DOI QR코드

DOI QR Code

Concept Analysis of Uncertainty in Brain Tumor Patients

뇌종양 환자의 불확실성 개념분석

  • Kim, Ji Hyun (Department of Nursing, Gwangju Health University) ;
  • Yang, Nam Young (Department of Nursing, Konju National University) ;
  • Jeon, Mi Yang (Gyeongsang National University, College of Nursing.Gerontological Health Research Center in Institute of Health Science)
  • 김지현 (광주보건대학교 간호학과) ;
  • 양남영 (공주대학교 간호학과) ;
  • 전미양 (경상국립대학교 간호대학 간호학과.건강과학연구원 노인건강연구센터)
  • Received : 2023.03.10
  • Accepted : 2023.04.24
  • Published : 2023.04.30

Abstract

Purpose: This study aimed to clarify the concept of uncertainty in brain tumor patients. Methods: We used the Walker and Avant's concept analysis method. We searched RISS, MEDLINE, CINAHL, and EMBASE for published articles in Korean and English from January 2002 to December 2022. After applying the inclusion and exclusion criteria, 27 articles were selected for the final analysis. Result: "Uncertainty in brain tumor" was defined as a state in which related clues during the process of experiencing a disease after brain tumor diagnosis are unclear or difficult to understand, new experiences different from before, or a condition in which it is difficult to judge fragmentarily. Moreover, the empirical criteria for the attributes of uncertainty in brain tumor patients were ambiguity of the disease process, diversity of information, unpredictability of prognosis, and complexity of management. Conclusion: Brain tumor patients with uncertainty require strategic technology development so that brain tumor patients, their families, and health care providers can use reasonable coping methods.

Keywords

References

  1. Knight, F. K. (1921). Risk, Uncertainty and profit, 1st Edition, The Riverside Press, Cambridge.
  2. Lin L, Chein LC, Acquaye AA, Vera-Bolanos E, Givert MR, Armstrong TS. Significant predictors of patient's uncertainty in primary brain tumors. 2015;122(3):507-515. https://doi.org/10.1007/s1160-015-1756-7.
  3. Mishel MH. Uncertainty in illness. Journal of Nursing Scholarship. 1988;20(4):225-232. https://doi.org/10.1111/j.1547-5069.1988.tb00082.x.
  4. Yang NY Kim MJ. Concept analysis of uncertainty related to illness. Journal of Korean Gerontological Nursing. 2002;4(2):187-194.
  5. Miller CA. Pseudoprogression: Patient experience and nursing in uncertainty. Canadian Journal of Neuroscience Nursing. 2015;37(2):35-41.
  6. Lee IS, Park CS. Convergent effects of anxiety, depression, uncertainty, and social support on quality of life in women with thyroid cancer. Journal of the korea Convergence Society. 2017;8(8):163-176. https://doi.org/10.15207/JKCS.2017.8.8.163.
  7. Yu PS, Ko SH. A study on the relation among uncertainty in illness, hope and spiritual well-being of cancer patients. Korean Journal of Adult Nrusing. 2006;18(3):479-487.
  8. Rozmovits L, Khu KJ, Osman S, Gentili F, Guha A, Bernstein M. Information gaps for patients requiring craniotomy for benign brain lesion: a qualitative study. Journal of Neuro-Oncology. 2010;96:241-247. https://doi.org/10.1007/s11060-009-9955-8.
  9. Lin L, Chiang HH, Acquaye AA, Vera-Bolanos E, Gibert MR, Armstrong TS. Uncertainty, mood states, and symptom distress in patients with primary brain tumors. Cancer. 2010;119(15):2796-2806. https://doi.org/10.1002/cncr.28121.
  10. Korean Society of Neurosurgery. Seoul: ML communications. 2012.
  11. Boo SJ. Self-care agency and quality of life in brain tumor patients after surgery. Asian Oncology Nursing. 2015;15(4):211-218. https://doi.org/10.5388/aon.2015.15.4.211.
  12. Kim SH, Bun YS. Trajectories of symptom clusters, performance status, and quality of life during concurrent chemoradiotherapy in patient with high-grade brain cancer. Cancer Nursing. 2018;4(1):E38-E47. https://doi.org/10.1097/NCC.0000000000000435.
  13. Walker LO, Avant KC. Strategies for theory construction in nursing. 5th ed. Oh K, Lee IS, Joe SY, translator. Boston, Ma:Prentice Hall;2011.
  14. National Institute of Korean Language. The korean standard dictionary[Intenet]. Seoul: Author;2022 [cited 2022 December 10]. Availabe from: http://https://stdict.korean.go.kr/search/searchResult.do?pageSize=10&searchKeyword=%EB%B6%88%ED%99%95%EC%8B%A4%EC%84%B1.
  15. Cambige University Press. Cambrige dictionary: Uncertain [Intenet]. Cambridge. UK: Author; 2022 [cited 2022 December 10]. Available from: https://dictionary.cambridge.org/dictionary/english-korean/uncertain.
  16. Hubbard, D. W. How to measure anything: finding the value of 'intangibles' in business. 3nd ed. New York: Wiley. 2014 p. 432.
  17. Knight, F. H. Ristk, uncertainty, and profit. Martino Fine Books; Illustrated edition. 2014. p. 394.
  18. Choi, JM. The study about the uncertainty of fuzzy theory and probability theory. [master's thesis]. Suwon: Suwon University; 2007. 51p.
  19. Kahneman, D., & Tversky, A. Subjective probability: A judgment of representativeness. Cognitive psychology. 1972;3:430-454. https://doi.org/10.1016/0010-0285(72)90016-3
  20. Lee JN, Lee IS. A concept analysis of uncertainty in epilepsy. Journal of Korean Academic Nursing. 47(4);499-513. https://doi.org/10.4040/jkan.2017.47.4.499.
  21. Mishel MH, Braden CJ. Uncertainty a mediator between support and adjustment. Western Journal of Nursing Research. 2016; 9(1):43-57. https://doi.org/10.1177/019394598700900106.
  22. Mishel MH, Braden CJ. Finding meaning: Antecedents of uncertainty in illness. Nursing Research. 1988;37(2):98-103.
  23. Mishel MH. The measurement of uncertainty in illness. Nursing Research. 1981;30(5):258-263. http://dx.doi.org/10.1097/00006199-198109000-00002.
  24. Mishel MH, Germino BB, Gil KM, Belyea M, Laney IC, Stewart J, et al. Benefits from an uncertainty management intervention for African-American and Caucasian older long-termbreast cancer survivors. Psycho-Oncology. 2005;14(11):962-978. http://dx.doi.org/10.1002/pon.909.
  25. Kim MK, Jang EH. The effect of uncertainty on the physiological indexes of hemodialysis patients: serial mediating effects of uncertainty appraisal and self-care behavior. 2022;34(1): 51-61. https://doi.org/10.7475/kjan.2022.34.1.51.
  26. Lappoints S, Perry A, Butowski NA. Primary brain tumors in adults. The Lancet. 2018;392(10145):432-446. https://doi.org/10.1016/S0140-6736(18)30990-5.
  27. Cahill J, LoBiondo-Wood G, Bergstrom N, Armstrong T. Brain tumor symptoms as antecedents to uncertainty; an intergrative review. Journal of Nursing Scholarship. 2012;44(2):145-155. https://doi.org/10.1111/j.1547-5069.2012.01445.x.
  28. Preusser M, Rhbaupierre S De, Wohrer A, Erridge SC, Hegi M, Weller M, et al. Current concepts and management of glioblastoma. Annals of Neurology. 2011;70(1):9-21. https://doi.org/10.1002/ana.22425.
  29. Liu R, Solheim K, Fox S, Chang SM, Quality of life in adults with brain tumors: current knowledge and future direction. Neuro-Oncology. 2009;11(3):330-339. https://doi.org/10.1215/15228517-2008-093.
  30. Mishel, MH. Reconceptualization of the uncertainty in illness theory. Image: Journal of Nursing Scholarship, 1990:22;256-262. https://doi.org/10.1111/j.1547-5069.1990.tb00225.x