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題名:一位SLE引起肺栓塞患者所面臨的衝擊與因應行為
書刊名:長庚護理
作者:李錦華郭素娥
作者(外文):Lee, Chin-hawGuo, Su-er
出版日期:2003
卷期:14:1=41
頁次:頁92-99
主題關鍵詞:紅班性狼瘡肺栓塞衝擊因應住院SLELung embolismImpactCoping behaviorHospitalization
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(0) 博士論文(0) 專書(0) 專書論文(0)
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  • 共同引用共同引用:24
  • 點閱點閱:20
     本研究目的在探討一位SLE引起肺栓塞患者在住院期間,所感受的衝擊及其因應策略。本研究採田野研究法,在實際護理個案的過程中運用觀察、會談、及身體評估等技巧收集資料。護理個案期間之言語與非言語的行為以回溯方式寫成行為過程護理記錄,再加以整理歸納、分析而成。研究結果顯示個案在住院期間所感受的衝擊包括身體層面、心理層面、社會層面與日常生活層面(執行日常生活能力的改變);而其採取的因應行為有認知的再評價、情緒取向的因應及問題取向的因應行為。而問題取向的因應行為有:1. 轉移注意力;2. 配合醫療處置;3. 主動詢問、收集資料;4. 接受事實。護理期間,筆者與個案建立良好的治療性關係,並採同感性傾聽及提供其情緒宣洩的管道,深入瞭解其內心的衝擊與壓力。希冀藉由此篇文章與大家分享照護此類病人時,護理人員可提供疾病相關的生理活動衛教、個別性的照護計畫及心理上的支持,來提升護理人員在照護此類病人上的醫療品質。
     We reproted the impact and coping behaviors of a SLE patient with lung embolism during hospitalization. We used the process-recording method to organize, classify, and analyze the patient's verbal and non-verbal behaviors. The impact of this patient included physiological, psychological, societal, and in daily living activity aspect. Her coping behaviors included problem-focused coping, cognitive reappraisal, and emotion-focused coping. Problem-focused coping included transferring attention, adhering to medical care, seeking information, and accepting the reality. During the study period, we have established a therapeutic relationship with the patient, listened carefully to patient, provided emotional support, and understood deeply her intrinsic impact and stress. Our experiences provided an example for clinical nurses taking care of similar patients. A comprehensive health education program, personalized caring plan, and emotional supports would greatly improve the quality of nursing care, especially to patients with special needs.
期刊論文
1.胡月娟(19920700)。罹患慢性病對病人的衝擊及其相關因素之探討。公共衛生,19(2),207-223。  延伸查詢new window
2.林玉娟(19971200)。癌症疼痛評估。護理新象,7(4)=48,9-29。  延伸查詢new window
3.吳炤樺、林文香(1994)。照顧一位不遵從全身性紅斑狼瘡個案的經驗。榮總護理,11(2),158-169。  延伸查詢new window
4.邱飄逸、郭素娥(19990800)。認識類固醇的治療與護理。護理雜誌,46(4),73-80。new window  延伸查詢new window
5.莊志誠(19910100)。全身性紅斑狼瘡和肺部侵犯。臨床醫學,27(1)=157,17-24。new window  延伸查詢new window
6.張學進(19940600)。運用心理諮商技巧於全身性紅斑狼瘡病患之心理社會調適。榮總護理,11(2),165-170。new window  延伸查詢new window
7.Asherson, R. A.、Cervera, A.(1995)。Antiphospholipid antibodies and the lung。The Journal of Rheumatology,22(1),62-66。  new window
8.Baker, J. A.、Wiginton, K.(1997)。Perceptions and coping among women living with lupus。American Journal Behavior,21(2),129-136。  new window
9.Bick, R. L.、Ancypa, D.、Mclntype, K. J.(1995)。Understanding the antiphospholipid thrombosis syndromes。Laboratory Medicine,26(2),124-130。  new window
10.Hainswoth, M. A.、Eakes, G. G.、Burke, M. L.(1994)。Coping with chronic sorrow。Issues in Mental Health Nursing,15(1),59-66。  new window
11.Lindal, E.、Thorlacius, S.、Steinsson, K.(1993)。Pain and Pain Problems among Subjects with Systemic Lupus Etythematosus in Iceland。Scandinavian Journal of Rheumatology,22(1),10-13。  new window
12.Love, P. E.、Santoro, S. A.(1990)。Antiphospho-lipid antibodies: Anticardiolipin and the lupus anticoagulant in systemic lupus erythematosus(SLE) and in Non-SLE Disorders。Annals of Internal Medicine,11(9),682-698。  new window
13.De Ridder, D.、Depla, M.、Severens, P.、Malsch, M.(1997)。Beliefs on coping with illness: a consumer's perspective。Social science & medicine,44(5),553-559。  new window
14.White, N. E.、Richter, J. M.(1992)。Coping, social support, and adaptation to chronic illness。Western Journal of Nursing Research,14(2),211-224。  new window
15.丘周萍(19881000)。接受血液透析治療患者的壓力知覺、社會心理適應及其相關因素之探討。護理雜誌,35(4),65-82。new window  延伸查詢new window
16.胡月娟(19940600)。慢性病患者所承受的衝擊與因應行為。護理研究,2(2),140-152。new window  延伸查詢new window
圖書
1.Zeidner, M.、Endler, N. S.(1996)。Handbook of coping: Theory, research, applications。John Wiley & Sons, Inc.。  new window
2.Lazarus, Richard S.、Folkman, Susan(1984)。Stress, Appraisal, and Coping。Springer。  new window
圖書論文
1.李降桃(1997)。遺傳密碼與胚胎發育。產科護理學。台北:華杏。  延伸查詢new window
2.康百淑(1997)。青年期。當代人類發展學。台北:匯華。  延伸查詢new window
 
 
 
 
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