Predictors of uncertainty among postdischarge coronary artery bypass graft patients in Jordan
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Updated: Feb 10, 2026

Author Spotlight: Enhancing Coronary Artery Revascularization
Published on: September 15, 2023
Maha Subih1, Mahmoud Al-Kalaldeh2, Ibrahim Salami3
1School of Nursing, Al-Zaytoonah University of Jordan, Amman, Jordan.
Insights
Coronary artery bypass graft (CABG) patients experience uncertainty, often linked to learning needs, not just symptom distress. Understanding patient characteristics is key for healthcare providers to manage this uncertainty during recovery.
Area of Science:
- Cardiovascular Surgery
- Patient Recovery
- Health Psychology
Background:
- Uncertainty negatively affects patient adaptation and health outcomes.
- Coronary artery bypass graft (CABG) patients commonly face uncertainty, symptom distress, and learning needs post-surgery.
Purpose of the Study:
- To identify predictors of uncertainty in patients recovering from CABG.
- To explore the relationship between uncertainty, symptom distress, and learning needs in CABG patients.
Main Methods:
- A cross-sectional correlational study involving 161 CABG patients one month post-discharge.
- Data collected via self-administered questionnaires including demographic information, uncertainty scale, symptom survey, and learning needs assessment.
Main Results:
- Patients reported moderate uncertainty, low symptom distress, and high learning needs.
- Uncertainty showed a significant correlation with learning needs and a lesser correlation with symptom distress.
- Hierarchical multiple regression identified gender, employment status, education level, and learning needs as significant predictors of uncertainty.
Conclusions:
- Symptom distress is not a direct or sole cause of uncertainty in CABG patients.
- Healthcare professionals should consider individual patient characteristics to proactively address and manage uncertainty.
- Addressing learning needs may be a crucial strategy in mitigating patient uncertainty post-CABG.
Abstract:
Uncertainty impacts negatively on adaptation and disease outcomes. During recovery, coronary artery bypass graft (CABG) patients experience uncertainty, symptom distress, and learning needs. This study aimed to examine predictors associated with uncertainty among CABG patients. This cross-sectional correlational study recruited CABG patients conveniently from out-patient clinics 1 month after discharge. Participants completed a self-administered questionnaire which included: demographic questionnaire, Mishel's Uncertainty of Illness Scale, Cardiac Symptoms Survey, and Cardiac Patients Learning Needs. A total of 161 participants completed the study questionnaires. Participants showed a moderate level of uncertainty, less cardiac symptom distress, and high learning needs. Uncertainty was significantly correlated with learning needs while less correlated with symptom distress. Hierarchal multiple regression revealed that gender, employment status, education level, and learning needs are factors associated with uncertainty among CABG patients. It was concluded that symptom distress does not necessarily induce uncertainty. Intensive care professionals should undertake individual's characteristics to anticipate uncertainty.
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