish uncertainty surrounding an illness, he will have difficulty adapting to that illness. Adaptation was conceptualized as psychosocial adjustment (PSA). Ambiguity and complexity are forms of uncertainty. Uncertainty has been documented among implantable cardioverter defibrillator (ICD) recipients; however, the relation between uncertainty and PSA had not been previously studied in this population. The purpose was to explore the relation between uncertainty and PSA at one week (S1) and eight weeks (S2) post-discharge following ICD implant. Twelve hypotheses were tested. Methods: A repeated measures, correlational survey design was used with 94 adult, first-time ICD recipients recruited from four New England hospitals. The Mishel Uncertainty in Illness Scale, Psychosocial Adjustment to Illness Scale Self-Report, and demographic questions were completed at S1 and S2. Data were analyzed using descriptive and inferential statistics including Pearson correlations and multiple regression analyses. Ancillary analyses of gender and age used independent t-tests and repeated measures analysis of variance. Results: All but two hypotheses were supported. ICD recipients with greater uncertainty had less overall PSA, less adjustment in the domestic and social environments and in sexual relationships, and had more psychological distress than those with less uncertainty at both surveys. Uncertainty was unrelated to vocational environment adjustment at either survey. Ancillary analyses revealed no gender differences among the main variables and showed younger (25 to 50 years) adults had less PSA than older (73 to 83 years) adults at both surveys. Conclusions: These findings provide evidence supporting a theoretical linkage between uncertainty and PSA among first-time ICD recipients in the first eight weeks post-discharge. Future research is needed using longitudinal designs exploring variables that mediate the relation between uncertainty and PSA in this population.
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.titleUncertainty and Psychosocial Adjustment Following Implantation of a Cardioverter Defibrillatoren_GB
dc.identifier.urihttp://hdl.handle.net/10755/153631-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Uncertainty and Psychosocial Adjustment Following Implantation of a Cardioverter Defibrillator</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">2005</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 theory was the study's framework. The model theorizes that when a person cannot diminish uncertainty surrounding an illness, he will have difficulty adapting to that illness. Adaptation was conceptualized as psychosocial adjustment (PSA). Ambiguity and complexity are forms of uncertainty. Uncertainty has been documented among implantable cardioverter defibrillator (ICD) recipients; however, the relation between uncertainty and PSA had not been previously studied in this population. The purpose was to explore the relation between uncertainty and PSA at one week (S1) and eight weeks (S2) post-discharge following ICD implant. Twelve hypotheses were tested. Methods: A repeated measures, correlational survey design was used with 94 adult, first-time ICD recipients recruited from four New England hospitals. The Mishel Uncertainty in Illness Scale, Psychosocial Adjustment to Illness Scale Self-Report, and demographic questions were completed at S1 and S2. Data were analyzed using descriptive and inferential statistics including Pearson correlations and multiple regression analyses. Ancillary analyses of gender and age used independent t-tests and repeated measures analysis of variance. Results: All but two hypotheses were supported. ICD recipients with greater uncertainty had less overall PSA, less adjustment in the domestic and social environments and in sexual relationships, and had more psychological distress than those with less uncertainty at both surveys. Uncertainty was unrelated to vocational environment adjustment at either survey. Ancillary analyses revealed no gender differences among the main variables and showed younger (25 to 50 years) adults had less PSA than older (73 to 83 years) adults at both surveys. Conclusions: These findings provide evidence supporting a theoretical linkage between uncertainty and PSA among first-time ICD recipients in the first eight weeks post-discharge. Future research is needed using longitudinal designs exploring variables that mediate the relation between uncertainty and PSA in this population.</td></tr></table>en_GB
dc.date.available2011-10-26T12:24:16Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T12:24:16Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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