- 期刊
A Multidimensional Model of the Antecedents of Stress and Coping Appraisals: An Approach to Studying Patients' Perceptions of Post Cardiac Surgery Pain and Their Coping Strategies
多層次壓力前提與適應評估模式：一種研究病人對心臟手術後疼痛的看法及其因應策略的方法
摘要
Lazarus壓力與適應理論早已被調查病病人的壓力與適應經驗的護理者推崇為一有相當價值的概念架構。然而，學者應用此理論在了解台灣護理問題時，甚少針對此理論的概念、可用與限制性，提出深入批判。此外，目前亦缺乏考慮台灣文化的理論主張以供學者探討台灣病人的壓力經驗，例如心臟手術後的疼痛問題。為了協助台灣加護護理專業人員更加了解如何以Lazarus理論為基礎，發展出一考慮台灣文化的概念架構，以探討台灣病人如何視心臟手術後之疼痛為壓力；作者首先回顧壓力概念的發展與Lazarus理論的核心概念，再針對Lazarus理論應用於此護理現象的利弊提出評判。在此基礎上，作者嚐試發展出一多層次壓力前提與適應評估模式，以供護理人員評估其個案對心臟手術後疼痛的觀感及其對應適應行為。此外，有關了解此護理現象的理論主張及此模式在臨床護理、護理研究與理論發展上的應用亦一併被提出說與討論。
關鍵字
無資料並列摘要
Lazarus’ stree and coping theory has been recognized as a valued conceptual framework for nursing scholars who are interested in studying their client’s experiences of stress and coping. However, little data provide in-depth critiques in concepts, availability and limitations of employing Lazarus’ theory in nursing phenomena in Taiwan, nor did data provide culturally sensitive propositions for Taiwanese nursing scholars to better understand their clients’ stress experience such as post cardiac surgery pain. In order to help Taiwanese critical care nurses better understand the process of theoretical development while assessing their clients’ perceptions of post cardiac surgery pain, the historical perspective of the concept of stress and the core components of Lazarus’ theory are examined. Following is a critical critique of Lazarus’ theory as a conceptual framework with which to study how patients perceive post cardiac surgery pain as a stressor. A multidimensional model of the antecedents of stress and coping appraisals for nurses to assess their clients’ perceptions of pain and the resulting coping behaviors is further developed based on the aforementioned critiques. Finally, suggestions for testing theoretical propositions related to this phenomenon, as well as implications for nursing practice, research, as theory are delineated and discussed.
被引用紀錄
延伸閱讀
- 黃秀梨、林碧珠、廖玟君、張瑛、黃嗣棻（1994）。心臟手術的壓力源－病人與護理人員對心臟手術前後壓力感受的追蹤比較研究。護理研究，2(1)，17-28。https://doi.org/10.7081/NR.199403.0017
- 黃秀梨、張瑛、黃嗣棻、吳佩蓉、廖玟君（1997）。心臟手術病人於加護期間壓力感受及其影響因素之探討。慈濟醫學雜誌，9(4)，285-294。https://doi.org/10.6440/TZUCMJ.199712.0285
- 廖玟君、鄭靜瑜、黃嗣棻、張瑛、黃秀梨（1998）。心臟手術病人居家期間克服壓力行為追蹤比較研究。慈濟醫學雜誌，10(3)，221-229。https://doi.org/10.6440/TZUCMJ.199809.0221
- 李秋譁、馬震中、王建仁、陳俊道、丘周萍（2018）。不同護理衛教方式對手術後病人使用自控式止痛之成效。榮總護理，35(2)，136-144。https://doi.org/10.6142/VGHN.201806_35(2).0003
- 王韋琇、丁原郁（2012）。現實治療團體諮商對急重症護理人員之壓力反應與因應策略之影響。中華輔導與諮商學報，(32)，57-84。https://doi.org/10.7082/CJGC.201204.0056