| Summary: | 碩士 === 臺北醫學大學 === 護理學研究所 === 97 === The purpose of this correlative, descriptive study was to investigate the level of impact on physical activity caused by the uncertainty of patients who receive permanent pacemaker implantation in a cross-sectional period. Two questionnaires including the Uncertainty of Illness Scale and Seven-day Physical Activity Recall were used in 71 participants from out-patient clinics of department of cardiology with permanent pacemaker implantation (PPM) in one hospital in this study. Data were presented by percentage, frequency, and mean±standard deviation, and analyzed by t-test, Chi-aquare, Fisher’s exact test, one way ANOVA, Pearson’s correlation and Multiple regression with stepwise .
The major findings of this study were following : One of unclear factor items as “they don’t give me an definite diagnosis” in ICD group scores significantly higher than non-ICD group (t=2.41, p=0.01). Complexity factor in ICD group scores significantly higher than non-ICD group (t=2.03, p=0.04). One of complexity factor items as “The interpretations of doctors and nurses are so simple that I realize ” in ICD group scores significantly higher than non-ICD group (t=3.91, p=0.001). The overall uncertainty of illness scores in ICD group increase followed by prolonging time, while non-ICD group decrease followed by prolonging time among the trend of scores of uncertainty post implantation of PPM. Otherwise, in the prediction of uncertainty of illness, the older the age is, then the lower uncertainty of illness scores are. The average score of uncertainty of illness in workers was lower than umployment, the scores in total for uncertainty of illness (t=-2.76, p=.007) in unemployment are significantly higher than workers.
In physical activities, the higher the education level is, the higher absolutely amount of moderate to vigorous physical activity per week (r=.41, p<.000) and relatively amount of moderate to vigorous physical activity per week (r=.42, p=<.000) perform. Men in absolutely amount of moderate to vigorous physical activity per week（t=3.55, p=.001）and relatively amount of moderate to vigorous physical activity per week（t=3.51, p=.001）were significantly higher than women. In work status, workers in absolutely total amount of physical activity per week（t=3.12, p=.003）was significantly higher than people without work. In the trend of moderate to vigorous physical activity per week post implantation of PPM, overall trend in ICD group decrease followed by prolonging time, but non-ICD group increase followed by prolonging time.
In summary, the higher the uncertainty of illness is , the lower absolutely total amount of physical activity per week (r=-.29, p=.015), absolutely amount of moderate to vigorous physical activity per week (r=-.35, p=.003), relatively total amount of physical activity per week (r=-.31, p=.008) and relatively amount of moderate to vigorous physical activity per week (r=-.35, p=.003) perform.
There is no research about the relationship between uncertainty of illness and physical activity of patients with permanence pacemaker in Taiwan. The results of this research may have strong impact on medical education and clinical evidence, in addition, that would be valuable enhancing the quality of health care of patient with permanent pacemaker in the future.
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