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題名:成人氣喘患者的壓力、因應策略與生活品質之關係
書刊名:護理研究
作者:鄭幸宜戴玉慈郭壽雄姚開屏 引用關係
作者(外文):Cheng, Hsin-yiDai, Yu-tzuKuo, Shou-hsingYao, Kai-ping
出版日期:2000
卷期:8:6
頁次:頁599-613
主題關鍵詞:氣喘壓力因應策略生活品質AsthmaStressCoping strategiesQuality of life
原始連結:連回原系統網址new window
相關次數:
  • 被引用次數被引用次數:期刊(6) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:6
  • 共同引用共同引用:6
  • 點閱點閱:34
     本研究目的在探討成人氣喘患者壓力、因應策略與生活品質的現況及關係。以台北市某醫學中心胸腔內科及氣喘過敏科門診的成人氣喘患者為對象,經立意取樣 ( purposive sampling),共選取132位患者為研究樣本,使用結構式問卷,進行資料收集。結果發現成人氣喘患者的平均生活品質得分居中等程度,且在生活品質所涵蓋的五個層面中以「親密因素」的生活品質最佳,「環境因素」最差;而患者因氣喘疾病所感受到的壓力程度總分高低差異相當大,其中以生理壓力帶給患者的壓力程度最大。患者在面對疾病相關壓力時,最常使用「保持樂觀」的因應策略,而最少使用「情緒發洩」。經迴歸分析發現,成人氣喘患者的整體壓力程度愈低,自覺健康狀況愈好,保持樂觀的因應策略使用頻率愈高,順其自然的因應策略使用頻率愈低時,生活品質愈佳。依本研究結果建議促進患者疾病控制,減少氣喘發作及惡化,引導患者使用正向思考、積極面對問題的因應策略是護理人員在提升氣喘病人生活品質的重點。
     This study explored the relationships between stress, coping strategies and quality of life in adult asthmatic patients. One hundred and thirty-two patients with asthma were recruited from the Chest division and Asthma & Allergy division of the out-patient department of a medical center by purposive sampling. A structured questionnaire was used to collect data from subjects via structured interviews or self-administration. Statistical analysis of data was performed using the SPSS/PC program. Results of this study showed: (1) Mean score of quality of life was in the middle level. Among the five dimensions of quality of life, “intimacy” ranked the highest, and “invironment” the lowest. (2) There was a wide range of levels of stress among adult asthmatic patients. Physical stress was the greatest contributing factor, and social stress the least. (3) “staying optimistic” was the most frequently employed coping strategy, and “emotional venting” the least. (4) Multiple regression analysis indicated that subjects with lower scores for total stress and better self-perceived health, and who more frequently used the strategy of “staying optimistic” and less frequently used “letting nature take its course” to cope with stress, had a better quality of life. These results explained 38.9% of the variance in quality of life. In conclusion, the findings of this study may help nursing professionals to better understand stress, coping strategies and quality of life in adult asthmatic patients. Thus, it would advance nurses' competence in helping patients to manage stress and coping effectively.
期刊論文
1.Lok, P.(1996)。Stressor, coping mechanisms and quality of life among dialysis patients in Australia。Journal of Advanced Nursing,23(5),873-881。  new window
2.Ferrans, C. E.、Powers, M. J.(1985)。Quality of life index: Development and psychometric properties。Advances in Nursing Science,8(1),15-24。  new window
圖書
1.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
其他
1.王唯聖(1997)。藥師對門診哮喘病患進行藥事照顧之探討。  延伸查詢new window
2.行政院衛生署(1998)。中華民國八十七年衛生統計。  延伸查詢new window
3.陳綱華(1995)。心臓移植患者的壓力源、因應行爲及生活滿意度之關係。new window  延伸查詢new window
4.劉雪娥(1993)。家屬生活品質量表。  延伸查詢new window
5.Cambell, M. J. Cogman, G. R.,Holgate, S. T., & Johnston, S. L.(1997)。Age specific trends in asthma mortality in England and Wales, 1983-95: Result of an observational study。  new window
6.Campbell, D. A., Yellowlees, P. M., McLennan, G., Coates, J. R.,Frith, P. A. Gluyas, P. A. Latimer, K. M. Luke, C. G. Martin, A. J. & Ruffin, R. E.(1995)。Psychiatric and medical features of near fatal asthma。  new window
7.Chatkin, J. M., Barreto, S. M.,Foneseca, N. A., Gutierrez, C. A., & Sears, M. R.(1999)。Trends in asthma mortality in young people in Southern Brazil。  new window
8.Desmith, J. M.(1999)。The adult experience of coping with asthma: A phenomenological investigation。  new window
9.Downe-Wamboldt, B.(1991)。Coping and life satisfaction in elderly women with osteoarthritis。  new window
10.Ganse, E. V., Leufkens, H. G. M.,Vincken, W. Hubloue, I., Bartsch, P., Bouckaert, A., & Ernst, P.(1997)。Assessing asthma management from interviews of patients and family physicians。  new window
11.Gibson, P. G.,& Toneguzzi, R. C.(1995)。Selfmanagement autonomy, and quality of life in asthma。  new window
12.Grady, K. L.,Jalowiec, A., White-William, C., Pifarre, R. Kirklin, J. K. Bougre, R. C. & Costanzo, M. R.(1995)。Predictor of quality of life in patients with advanced heart failure awaiting transplantation。  new window
13.Harju, T. Keistinen, T.,Tuuponen, T.,& Kivela, S. L.(1996)。Hospital admission of asthmatics by age and sex。  new window
14.Hyland, M. E.,Ley, A., Fisher, D. W.,& Woodward, V.(1995)。Measurement of psychological distress in asthma and asthma management programs。  new window
15.Janson-Bjerklie, S., Carried, V. K.,& Hudes, M.(1986)。The sensations of pulmonary dyspnea。  new window
16.Janson-Bjerklie, S., & Sharon, S.(1988)。Effect of peak flow information on patterns of self-care in adult asthma。  new window
17.Jalowiec, A.(1987)。Changes in the 1987 revised version of the Jalowiec Coping Scale。  new window
18.Kim, EG. OH.(1999)。Symptom experience, functioning, and quality of life in people with asthma。  new window
19.Kisman, R. A.,Pahlem, N. W.,Spector, S., & Staudenmyer, V.(1977)。Observations on subjective symptomatology, coping behavior, and medical decisions in asthma。  new window
20.Liesl, M. O.,Christine, C.,Roma, R.,James, A. R., Joaeph, S. l. & Graham, D.(2000)。Symptoms, quality of life, and health service contact among young adults with mild asthma。  new window
21.Lohr, M. J., Essex, M. J., & Klein, M. H.(1988)。The relationships of coping respones to physical health status and life satisfaction among older women。  new window
22.Maes, S. & Schlosser, M.(1988)。Changing health behavior outcomes in asthma patients: A pilot intervention study。  new window
23.Parson, E. S.(1990)。Coping and well-being strategies in individuals with CQPD。  new window
24.Quick, F. H. & Jones, P. W.(1990)。Patients' perception of distress due to symptoms and effects of asthma on daily living and investigation of possible influential factors。  new window
25.Randolph, C.,& Fraser, B(1999)。Stressors and concerns in teen asthma。  new window
26.Richardson, H. M.(1991)。The perceptions of Canadian young adults with asthma of their health teaching/learning needs。  new window
27.Ringsberg, K. C.,Segesten, K.,& Akerlind, I.(1997)。Walking around in circles-the lifesituation of patients with asthma-like symptoms but negative asthma tests。  new window
28.Shadden, D.,& Brown, J. B.(1992)。The Experience of asthma。  new window
 
 
 
 
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