Correlation of the disease uncertainty and information demand in preoperative patients with aortic dissection

Abstract

Objective To explore the relationship between the disease uncertainty and information demand in preoperative patients with aortic dissection. Methods A total of 100 preoperative patients with aortic dissection were investigated from January 2012 to January 2014 with Mishel′s uncertainty in illness scale (MUIS), Hamilton anxiety scale (HAMA) and self-designed information collection table, and the correlations were analysed. Results The total score of MUIS was (112.32±9.66), and the number of patients in middle level was 90 (91.8%). The score of ambiguity was (42.32± 4.54), and the number of patients in middle level was 85 (86.7%). The score of complexity was (22.43±3.63), and the number of patients in middle level was 68 (69.4%). The score of lack of information was (19.32±2.75), and the number of patients in middle level was 65 (66.3%). The score of unpredictability was (15.43±2.78), and the number of patients in middle level was 60 (61.2%). The total score of HAMA was (13.65±11.64), and the number of patients in middle level was 60 (61.2%). The score of information requirements was (141.34±14.56), and the number of patients in middle level was 65 (66.3%). The score of disease and treatment was (62.32±4.54), and the number of patients in middle level was 65 (66.3%). The score of health was (32.43±3.63), and the number of patients in middle level was 68 (69.4%). The score of mental health was (17.43±2.78), and the number of patients in middle level was 60 (61.2%). The score of family health was (9.64±2.65), and the number of patients in middle level was 65 (66.3%). The score of social health was (7.34±2.56), and the number of patients in middle level was 60 (61.2%). The different dimensions of disease uncertainty were positively correlated to anxiety, treatment of disease, physical health, mental health, family health, social health and information demand (P<0.05). Conclusions Preoperative patients with aortic dissection have the medium level of disease uncertainty and are affected by anxiety. They have a high level of demand for the disease and treatment information, and health information. The information demands significantly affect the patient′s disease uncertainty. Key words: Aortic dissection; Disease uncertainty; Information demand; Perioperative period; Correlation