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Related Experiment Videos

Heart failure: living with uncertainty.

C A Winters1

  • 1Montana State University-Bozeman, College of Nursing, Missoula 59812, USA.

Progress in Cardiovascular Nursing
|November 5, 1999
PubMed
Summary

Living with chronic heart failure brings uncertainty, particularly regarding symptoms, staying well, and end-of-life concerns. This study explored patient experiences to enhance understanding of uncertainty in chronic illness.

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Area of Science:

  • Cardiology
  • Psychology
  • Nursing

Background:

  • Uncertainty is a key aspect of heart disease.
  • Limited research exists on uncertainty in chronic heart failure (CHF).

Purpose of the Study:

  • To describe the lived experience of uncertainty in individuals with CHF.
  • To expand theoretical knowledge of uncertainty within chronic illness.

Main Methods:

  • Qualitative interpretive approach.
  • Data from 22 adults (urban/rural) in a rural western state.
  • Included interviews, clinical data, and Mishel Uncertainty in Illness Scale (MUIS-C) scores.

Main Results:

  • Identified three core themes of uncertainty: symptoms/treatment, maintaining wellness, and quality of life/death.
  • Highlighted age-related changes affecting symptom recognition and response.
  • Observed a cautious trust in healthcare providers among participants.

Conclusions:

  • Findings contribute to uncertainty in illness theory, emphasizing age and healthcare provider trust.
  • Suggests implications for nursing practice in managing CHF patient uncertainty.
  • Recommends further research into uncertainty experiences in chronic conditions.

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