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來源文獻資料
摘要
外文摘要
引文資料
題名:
愛滋病患診斷期之心理歷程及因應行為
書刊名:
長庚護理
作者:
邱飄逸
/
郭素娥
作者(外文):
Chiou, P. Y.
/
Guo, Su-er
出版日期:
2001
卷期:
12:3=35
頁次:
頁189-199
主題關鍵詞:
愛滋病患
;
診斷期
;
歷程
;
因應行為
;
質性研究
;
AIDS patients
;
Diagnostic phase
;
Progress
;
Coping behavior
;
Qualitative research
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
9
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
9
共同引用:0
點閱:58
本研究採現象研究法,目的在瞭解愛滋病患診斷期之心理歷程及其因應行為,依據Denzin身心交互影響說(Interpretive interactionism)為研究架構,收集16位南部某醫學中心門診或住院的HIV(+)/AIDS病患進行觀察及低結構式訪談,讓病患以回溯方式,就初知愛滋病診斷的心路歷程及其因應行為,做深入的自我揭露。在資料分析信度,評量者間信度為93.3-95.5%,評量者本身之信度為94.5%。結果在診斷期之心理歷程共分兩階段:紊亂的負向經歷與生命重置;因應行為分為消極的逃避與積極的生活延展。經過因應策略之後,診斷期愛滋病患約在3個月後由紊亂的負向經歷進入生命重置階段。建議深入瞭解診斷期愛滋病患之心理歷程,且協助適當之因應策略,使診斷期愛滋病患由紊亂負向經歷中順利進入生命重置歷程。
以文找文
The purpose of this study was to understand the psychological progress and coping behaviors for AIDS patients during the diagnostic phase. A phenomenological design was used. The study framwork was based on Denzin's interpretive interactionism. In-depth interviews and observation were used to collect data from sixteen patients during their outpatient visits or during their hospitalization at a southern medical center in Taiwan. Patients retrospectively recalled their psychological progress and coping behaviors. The inter-rater reliability was 95.5%; intra-rater reliability was 94.5%. Results showed that the psychological progress was divided into two strages: a disorderly stage with negative progress and a life orderly stage. Coping behaviors included passive avoidance and active life moving on. Once AIDS patients developed positive coping behaviors, they moved from the disorderly stage to the life orderly stage within three months of diagnosis. Findings suggest that it is important to understand the psychological progress and coping behaviors for AIDS patients during the diagnostic stage and to assist them to use appropriate coping behaviors. By so doing, AIDS patients in the diagnostic stage can pass smoothly from the disoderly stage with negative progress to the life orderly stage.
以文找文
期刊論文
1.
Sikkema, K. J.、Kalichman, S. C.、Kelly, J. A.、Koob, J. J.(1995)。Group intervention to improve coping with AIDS-related bereavement: model development and an illustrative clinical example。AIDS Care,7(4),463-475。
2.
Sharts-Hopko, N. C.、Regan-Kubinski, M. J.、Lincoln, P. S.、Heverly, M. A.(1996)。Problem-focused coping in HIV-infected mothers in relation to self-efficacy, uncertainty, social support, and psychological distress。Journal of Nursing Scholarship,28(2),107-111。
3.
Weitz, R.(1989)。Uncertainty and the Lives of Persons with AIDS。Journal of Health and Social Behavior,30(3),270-281。
4.
Bunch, E. H.(1998)。Quality of life in people with advanced HIV/AIDS in Norway。Western Journal of Nursing Research,20(4),465-477。
5.
Dewar, A. L.、Morse, J. M.(1995)。Unbearable incidents: failure to endure the experience of illness。Journal of Advanced Nursing,22(5),957-964。
6.
Grady, C.(1989)。Ethical issues in providing nursing care to human immunodeficiency virus-infected populations。Nursing Clinics of North America,24(2),523-534。
7.
Hall, B. A.(1994)。Ways of maintaining hope in HIV disease。Research in Nursing & Health,17(4),283-293。
8.
Hall, B. A.(1998)。Patterns of spirituality in persons with advanced HIV disease。Research in Nursing & Health,21(2),143-153。
9.
Mallinson, R. K.(1999)。Grief work of HIV-positive persons and their survivors。Nursing Clinics of North America,34(1),163-177。
10.
Moneyham, Linda、Hennessy, Michael、Sowell, Richard、Demi, Alice、Seals, Brenda、Mizuno, Yuko(1998)。The effectiveness of coping strategies used by HIV-seropositive women。Research in Nursing & Health,21(4),351-362。
11.
Nord, D.(1996)。Issues and implications in the counseling of survivors of multiple AIDS-related loss。Death Studies,20(4),389-413。
12.
O'Brien, M. E.、Pheifer, W. G.(1993)。Physical and psychosocial nursing care for patients with HIV infection。Nursing Clinics of North America,28(2),303-316。
13.
Ross, M. W.、Hunter, C. E.、Condon, J.、Collins, P.、Begley, K.(1994)。The mental adjustment to HIV scale: Measurement and dimensions of response to AIDS/HIV disease。AIDS Care,6(4),407-411。
14.
Sauka, M.、Lie, G. T.(2000)。Confidentiality and disclosure of HIV infection: HIV-positive persons' experience with HIV testing and coping with HIV infection in Latvia。AIDS Care,12(6),737-749。
15.
van Servellen, G.、Sarna, L.、Padilla, G.、Brecht, M. L.(1996)。Emotional distress in men with life-threatening illness。International Journal of Nursing Studies,33(5),551-565。
16.
Alonzo, A. A.、Reynolds, N. R.(1995)。Stigma, HIV and AIDS: And exploration and elaboration of a stigma trajectory。Social Science & Medicine,41(3),303-315。
17.
Crystal, S.、Kersting, R. C.(1998)。Stress, social support, and distress in a statewide population of persons with AIDS in New Jersey。Social Work in Health Care,28(1),41-60。
18.
Holt, R.、Court, P.、Vedhara, K.、Nott, K. H.、Holmes, J.、Snow, M. H.(1998)。The role of disclosure in coping with infection。AIDS Care,10(1),49-60。
19.
Koopman, C.、Gore-Felton, C.、Marouf, F.、Butler, L. D.、Field, N.、Gill, M.、Chen, X.、Israelski, D.、Spiegel, D.(2000)。Relationships of perceived stress to coping, attachment and social support among HIV-positive persons。AIDS Care,12(5),663-672。
20.
Powell-Cope, G. M.(1995)。The Experiences of Gay Couples Affected by HIV Infection。Qualitative Health Research,5(1),36-62。
圖書
1.
Hentschel, U.(1993)。The Concept of defense mechanisms in contemporary psychology: Theoretical, research, and clinical perspectives。New York:Springer-Verlag。
圖書論文
1.
Flaskerud, J. H.(1995)。Psychosocial and psychiatric aspects。HIV/AIDS: A guide to nursing care。Philadelphia:W. B. Saunders Company。
2.
Holmes, D. S.、McCaul, K. D.(1989)。Laboratory research on defense mechanisms。Advances in the investigation of psychological stress。New York:John Wiley & Sons。
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