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題名:「看」病:病人如何表述自己的疾病--疾病表述常識模式(CSM-IR)的應用
書刊名:長庚護理
作者:王霰邡黃久美李詩敏楊馥綺
作者(外文):Wang, Hsien-fangHuang, Chiu-miehLee, Shih-minYang, Fu-chi
出版日期:2016
卷期:27:3=95
頁次:頁334-341
主題關鍵詞:疾病表述常識模式疾病鑑別疾病因應Common-sense model of illness representationsCSM-IRIllness identityIllness coping
原始連結:連回原系統網址new window
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  • 共同引用共同引用:2
  • 點閱點閱:4
護理病人的過程中,民眾對於疾病與其治療的認知表述很重要,會影響其對疾病的感受,情緒反應,進而影響行為。對於疾病與治療的誤解,將限制或降低病人的遵從性或自我照護的執行。疾病表述常識模式(CSM-IR) 乃為臨床護理照護評估模式之一,醫護人員以此評估模式可以了解個案與家庭對於疾病的感受,有助於護理過程中發展適切的介入措施,藉以提升個案與家庭的疾病因應。本文旨在探討疾病表述常識模式之意義、應用現況,並藉由實例說明疾病表述常識模式在臨床之應用方式。疾病表述常識模式是以家庭為中心和全人、全家的照護為原則的評估方式,故誠摯期望能藉由本文,能提供醫護人員理論架構的評估模式,以提升照護品質。
The patients' cognitive representations of illnesses and received treatment are critical. These illness representations affect the patients'feelings and emotional reactions to the illnesses and their subsequent health behaviors. Misunderstanding the illnesses and treatment impairs the regimen adherence and self-care performance of the patients. By using the common-sense model of illness representations (CSM-IR), a nursing assessment model, healthcare personnel can understand the feelings of patients and their family members toward the illness, thereby incorporating appropriate intervention measures into their caring process. Consequently, healthcare personnel would enhance coping strategies to the illness. This study aimed to explore the implications of the CSM-IR and the extent of its application, using examples to show its use in clinical situations. The CSM-IR is an approach to illness assessment that is family-center and based on the principle of holistic person care. The report can serve as a reference for healthcare personnel by providing a theoretically structured assessment model for improving quality of care.
期刊論文
1.Hagger, M. S.、Orbell, S.(2003)。A meta-analytic review of the common-sense model of illness representations。Psychology & Health,18(2),141-184。  new window
2.Jansen, D. L.、Heijmans, M. J.、Rijken, M.、Spreeuwenberg, P.、Grootendorst, D. C.、Dekker, F. W.、Boeschoten, E. W.、Kaptein, A. A.、Groenewegen, P. P.(2013)。Illness perceptions and treatment perceptions of patients with chronic kidney disease: different phases, different perceptions?。British Journal of Health Psychology,18(2),244-262。  new window
3.陳毓璟(20111200)。退化性膝關節炎中老年病人之疾病認知與因應。健康促進與衛生教育學報,36,1-33。new window  延伸查詢new window
4.謝碧玲、郭彥廷、葉盈均、張肇松、吳英璋(2010)。情緒調節與罹病意義對急性血癌病患因應疾病的影響:兩名女性個案之初探結果。高雄行為科學學刊,2,147-162。  延伸查詢new window
5.Hamilton-Westa, K. E.、Milne, A. J.、Chenery, A.、Tilbrook, C.(2010)。Help-seeking in relation to signs of dementia: A pilot study to evaluate the utility of the common-sense model of illness representations。Psychology, Health and Medicine,15(5),540-549。  new window
6.Huston, A. A.、Houk, C. P.(2011)。Common sense model of illness in youth with type 1 diabetes or sickle cell disease。The Journal of Pediatric Pharmacology and Therapeutics,16(4),270-280。  new window
7.Maclnnes, J.(2013)。An exploration of illness representations and treatment beliefs in heart failure。Journal of Clinical Nursing,23(9),1249-1256。  new window
8.Wilson, E. R. H.、Wisely, J. A.、Wearden, A. J.、Dunn, K. W.、Edwards, J.、Tarrier, N.(2011)。Do illness perceptions and mood predict healing time for burn wounds?: A prospective, preliminary study。Journal of Psychosomatic Research,71,364-366。  new window
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