[Uncertainty: a concept analysis].
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Adaptation, Psychological↗
Biomedical subjects
N Y Ko
Publications and source records attributed to N Y Ko.
[Concerns and nursing care of a family living with AIDS].
AIDS is not solely a medical issue but also has profound implications for family relationships. This case report using the concepts of family nursing and case management presents the concerns of a family living with AIDS. The data was collected through continuous contacts with a patient during December 1994 to August 1996. This report's findings indicate that the concerns of the family living with AIDS fall into seven categories: The reasons for HIV infection, how to meet the patient's sexual needs, suffering during health care seeking, the effectiveness and side-effects of anti-viral drugs, home care skills, the light of hope, death issues. Professional nurses should provide care to both the AIDS patient and the family members. Using social resources and cooperating with other health professionals can promote the quality of life for families living with AIDS.
Acquired Immunodeficiency Syndrome↗
[Informational needs and information-seeking behaviors of recently diagnosed HIV seropositive gay man].
In recent years, substantial changes in doctor-patient relations and consumer oriented attitudes have occurred. Many patients need more information regarding their diagnosis and treatment for developing positive coping strategies to face their disease. This case report uses an informational needs theoretical framework to present the informational needs and information-seeking behaviors of a recently diagnosed HIV seropositive gay man. The data was collected through continuous contacts with the patient during October 1994 to January 1995. This report's findings indicated that need for information after diagnosis fall into eight categories of concern: process in hospitalization, physical symptoms related to HIV/AIDS, side effects of anti-viral drugs, death, insurance, future planning, self care and how to disclose to others. Information seeking behaviors included actively or passively gathering information, asking others' experience and counseling with caregiver. Non-judgmental and supportive attitudes were significant factors for reducing the effects of social stigmatization as an obstacle to the patient during the information seeking process.
Adult↗
[Assessing the effect of health belief, knowledge, and social support on compliance behaviors in chronic hemodialysis patients].
The purposes of this study were to investigate the effects of hemodialysis patients' health belief, knowledge on uremia, and social support upon their compliance behavior. The convenience sample of 330 hemodialysis (HD) patients was obtained at HD centers in southern Taiwan. With the use of a questionnaire developed by the researcher, all subjects were interviewed during hemodialysis. Data analyses were processed by a personal computer with SPSS/PC. Pearson correlation, ANOVA, chi-square, multiple regression and factor analysis were selected as the analysis methods for this study. The results indicated: (1) The average overall rate of compliance was 72.1% by patient self report for fluid limit, diet restriction and taking PBM. (2) Two factors of subject's health belief were identified by factor analysis. (3) Those who had more positive motivation for compliance with therapeutic regiments, more knowledge on uremia and stronger social support were positively correlated with compliance behaviors. (4) The best predictive variables of compliance behaviors of HD patients included positive motivation, knowledge on uremia, educational level, current daily urine amount and age; these five variables explained 23% of variance in compliance behaviors. (5) The instruments with a satisfactory validity and reliability developed by the researcher could provide a valuable basis for relevant future research. Implications of these findings for nursing practice are also discussed.
Adult↗