Illness
experience can cause uncertainty in each stage of disease. Feelings of
uncertainty also affect the emotions of patients. These emotions include
anxiety, fear, anger, helplessness, hypersensitivity, grief and depression.
Uncertainty makes it difficult for one to make decisions and decreases the level
of control over one’s life. Investigation of this subject may be useful in the
evaluation of patients by health professionals.
The literature on uncertainty in general medicine and illnesses was
examined on Medline, and studies relevant to our experiences were selected and
reviewed. Uncertainty is defined as a feeling of inadequacy based on not being
able to control the situation. Uncertainty is a common experience for
individuals living with disease, particularly when treatment cannot assure cure.
When uncertainty is appraised as danger, emotion-focused coping strategies are
expected to predominate since danger implies that the situation is unmanageable
with the available self-control behaviors. In
the literature reviewed, uncertainty was found to be related to anxiety
and coping. Successful adjustment is dependent on self-management and mastery.
During an illness informing the patient decreases uncertainty; therefore,
uncertainty is a subject which must be handled at each stage of the illness.
While dealing with patients who experience uncertainty, the uncertainty during
the diagnosis, treatment and rehabilitation should be thoroughly evaluated, in
order to increase the patient’s quality of life. In addition, positive
thinking, social support and financial security help one to cope with illness
and prevent uncertainty. Although the importance of the subject is known, an
insufficiency of direct studies on this subject has been noted in Turkey. There
is a need for further studies on this subject.