Finding Meaning: Antecedents Of Uncertainty in Illness
Finding Meaning: Antecedents Of Uncertainty in Illness
复制标题
寻找意义：疾病不确定性的前因
DOI：
10.1097/00006199-198803000-00009
复制
发表时间：
1988
期刊：
影响因子：
2.5
通讯作者：
C. Braden
中科院分区：
文献类型：
--
作者：
M. Mishel;C. Braden
在这项研究中，测试了疾病中不确定性模型的一部分。不确定性的前因变量是症状模式和事件熟悉度的刺激框架变量，以及教育、社会支持和可信权威的结构提供者变量。对61名妇科癌症患者在主要治疗效果时的方便样本进行数据收集。研究结果通过经验生成的修正模型支持了所提出的模型，该模型展示了前置因素对特定不确定领域的影响。找到了减少不确定性的不同路径。社会支持、可信权威和事件熟悉度对降低不确定性水平的影响最大。对事件的熟悉和可信的权威主要有效地降低了围绕治疗和护理系统的复杂性。社会支持起到了降低对疾病状态的模糊程度的作用。研究结果普遍支持对不确定性唤醒的解释，并对识别导致不确定性唤醒和修正的刺激来源具有实质性意义。
In this study a portion of the uncertainty in illness model was tested. Antecedents to uncertainty tested were the stimuli frame variables of symptom pattern and event familiarity and the structure provider variables of education, social support, and credible authority. Data were collected on a convenience sample of 61 women with gynecological cancer at the time of major treatment effect. Findings supported the proposed model with an empirically generated revised model presenting the influence of antecedents on specific areas of uncertainty. Divergent paths for reducing uncertainty were found. Social support, credible authority, and event familiarity had the greatest influence on lowering the level of uncertainty. Event familiarity and credible authority were primarily effective in reducing the complexity surrounding treatment and the system of care. Social support functioned to decrease the level of ambiguity concerning the state of the illness. Findings generally support the proposed explanation for uncertainty arousal and have substantive significance in identifying the sources of stimuli leading to uncertainty arousal and modification.