Uncertainty, symptom distress, and information needs after surgery for cancer of the colon

被引:125
作者
Galloway, SC
Graydon, JE
机构
[1] Sunnybrook Health Science Centre, University of Toronto, North York, Ont.
[2] Grad. Department of Nursing Science, Faculty of Nursing, University of Toronto, Toronto, Ont.
[3] C418B, SHSC, North York, Ont. M4N 3M5
关键词
colon cancer; uncertainty; symptom distress; discharge information needs;
D O I
10.1097/00002820-199604000-00005
中图分类号
R73 [肿瘤学];
学科分类号
100214 [肿瘤学];
摘要
The purpose of this study was to determine the relationships between uncertainty, symptom distress, and discharge information needs in individuals after a colon resection for cancer. The theoretical framework for the study was derived from Lazarus and Folkman's stress, appraisal and coping model, and Mishel's theory of uncertainty in illness. Uncertainty was measured by the Mishel Uncertainty Illness Scale (MUIS); symptom distress of pain, fatigue, constipation, diarrhea and loss of appetite by visual analogue scales; and discharge information needs by the Patient Learning Need Scale (PLNS). Forty individuals with a first diagnosis of cancer were interviewed after surgical resection of colon cancer. The study results indicated that they had moderate levels of uncertainty, low levels of symptom distress, and a moderate number of discharge information needs. Information related to treatment, complications, and activities of living were identified as highly important. An increase in uncertainty was significantly associated with an increase in discharge information needs. Increased attention to information needs at discharge may decrease an individual's level of uncertainty and facilitate the transition from hospital to home.
引用
收藏
页码:112 / 117
页数:6
相关论文
共 19 条
[1]
*AM CANC SOC, 1995, 1995 CANC FACTS FIG
[2]
THE PATIENT LEARNING NEEDS SCALE - RELIABILITY AND VALIDITY [J].
BUBELA, N ;
GALLOWAY, S ;
MCCAY, E ;
MCKIBBON, A ;
NAGLE, L ;
PRINGLE, D ;
ROSS, E ;
SHAMIAN, J .
JOURNAL OF ADVANCED NURSING, 1990, 15 (10) :1181-1187
[3]
FACTORS INFLUENCING PATIENTS INFORMATIONAL NEEDS AT TIME OF HOSPITAL DISCHARGE [J].
BUBELA, N ;
GALLOWAY, S ;
MCCAY, E ;
MCKIBBON, A ;
NAGLE, L ;
PRINGLE, D ;
ROSS, E ;
SHAMIAN, J .
PATIENT EDUCATION AND COUNSELING, 1990, 16 (01) :21-28
[4]
CHRISTMAN NJ, 1990, NURS RES, V39, P17
[5]
DERDIARIAN A, 1987, CANCER NURS, V10, P156
[6]
DERDIARIAN AK, 1986, NURS RES, V35, P276
[7]
THE RELATIONSHIP BETWEEN COPING AND EMOTION - IMPLICATIONS FOR THEORY AND RESEARCH [J].
FOLKMAN, S ;
LAZARUS, RS .
SOCIAL SCIENCE & MEDICINE, 1988, 26 (03) :309-317
[8]
GALLOWAY SC, 1986, NURSING RES SCI QUAL, P113
[9]
GIFT AG, 1989, NURS RES, V38, P286
[10]
ALTERNATIVE EXPLANATIONS OF COPING WITH STRESSFUL EXPERIENCES ASSOCIATED WITH PHYSICAL ILLNESS [J].
JOHNSON, JE ;
LAUVER, DR .
ADVANCES IN NURSING SCIENCE, 1989, 11 (02) :39-52