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Journal Article

Citation

Lee BO, Chien CS, Hung CC, Chou PL. J. Adv. Nurs. 2015; 71(11): 2540-2550.

Affiliation

School of Nursing, Kaohsiung Medical University, Taiwan.

Copyright

(Copyright © 2015, John Wiley and Sons)

DOI

10.1111/jan.12716

PMID

26105004

Abstract

AIM: The aim of this study was to evaluate the effectiveness of a nursing intervention in changing the illness perceptions of injured patients.

BACKGROUND: Illness perceptions have been found to be among the important patient outcomes after an injury. Research has suggested that a designed intervention might be an effective means of shaping injured patients' illness perceptions.

DESIGN: An experimental study design was employed.

METHODS: A total of 82 injured patients completed this study, with 42 in the experimental group and 40 in the control group. Data were collected from 2011-2013. A trained nurse practitioner delivered an in-hospital nursing intervention according to self-regulatory theory. The outcome measure was the change in illness perceptions of injury among the patients as measured by the Chinese Illness Perception Questionnaire Revised-Trauma (the Chinese IPQ-R-Trauma), which comprises eight subscales. The experimental and control groups were followed up via telephone survey 3 months after discharge. The generalized estimating equations were used to analyse the data.

RESULTS: The results showed statistically significant differences on two subscales of the Chinese IPQ-R-Trauma, Identity and Controllability, before and after the intervention.

RESULTS for the remaining six subscales did not change significantly. The findings indicate that the intervention resulted in a decrease in injury-related physical symptoms and in increases in positive perceptions among patients about controlling their postinjury condition.

CONCLUSIONS: This nursing intervention led to changes in patients' illness perceptions and potentially improved the patients' self-regulation after their injuries. Future research can be conducted to enhance the effectiveness of the intervention protocol.


Language: en

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