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Uncertainty in Elderly Women with Osteoarthritis: Relationship to Pain, Self-care Agency and Health Conservation

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KMID : 0895920140160030201
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Abstract

Purpose: The purpose of this study was to examine the relationship of uncertainty to pain, self-care agency and health conservation and to identify factors affecting uncertainty in elderly women with osteoarthritis.

Methods: Participants, 156 women aged 65 years or older, were outpatients at A orthopedic clinic in D city and were diagnosed with osteoarthritis. Data were collected using the Visual Analogue Scale (pain), Self-As-Carer Inventory (Geden & Taylor, 1988), Health Conservation Scale (Sung, 2005a) and Mishel Uncertainty in Illness Scale (Mishel, 1988) and analyzed using t-test, one-way ANOVA, Pearson¡¯s correlation, and stepwise multiple regression.

Results: Uncertainty was positively correlated with the degree of pain and negatively correlated with self-care agency and health conservation in elderly women with osteoarthritis. Health conservation was the strongest predictor (¥â=-.28) of uncertainty in elderly women with osteoarthritis, followed by assistance from spouse (¥â=-.25) and monthly allowance (¥â=-.24). These variables accounted for 29% of the total variance in uncertainty.

Conclusion: Findings from the study suggest the need to develop and utilize nursing interventions targeting improvements in health conservation to reduce uncertainty in elderly women with osteoarthritis.
KeyWords
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Uncertainty, Pain, Self-care, Health
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