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The Pathways From Social Support and Patient Knowledge to Psychological Distress in Atrial Fibrillation: A Path
Hui-Ling Hsieh1, Shu-Meng Cheng, Yue-Cune Chang
1Author Affiliations: Second Degree Bachelor of Science in Nursing College of Medicine, National Taiwan University, Taipei, Taiwan (Dr Hsieh); Department of Nursing, National Taiwan University Hospital, Yunlin Branch, Yunlin; Taiwan (Dr Hsieh); Division of Cardiology, Department of Internal Medicine, Tri-Service General Hospital; National Defense Medical Center, Taipei, Taiwan (Dr Cheng); National Defense Medical Center, School of Medicine, Taipei, Taiwan (Dr Cheng); Department of Mathematics, Tamkang University, Taipei, Taiwan (Dr Chang); and College of Nursing, University of Colorado Anschutz Medical Campus, Aurora, CO (Dr Wang).
Abstract:
Guided by Mishel theory of uncertainty in illness, this cross-sectional study examined relationships between uncertainty and psychological distress among 300 Taiwanese patients with atrial fibrillation (AF). The instruments included the Brief Illness Perception Questionnaire, Symptom Frequency Subscale of the Symptom Checklist-Frequency and Severity, Medical Outcomes Study Social Support Survey, AF Knowledge Scale, Mishel Uncertainty-in-Illness Scale, and Hospital Anxiety and Depression Scale. Path analysis examined the relationships among uncertainty, psychological distress, and related variables. Findings suggest that enhancing social support and AF knowledge through nursing interventions may help reduce uncertainty and psychological distress.
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