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題名：因應多樣性與效用性：慢性病門診病人的疾病因應方式
書刊名：生死學研究
作者：林耀盛 引用關係
作者(外文)：Lin, Yaw-sheng
出版日期：2012
卷期：13
頁次：頁83-119
主題關鍵詞：慢性病；因應；多樣性；有效性；適應；Chronic illness；Coping；Diversity；Effectiveness；Adaptation
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(4) 博士論文(3) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:3
  • 共同引用共同引用:353
  • 點閱點閱:45
目的：本研究以糖尿病與高血壓為案例，一方面探究慢性病因應的因素結構，以瞭解因應的多樣性。另一方面探索因應方式與生活適應的關係，以探討因應的效用性。方法：研究者修訂「因應方式量表」與「生活適應量表」，搭配疾病預測度、控制度及其他心理變項，對門診病人施測。結果與討論：共有119位樣本參與，男性64人，女性55人。平均年齡53.96歲（標準差10.35）。持續門診時間約為43.59個月。研究發現(1)經因素分析法，因應方式量表，共抽取十五個因素，因應結構呈現多樣性。其中有七個因素與高生活適應有關聯，愈是傾向採取「積極性」因應，愈少採取「消極性」因應，對生活適應愈有正面效果。因此，因應「多樣性」與「效用性」呈現互補功能。(2)患者對治療的「期待」是「完全戒藥」與「徹底根治」，並能因疾病經驗納入運動與飲食控制。但仍有患者產生悲觀消極的人生態度，或轉移疾病焦點於後代子孫的關懷。結論：本研究顯示慢性病患者的疾病因應，未來需(1)擴大積極性因應，削弱消極性因應，以提升「因應效率」。(2)因應多樣性與效用性的互補作用、促進生活適應，以避免「二度宿命」。本文最後提出理論層次與臨床貢獻的建議。
Purpose: This paper with diabetes and hypertension patients as the participants, on the one hand is to explore the structure of coping, and understand the coping diversity. On the other hand, it is to link the relationship between the coping effectiveness and life adaptation of the outpatients.Method: Two scales are developed, included 'coping method scale' and 'illness adjustment scale'. The constructs of predictability and controllability of the chronic illness course combined with other psychological variables are also measured.Results and discussion: There are 119 outpatients to participate totally, men are 64 and women are 55. The average age is 53.96 ± 10.35 years. Duration of the illness is last for 43.59 months in average. Two main findings are shown. The first is the patients who less adopted 'the passive coping method', and got the more 'positive coping way' about the illness are adapted better in the daily life. The functions of diversity and effectiveness of coping are complementary. The second is there is gap between the remedy expectation and behavior execution of the patients, sometimes, they know more, but do less. They also felt pessimistic about the future, and may shift the attention from the illness to give caring about the next generations.Conclusion: The result is implied that the chronic illness patients should transform their 'passive' coping ways into the more active coping strategies to improve the coping utility. Otherwise, they will face the second destiny of fatal life impacts. Finally, the suggestions are proposed from two perspectives of the conceptual level and clinical practice.
期刊論文
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21.林耀盛、吳英璋(20000900)。進退維谷：糖尿病患者的認同建構。中華心理衛生學刊，13(3)，1-34。new window  延伸查詢new window
22.林耀盛(2009)。言銓不落的受創經驗：震災創傷與悲悼療癒。華人心理學報，10(1)，1-17。  延伸查詢new window
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25.陳慶餘、吳英璋(19870400)。以生物心理社會模式探討臺大新生之身心症狀。中華心理衛生學刊，3(1)，89-105。new window  延伸查詢new window
26.Bandura, Albert(1977)。Self-efficacy: Toward a unifying theory of behavioral change。Psychological Review，84(2)，191-215。  new window
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研究報告
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學位論文
1.李立維(1987)。成人糖尿病患者生活適應之探討：從「遵行醫囑」觀點之研究(碩士論文)。國立台灣大學。  延伸查詢new window
2.Hwang, Kwang-Kuo(1976)。Social stress, coping styles, and psychopathological symptom patterns in a Formosan urban community(博士論文)。University of Hawaii。  new window
3.林耀盛(1990)。慢性病門診病人的疾病控制信念與疾病因應方式(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.Lazarus, R. S.(1976)。Psychological stress and the coping process。New York：McGraw-Hill。  new window
2.Habermas, Jürgen、Jeremy J. Shapiro(1971)。Knowledge and human interests。Boston, MA：Beacon Press。  new window
3.Mille, J. F.(1983)。Coping with chronic illness: Overcoming powerlessness。Taipei：南山堂出版社。  new window
4.Miller, S. M.(1980)。Why having control reduces stress:If I can stop the roller coaster, I don't want get off。Human helplessness: Theory and applications。New York：Academic Press。  new window
5.Sarafino, E. P.、Smith, T. W.(2012)。Health Psychology: Biopsychosocial Interactions。John Wiley & Sons。  new window
6.Minkowski, Eugène、Metzel, Nancy(1970)。Lived Time: Phenomenological and Psychopathological Studies。Evanston, IL：Northwestern University Press。  new window
7.Foucault, Michel(1980)。Power and Knowledge: Selected Interviews and Other Writings, 1972-1977。New York：Pantheon。  new window
8.Foster, George M.、Anderson, B. G.(1978)。Medical anthropology。New York：John Wiley and Sons, Inc.。  new window
9.仇小屏(1998)。文章章法論。臺北市：萬卷樓圖書股份有限公司。  延伸查詢new window
10.黃光國(19980000)。知識與行動：中華文化傳統的社會心理詮釋。臺北：心理。new window  延伸查詢new window
11.何輝彬(2007)。西方悲劇的中國式批判。北京：中國社會科學出版社。  延伸查詢new window
12.Lazarus, Richard S.、Averill, J. R.、Opton, T. M.(1974)。The Psychology of Coping: Issues of Research and Assessment。Coping and Adaptation。New York：Basic Books。  new window
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其他
1.國家衛生研究院(2011)。台灣糖尿病盛行率趙勢之性別差異研究，國家衛生研究院。  延伸查詢new window
2.（清）秦蕙田。五禮通考。  延伸查詢new window
圖書論文
1.Reid, D. W.(1984)。Participatory control and the chronic illness adjustment。Research with the locus of control construct: Extension and limitations。New York：Academic Press。  new window
2.湯淺泰雄、盧瑞容(1993)。「氣之身體觀」在東亞哲學與科學中的探討：及其與西洋的比較考察。中國古代思想中的氣論及身體觀。巨流圖書股份有限公司。  延伸查詢new window
 
 
 
 
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