The Effects of Information Providing Integrated with Social Support Program on Uncertainty to Illness Among Older Persons with Non-ST Elevation Myocardial Infarction
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Abstract
Objectives: This research was quasi-experimental research for one group pretest-posttest design, aimed to compare scores on uncertainty to illness among older persons with Non-ST Elevation Myocardial Infarction (NSTEMI), before and after participating in a program of information integrated with social support. Methods: Twenty-seven participants were purposively recruited into this study with the inclusion criteria, including men and women aged 60 years old or older who firstly received an NSTEMI diagnosis. The Instrument was divided into 2 parts: (1) information providing integrated with social support program on uncertainty to illness among older persons with NSTEMI, composed of 5 activities: 1) good resources, 2) disease awareness, 3) clarification of treatment plan, 4) adequate information and 5) follow up, the duration of activities was 2 weeks, and (2) uncertainty in illness questionnaire. This reliability testing was checked among 20 subjects, yielding Cronbach’s alpha coefficient of .72. The Data were analyzed using descriptive statistic, paired t-test. Results: Compared with before participation in the program, the overall scores and each aspect of uncertainty to illness, namely ambiguity, complexity, inconsistency of information, and unpredictability, were significantly lower after participation (p<.05). Conclusion: Participation in the program could reduce overall and each aspect of uncertainty to illness. Thus, nurses should educate older persons with NSTEMI and their caregivers using the disease/treatment practice guidelines, with focusing on making older persons and their caregivers clearly understand the meaning of illness.
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