探討初診慢性病患者之個人建構組型－「威脅指標－台灣版」之臨床應用
英文主題:
Grouping Patients with Newly Diagnosed Chronic Illness by Their Personal Constructs: A Clinical Application of the ＂Threat Index-Taiwan Version＂
作者:
鄭逸如(Yih-Ru Cheng);吳治勳(Chih-Hsun Wu)
關鍵詞 Key words : 個人建構理論;威脅指標—台灣版;cancer pain;locus of control;pain coping;problem-oriented coping;emotion-oriented coping
資料語文:繁體中文
DOI:
10.30074/FJMH
卷期:
27卷4期
出刊年月:
2014年12月
起訖頁:
P.561-582
中文摘要:
研究目的：本研究運用以個人建構理論為基礎所編製的工具「威脅指標—台灣版（TI-T）」，探討初診斷慢性病患者是否有不同的建構特性，並進行初步分類，以及探討建構特性、心理威脅與因應之間的關係。研究方法：研究對象為初檢查出異常或確定診斷之慢性病患者，研究工具為TI-T與慢性病因應評量表。收案期間為2009年2至5月，總計收到69位有效患者。研究結果：（1）初診斷患者依TI-T對偶核心建構做分組，可分出「探索組」、「正向反應組」、「負向反應組」三組。「探索組」的「自我」與「慢性病」都是處在探索狀態的建構較多；「正向反應組」的「自我」與「慢性病」建構都較正向；「負向反應組」對「自我」的建構較正向，但「慢性病」建構較負向。（2）在心理威脅上，「負向反應組」患者的「慢性病對自我的威脅」較另二組高，「正向反應組」患者的「慢性病對理想自我的威脅」較另二組低。（3）在因應上，「探索組」的「病情認知」顯著低於「正向反應組」與「負向反應組」。（4）三組中，「探索組」可能是臨床上特別需要關注的一個組別，他們對「慢性病」與「自我」都較為困惑，因應上也較不易有計畫性的因應行為或使用情緒導向的因應行為。研究結論：本研究結果顯示利用TI-T能對慢性病患者進行有效的分組，並說明各組之建構特性及可能的臨床意涵，當搭配探討患者的心理威脅與因應，則更顯現TI-T在疾病調適之評估與介入上的臨床價值，TI-T將可能是極具實用性的臨床工具。
英文摘要:
Purpose: This study investigates the moderating effect of locus of control on the relationship between pain coping strategies (problem-oriented coping/emotion-oriented coping) and quality of life in cancer patients. Methods: Seventy cancer pain patients participated in this study. All participants completed the pain severity subscale of the Taiwanese version of the Brief Pain Inventory (BPI-T), a locus of control scale, a pain coping strategies checklist, and the Brief Version of the World Health Organization Quality of Life Questionnaire-Taiwanese version (WHOQOL-BREF-T). The data were collected from July 2006 to December 2006. Results: The results of hierarchical regression analyses showed that locus of control moderated the relationship between problem-oriented coping and quality of life. More problem-oriented coping strategies predicted better quality of life for the cancer pain patients with an internal locus of control, whereas no such association was found for the cancer pain patients with an external locus of control. Moreover, we also found that a person's locus of control moderated the relationship between emotion-oriented coping and quality of life. More emotion-oriented coping strategies predicted worse quality of life for the cancer pain patients with an internal locus of control, whereas more emotionoriented coping strategies predicted better quality of life for the cancer pain patients with an external locus of control. Conclusions: In the process of coping with cancer pain, whether the problem-oriented and emotion-oriented coping strategies facilitate a patient's quality of life depends on that person's locus of control.
電子文章下載處:
http://www.airitilibrary.com/Publication/Index?DocID=10237283-201412-201502040012-201502040012-561-582