2.50
Hdl Handle:
http://hdl.handle.net/10755/157773
Type:
Presentation
Title:
Uncertainty, Anxiety and Information Need in Patients Treated with PCI
Abstract:
Uncertainty, Anxiety and Information Need in Patients Treated with PCI
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Lai, Ming, RN
P.I. Institution Name:Second Affiliated Hospital of Zhejiang University
Title:RN
Contact Address:388 Yuhangtang Rd, Hangzhou, China
Contact Telephone:909-558-1000
Co-Authors:Ellen D'Errico, PhD, Assistant Professor; Weihong Ren, RN; Fenfang Zheng, RN
Purpose: To find out when patients experience the most anxiety during hospitalization for percutaneous coronary interventions (PCI), examine the correlation between anxiety and illness uncertainty, and determine the patient's most pressing information needs. Background: Patients undergoing PCI usually experience high levels of anxiety. Previous cross-sectional studies in illness groupings that included asthma and diabetes found that illness uncertainty serves as a significant predictor of psychological distress such as anxiety. Illness uncertainty management interventions such as disease education and providing information resources can improve outcomes in cancer patients. The correlation between anxiety and illness uncertainty has not been studied in acute care settings with patients receiving PCI. Methods: Three rounds of data collection were done on study participants: one day before (T1), the same day (T2), and three days after the intervention (T3). State anxiety inventory scores (S-AE) and angiotensin II blood levels (AT II) were used to measure levels of anxiety. The Chinese version of Mishel's Illness Uncertainty Scale was used to measure the level of illness uncertainty. Self-designed questionnaires were used to assess patient demographics and the patient's most pressing information needs. Results: Patients undergoing PCI experienced high anxiety and illness uncertainty with levels higher at T1 and T2 compared to T3. Illness uncertainty and anxiety were positively correlated at T1, T2 and T3. The patient's most pressing information needs were knowledge related to first aid for heart attack and the impact PCI would have on their life in the future. Angiotensin II levels were elevated at all three measurements. Implications: Effective nursing interventions to decrease anxiety and illness uncertainty by patient education and other strategies may improve psychological outcomes, especially before the intervention. Effective patient education programs for patients undergoing PCI should be explored in the future.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleUncertainty, Anxiety and Information Need in Patients Treated with PCIen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157773-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Uncertainty, Anxiety and Information Need in Patients Treated with PCI</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lai, Ming, RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Second Affiliated Hospital of Zhejiang University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">RN</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">388 Yuhangtang Rd, Hangzhou, China</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">909-558-1000</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">ederrico@llu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Ellen D'Errico, PhD, Assistant Professor; Weihong Ren, RN; Fenfang Zheng, RN</td></tr><tr><td colspan="2" class="item-abstract">Purpose: To find out when patients experience the most anxiety during hospitalization for percutaneous coronary interventions (PCI), examine the correlation between anxiety and illness uncertainty, and determine the patient's most pressing information needs. Background: Patients undergoing PCI usually experience high levels of anxiety. Previous cross-sectional studies in illness groupings that included asthma and diabetes found that illness uncertainty serves as a significant predictor of psychological distress such as anxiety. Illness uncertainty management interventions such as disease education and providing information resources can improve outcomes in cancer patients. The correlation between anxiety and illness uncertainty has not been studied in acute care settings with patients receiving PCI. Methods: Three rounds of data collection were done on study participants: one day before (T1), the same day (T2), and three days after the intervention (T3). State anxiety inventory scores (S-AE) and angiotensin II blood levels (AT II) were used to measure levels of anxiety. The Chinese version of Mishel's Illness Uncertainty Scale was used to measure the level of illness uncertainty. Self-designed questionnaires were used to assess patient demographics and the patient's most pressing information needs. Results: Patients undergoing PCI experienced high anxiety and illness uncertainty with levels higher at T1 and T2 compared to T3. Illness uncertainty and anxiety were positively correlated at T1, T2 and T3. The patient's most pressing information needs were knowledge related to first aid for heart attack and the impact PCI would have on their life in the future. Angiotensin II levels were elevated at all three measurements. Implications: Effective nursing interventions to decrease anxiety and illness uncertainty by patient education and other strategies may improve psychological outcomes, especially before the intervention. Effective patient education programs for patients undergoing PCI should be explored in the future.</td></tr></table>en_GB
dc.date.available2011-10-26T20:11:26Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:11:26Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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