Perceived Uncertainty, Symptom Distress and Learning needs among CABG Patients Post-DischargeName : Dr. Maha Subih
Affliation : Assistant Professor
University : Al-Zaytoonah university of Jordan
Country : Jordan
Aim: the primary purpose of this study was to explore the relationship between each pair of the variables; perceived uncertainty, symptoms distress, and learning needs. The second purpose was to determine the predictors of uncertainty among Jordanian CABG patients post-discharge.
Background: Uncertainty affects psychosocial adaptation and outcomes of disease. -Uncertainty is a component of all illness situations, and many studies found significant relationship between uncertainty and symptoms distress. During recovery period CABG patients are already stressed by unexplained symptoms, uncertainty prognosis, or difficulties with treatment regime. Symptoms distress includes physical and psychological problems. Nurses hold a key role in the assessment of problems and difficulties with recovery post CABG. Learning needs mainly founded related to complications, most studies found that highest scores for learning needs were those for physiologic care needs, whereas second highest were those for informational and psychosocial needs.
Design: The study used a cross – sectional – correlational design.
Methods: Convenient sampling from two large hospitals in Amman (the capital of Jordan) a teaching and a military hospital. Out of 230 questionnaires distributed 161 participants agreed to participate and fill the questionnaires. Data was collected from September to November 2013. Patients who agreed to participate were approached while they were waiting to be seen by the physician in a private room. Demographic data, Mishel’s Uncertainty of Illness Scale (MUIS-C), Cardiac Symptoms Survey (CSS), and Cardiac Patients Learning Needs (CPLNI) were used for data collection.
Results: Post discharge, the patients had a moderate level of perceived uncertainty. Significant correlation was found between perceived uncertainty and specific symptoms such as angina, shortness of breath, and anorexia. At the same time, significant correlation were found between perceived uncertainty and specific learning needs such as anatomy and physiology, risk factors, medication information, and diet information.
Conclusion: Adequate patient education and fulfilling their learning needs could improve the degree of perceived uncertainty and symptoms distress in coronary artery bypass graft patients post discharge. Nurses should provide resources to provide and maintain a high quality patient education for patients undergoes for CABG surgery.
Relevance to clinical practice: understanding perceived uncertainty and its relationship with symptoms distress and learning needs is important because proper management of these variables may allow patients to participate in the decision-making process throughout their illness.
Biography: Dr. Maha Subih, PhD, RN, received her PhD in nursing in 2014. Her research focuses symptoms distress and learning needs in nursing education. Currently, she is working as an assistant professor tenure track in University of Jordan, Clinical Department, Jordon. She is a member of Jordanian Nurse & Midwifes Council Since 1996, member in quality committee in JNC (2004-2005) and also member in Segma Theta Tau, 2015. Her research includes several publications in the field of nursing.