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題名:初患心肌梗塞病人不確定感與焦慮反應--因應行為效應之探討
書刊名:護理研究
作者:許淑蓮 引用關係
作者(外文):Sheu, Sheila
出版日期:2001
卷期:9:2
頁次:頁159-171
主題關鍵詞:不確定感因應行為焦慮心肌梗塞UncertaintyCopingAnxietyMyocardial infarction
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(14) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:14
  • 共同引用共同引用:96
  • 點閱點閱:86
     心肌梗塞是一個具有生命威脅且會隨時復發的疾病,病人有許多不確定的事情要去面對及因應,而因應的好壞則影響病人的情緒狀態。本研究之目的為探討初患心肌梗塞病人於住院期間:(1)不確定感受程度及來源;(2)焦慮的程度;(3)採用的因應行為;(4)不確定感、因應行為與焦慮間的關係,及(5)因應行為對不確定感及焦慮關係的影響。本研究對象為教學醫院中50位初患心肌梗塞的病人,研究工具為疾病不確定感量表,修正後的因應行為量表及焦慮情境量表。研究結果發現初患心肌梗塞病人於住院期間有高程度不確定感受的病人只佔2%,“我不知道下一步會發生什麼事”為病人感覺最不確定的事項;呈現明顯焦慮的病人有10%,平均程度介於有一點焦慮及頗為焦慮之間;最常使用尋求社會資源的因應策略。最後本研究發現情緒導向性因應行為對複雜性不確定感及焦慮間的關係有正向主效應及中介效應,而問題導向性因應行為對不確定感及焦慮間的關係沒有任何效應。本研究結果可協助護理人員依病人個別不確定感受的差異,幫助他們使用不同因應方法,以達到最佳情緒狀態。
     Myocardial infarction is a life threatening disease. Patients, especially those with a first time attack, experience a great deal of uncertainty and emotional disturbance which depend on the effectiveness of coping methods. Four questions were addressed in this study: (1) the degree and sources of uncertainty, (2) the coping methods used, (3) the degree of anxiety, (4) the relationship among uncertainty, coping methods and anxiety, and (5) the effect of coping methods on the relationship between uncertainty and coping methods. Fifty patients with first time attack in a teaching hospital participated this study. The instruments were Chinese versions of Mishel's Uncertainty in Illness Scale, the Revised Ways of Coping Check List and Spielberger's State Anxiety Inventory. The results showed that only 2% of patients experienced high uncertainty and 10% experienced anxiety; the average of uncertainty and anxiety were between sometimes and fairly often. "It is not clear what is going to happen to me" was the first source of uncertainty. The most often used coping method for these patients was seeking social support. Finally, the results showed that emotion-oriented coping had both positive main effect and mediating effect on the relationship between uncertainty of complexity and anxiety. The findings of this study suggest nurses should help patients utilize different coping methods, according to individual difference, in order to achieve optimal emotional state.
期刊論文
1.Mishel, M. H.、Sorenson, D. S.(1991)。Uncertainty in Gynecological cancer: A test of the mediating functions of mastery and coping。Nursing Research,40(3),167-171。  new window
2.許淑蓮、黃秀梨(1996)。Mishel疾病不確定感量表之中文測試。護理研究,4(1),59-68。new window  延伸查詢new window
3.Lazarus, R. S.、Folkman, Susan(1988)。The relationship between coping and emotion: Implications for theory and research。Social Science and Medicine,26(3),309-317。  new window
4.許淑蓮、黃秀梨、林惠賢(19980900)。急性心肌梗塞住院病人的不確定感與因應行為之探討。臺灣醫學,2(5),498-508。  延伸查詢new window
5.Christman, N. J.、McConnell, E. A.、Pfeiffer, C.、Webster, K. K.、Schmitt, M.、Ries, J.(1988)。Uncertainty, Coping and distress following myocardial infarction: Transition from hospital to home。Research in Nursing and Health,11(2),71-82。  new window
6.Vitaliano, Peter P.、Russo, Joan、Carr, John E.、Mauiro, Roland D.、Becker, Joseph(1985)。The ways of coping checklist: Revision and psychometric properties。Multivariate Behavior Research,20(1),3-26。  new window
7.Mishel, M. H.(1981)。The Measurement of Uncertainty in Illness。Nursing Research,30(5),258-263。  new window
8.Mishel, M. H.(1988)。Uncertainty in illness。Image: The Journal of Nursing Scholarship,20(4),225-232。  new window
9.Mishel, M. H.、Padilla, G.、Grant, M.、Sorenson, D. S.(1991)。Uncertainty in illness theory: A replication of the mediating effects of mastery and coping。Nursing Research,40(4),236-240。  new window
10.Webster, Kay K.、Christman, Norma J.、Mishel, Merle H.(1988)。Perceived uncertainty and coping post myocardial infarction。Western Journal of Nursing Research,10(4),384-400。  new window
11.Wong, C. A.、Bramwell, L.(1992)。Uncertainty and anxiety after mastectomy for breast cancer。Cancer Nursing,15(5),363-371。  new window
12.鍾思嘉、龍長風(19840100)。修訂情境與特質焦慮量表之研究。測驗年刊,31,27-36。new window  延伸查詢new window
13.葉玫伶、邱艷芬(1998)。心肌梗塞病患住院期間發生不確定感內容及其相關因素之探討。護理研究,6(6),501-512。new window  延伸查詢new window
14.Brock, M. J.(1990)。Uncertainty, information needs, and coping effectiveness of renal families。American Nephrology Nurses Association,17,242-245。  new window
15.Chiou, A.、Potempa, K.、Buschmann, M. B.(1997)。Anxiety, depression and coping methods of hospitalized patients with myocardial infarction in Taiwan。International Journal of Nursing Studies,34(4),305-311。  new window
16.Crowe, J. M.、Runions, J.、Ebbesen, L. S.、Oldrige, N. B.、Streiner, D. I.(1996)。Anxiety and depression after acute myocardial infarction。Heart and Lung: Journal of Acute and Critical Care,25(2),98-107。  new window
17.Keckeisen, M. E.、Nyamathi, A. M.(1990)。Coping and adjustment to illness in the acute myocardial infarction patients。Journal of Cardiovascular Nursing,5(1),25-33。  new window
18.Krantz, D. S.(1980)。Cognitive process and recovery from heart attack: A review and theoretical analysis。Journal of Human Stress,6(3),27-38。  new window
19.Segesten, K.、Lidell, E.、Fridlund, B.(1998)。Myocardial infarction patients' anxiety along the life span and interrelationship with self-concept。Nursing Science and Research in the Nordic Countries,18(3),15-19。  new window
20.Mishel, M. H.(1983)。Adjusting the fit: Development of uncertainty Scales for specific clinical populations。Western Journal of Nursing Research,5(4),355-370。  new window
21.Mishel, M. H.、Hostetter, T.、King, B.、Graham, V.(1984)。Predictors of psychosocial adjustment in patients newly diagnosed with gynecological cancer。Cancer Nursing,7(6),291-299。  new window
22.Ptacek, J. T.、Patterson, D. R.、Montgomery, B. K.、Heimbach, D. M.(1995)。Pain, coping, and adjustment in patients with burns: Preliminary findings from a prospective study。Journal of Pain and Symptom Management,10(6),446-455。  new window
23.Redeker, N. S.(1992)。The relationship between uncertainty and coping after coronary bypass surgery。Western Journal of Nursing Research,14,48-68。  new window
24.Ross, C. T.、Russell, O.(1987)。Social and psychological responses to myocardial infraction: Multiple determinants of outcome at six months。Journal of Psychosomatic Research,80,1-27。  new window
25.Sules, J.、Mullen, B.(1981)。Life events, perceived control and illness: The role of uncertainty。Journal of Human Stress,7,30-34。  new window
26.Thompson, D. R.、Webster, R. A.、Cordle, C. J.、Sutton, T. W.(1987)。Specific sources and patterns of anxiety in male patients with first myocardial infraction。The British Psychological Society,60(4),343-348。  new window
27.Walton, J.(1999)。Spirituality of patients recovering from an acute myocardial infarction: A grounded theory study。Journal of Holistic Nursing,17(1),34-53。  new window
28.Wiklund, I.、Sanne, H.、Vedin, A.、Wilhelmsson, C.(1984)。Psychosocial outcome one year after myocardial infraction。Journal of Psychosomatic Research,28(4),309-321。  new window
29.Wineman, N. M.(1990)。Adaptation to multiple sclerosis: The role of social support, functional disability, and perceived uncertainty。Nursing Research,39,294-299。  new window
學位論文
1.Loren, B. P.(1991)。Interactions between emotion-focused and problem-focused forms of coping: Effects on adjustment after cardiac events,Kent State。  new window
2.劉保梅(1995)。急性心肌梗塞患者的壓力源、不確定感及壓力感受,高雄。  延伸查詢new window
3.Bennett, S. J.(1990)。Uncertainty, social support, threat, coping self-care, emotions, and coping effectiveness in post-myocardial infarction subjects: A test of two proposed causal models,Indiana。  new window
4.Pierce, P. K.(1989)。The effects of sense of control, social support, and coping behavior on short-term adaptational outcomes of post-MI clients,Indiana。  new window
圖書
1.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
圖書論文
1.Lazarus, R. S.、Launier, R.(1978)。Stress-related transactions between person and environment。Perspectives in Interactional Psychology。New York:Plenum Press。  new window
2.Weisman, A. D.(1985)。Coping with illness。Handbook of general hospital psychiatry。Littleton, Massachusetts:Psy。  new window
 
 
 
 
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