Illness Uncertainty in Patients Awaiting Liver Transplant.
Illness Uncertainty in Patients Awaiting Liver Transplant.
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DOI：
10.1177/0193945920952059
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发表时间：
2021-06
影响因子：
1.8
通讯作者：
Yang, Qing
中科院分区：
文献类型：
--
作者：
Bailey, Donald E., Jr.;Yao, Jia;Yang, Qing
疾病不确定性在患有慢性生命限制疾病的患者中很普遍。我们描述了等待肝移植的患者中高水平的疾病不确定性，并检查了不确定性与人的因素和不确定性的前因之间的关系，使用Mishel疾病不确定性量表来衡量疾病不确定性。我们使用模式和四分位数范围(IQR)来描述115名等待肝移植的患者的疾病不确定性水平。多元Logistic回归模型和线性回归模型估计了不确定性与假设的前因的关联。15.6%的患者报告总体疾病不确定度得分较高。在调整了所有变量后，疾病不确定性与两个不确定性的前因相关，即低社会幸福感(OR=0.816；p=.025)和低自我效能(OR=0.931；p=.013)。复杂性与社会幸福感呈负相关，模糊性和不一致性与自我效能感呈负相关。每七名患者中就有一名经历了高度的疾病不确定性。社会幸福感和自我效能感与疾病不确定性呈负相关。
Illness uncertainty is prevalent in patients with chronic life-limiting conditions. We described high levels of illness uncertainty in patients awaiting liver transplant and examined relationships between uncertainty and person factors and the antecedents of uncertainty, The 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 awaiting liver transplant. 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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影响因子：
--
作者：
Larson, Anne M
通讯作者：
Larson, Anne M
影响因子：
1.8
作者：
MCCAIN, NL;CELLA, DF
通讯作者：
CELLA, DF
注意等待：疾病进展对慢性肝炎患者不确定性和抑郁症状的作用。
影响因子：
2.5
作者：
Colagreco JP;Bailey DE;Fitzpatrick JJ;Musil CM;Afdhal NH;Lai M
通讯作者：
Lai M
影响因子：
120.7
作者：
Larson, AM;Curtis, JR
通讯作者：
Curtis, JR
影响因子：
1.9
作者：
Kazer, Meredith Wallace;Bailey, Donald E., Jr.;Kelly, William Kevin
通讯作者：
Kelly, William Kevin