Factors Associated With Uncertainty in Patients Scheduled to Undergo Hematopoietic Stem Cell Transplantation

Adarve, Sandra E; Osorio, Jhon H

doi:10.1097/ncc.0000000000000773

Cited by 7 publications

(6 citation statements)

References 15 publications

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“…Related study reported that knowledge and information about this disease was essential to help them regain control over the bowel [22]. In this study, the low educational level of the sample may have contributed to greater uncertainty, 69.8% of them had junior high school or below, and this was in line with the study of Adarve [23].…”

Section: Discussionsupporting

confidence: 75%

Associations Between Uncertainty and Self-Care Ability Among Chinese Enterostomy Patients: A Mediation Analysis

Wang

Zhang

et al. 2021

Preprint

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Purpose The relationship between uncertainty and self-care behaviors is well documented in the literature, however, there exists a paucity of information on the mediating effect of perceived stress on the relationship between uncertainty and self-care ability among enterostomy patients. This study aimed to examine the relationship between uncertainty and self-care ability among enterostomy patients, and explore the mediating role of perceived stress.Methods 462 enterostomy patients aged (60.00 ± 12.81) years old participated in the study. Cross-sectional study was conducted among them by a set of self-administered questionnaires, which includes demographic information, perceived stress scale, illness uncertainty scale, and ostomy self-care ability scale. Multiple linear regression analyses were performed to explore the role of perceived stress between Uncertainty and self-care ability, structural equation modeling was used to verify it.Results 450 participants finally completely finished the research, with the recycling rate of 97.4%. Uncertainty was demonstrated positively related to perceived stress(r = 0.215, P < 0.01), and negatively related to self-care ability(r=-0.470, P < 0.01), perceived stress was negatively related to self-care ability(r=-0.640, P < 0.01). Perceived stress played a partially mediating role between Uncertainty and self-care ability, which accounted 40.8 % of the total effect.Conclusions The findings present a conceptual model containing the mediated effects of perceived stress, which facilitated our understanding of the relationship among uncertainty, perceived stress, and self-care ability. Thus, perceived stress and uncertainty should be the focus, in order to improve self-care ability of the enterostomy patients.

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Section: Discussionsupporting

confidence: 75%

Associations Between Uncertainty and Self-Care Ability Among Chinese Enterostomy Patients: A Mediation Analysis

Wang

Zhang

et al. 2021

Preprint

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“…These findings are consistent with those of Kang 6 , who found that the most contacted medical staff during HSCT in the isolation unit were nurses, who spent the maximum time with patients. Thus, there is a need for medical staff to actively manage timing, circumstances, and responses to improve patient management strategies 25 . In order to alleviate symptoms in patients undergoing HSCT, yoga 26 , exercise 27 , and music therapy 28 have been utilized, with many reports of their efficacy.…”

Section: Discussionmentioning

confidence: 99%

Correlates of quality of life in South Korean patients undergoing hematopoietic stem cell transplantation based on the symptom management model

Kim

Lee

et al. 2022

Sci Rep

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While hematopoietic stem cell transplantation (HSCT) has led to higher survival rates, the number of patients experiencing adverse reactions is also increasing. Based on the symptom management model, we aimed to analyze the relationships between symptom experience, symptom management strategies, self-management behavior, and quality of life among patients undergoing HSCT in South Korea and to identify the factors affecting their quality of life. The data of 67 conveniently sampled patients undergoing HSCT at a university-affiliated hospital, for the period from March 23 to June 7, 2016, were collected using a self-reported structured questionnaire. Data were analyzed using Pearson’s correlations and multiple regression analysis. Quality of life showed a significant negative correlation with symptom experience and significant positive correlations with symptom management strategies. Factors influencing quality of life included symptom distress, symptom management strategies, and self-management behavior; these explained 39.4% of the variance. To improve quality of life in patients undergoing HSCT, the efficient management of multiple co-existing symptoms is important. There is a need for tailored nursing interventions based on a patient-focused and person-centered approach for patients undergoing HSCT.

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“…However, a recent study of patients undergoing hematopoietic stem cell transplant reported cut points for the MUIS-A and established that a score of more than 88 was indicative of high illness uncertainty. They reported a mean illness uncertainty score of 95.46 (SD 9.5) with 37 (74%) of patients reporting high illness uncertainty (Adarve & Osorio, 2019).…”

Section: Discussionmentioning

confidence: 99%

Illness Uncertainty in Patients Awaiting Liver Transplant

2020

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Illness uncertainty is prevalent in patients awaiting liver transplant. We described high levels of illness uncertainty in these patients and examined relationships between uncertainty and person factors and the antecedents of uncertainty. Mishel uncertainty in illness scale was used to measure illness uncertainty. We used modes and interquartile range (IQR) to describe illness uncertainty levels in 115 patients. Multiple logistic and linear regression models estimated the associations of uncertainty with hypothesized antecedents. High total illness uncertainty score was reported by 15.6% of the patients. After adjusting for all variables, illness uncertainty was associated with two antecedents of uncertainty, low social well-being (OR = 0.816; p = .025) and low self-efficacy (OR = 0.931; p = .013). Complexity was negatively associated with social well-being; ambiguity and inconsistency were negatively associated with self-efficacy. One in seven patients experienced high illness uncertainty. Social well-being and self-efficacy were negatively related to illness uncertainty.

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Factors Associated With Uncertainty in Patients Scheduled to Undergo Hematopoietic Stem Cell Transplantation

Cited by 7 publications

References 15 publications

Associations Between Uncertainty and Self-Care Ability Among Chinese Enterostomy Patients: A Mediation Analysis

Associations Between Uncertainty and Self-Care Ability Among Chinese Enterostomy Patients: A Mediation Analysis

Correlates of quality of life in South Korean patients undergoing hematopoietic stem cell transplantation based on the symptom management model

Illness Uncertainty in Patients Awaiting Liver Transplant

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