The Relationships between Uncertainty and Posttraumatic Stress in Survivors of Childhood Cancer

兒童癌症存活者的不確定感和創傷後壓力關係

李雅玲(Ya-Ling Lee)

《The Journal of Nursing Research》 14卷2期 (2006/06) Pp. 133-142

摘要

本研究的主要目的有二：（一）為了解青年期兒童癌症存活者的疾病不確定感和創傷後壓力的情形，及（二）檢驗不確定感和創傷後壓力兩者間的關係。本研究為一橫斷式相關性的設計，以問卷調查法收集資料。研究工具主要有二：（一）密歇兒疾病不確定感的社區(MUIS-C)量表，用來測量不確定感；（二）加州洛杉磯大學創傷後壓力障礙指標(PTSDI)量表，用來測量創傷後壓力。受訪對象中有46位（回收率51.5%）寄回問卷，有效問卷為45份。研究結果：不確定感的平均得分為51.3（標準差：14.5，範圍：23-90）；創傷後壓力的平均得分為15.7(標準差：11.0，範圍：0−43)。不確定感與創傷後壓力有顯著的正相關(r=.40, p=.039)。密歇兒的再概念化的疾病不確定感理論(Re-conceptualization of Uncertainty in Illness Theory)和青年期的發展理論可以用來解釋本研究的發現。密歇兒再概念化的疾病不確定感理論可以做為將來研究的指引。

關鍵字

創傷後壓力 ； 不確定感 ； 存活者 ； 兒童癌症 ； 青年期

並列摘要

The purposes of this study were to understand the levels of uncertainty and posttraumatic stress and to examine their relationships in young adult survivors of childhood cancer. A cross-sectional correlational design was used in this study. Mailed survey was the data collection method. The Mishel Uncertainty in Illness Scale-Community Form was the measure of uncertainty. The University of California at Los Angeles Post Traumatic Stress Disorder Index was the measure of posttraumatic stress. A total of 46 (51.1%) survivors responded to the survey and the analysis was based on data from 45. Participants reported a mean 51.3 (SD=14.5, range=23 to 90) level of uncertainty; and a mean 15.7 (SD=11.0, range=0 to 43) level of posttraumatic stress. Uncertainty was positively correlated with posttraumatic stress (r=.40, p=.039). The re-conceptualization of the Uncertainty in Illness Theory (UIT) and developmental perspectives can explain the relationships between uncertainty and posttraumatic stress in the young adult survivors of childhood cancer. The re-conceptualization of UIT can serve as a guide for future studies.

並列關鍵字

posttraumatic stress ； uncertainty ； survivor ； childhood cancer ； young adult

參考文獻

Cancer Statistics 2004

American Psychological Association(1980).Diagnostic and statistical manual of mental disorders: DSM-Ⅲ.Washington, DC:American Psychological Association.

American Psychological Association(1994).Diagnostic and statistical manual of mental disorders: DSM-IV.Washington, DC:American Psychological Association.

Balis, F.,Holcenberg, J.,Blaney, S.,P. A. Pizzo (Eds.),D. G. Poplack (Eds.)(2002).Principles and practice of pediatric oncology.Philadelphia, PA:Lippincott Williams & Wilkins.

When adult children come back home