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The purposes of this study were to explore the level and
sourses of uncertainty and hope in pre- and post-cardiac
surgical patients, and to examine the correlates of
uncertainty and hope. Twenty-five subjects were recruited
by convenience sampling from two medical centers and one
regional hospital in southern area of Taiwan. Instruments
were Chinese Version of Mishel Uncertainty in Illness
Scale and Chinese Version of Herth Hope Index.
The results of this study showed that: (1)the level of
uncertainty was moderate before surgery but decrease to
lower level after the surgery. The major sourses of
uncertainty is ambiguity related to illness. (2)the level of
hope was both high during pre- and post-surgery. (3)age was
negatively related to uncertainty, there was a positive
relationship between hospitalization day and uncertainty
in pre-surgery. Sex variable was significantly difference
from uncertainty, and educational level revealed not
Findings from this study suggested that although pre-cardiac
surgery patients is in moderate state of uncertainty,
individualized and diversified teaching program should be
provided. Moreover, fostering and maintaining hope through
cardiac surgery process is imperative. Its is hoped that
this study will help nurses apply this knowledge to their
clinical practice and facilite further studies on these clients.
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