探討病患接受手術後主要照顧者於家人疾病不確定感與因應策略之相關性研究

An Exploration of Relative Factors of Caregivers's Coping Strategies for Uncertainty in Illness of Patients Undergoing Postoperative Care

林文嬌(Wen-Chiao Lin) ； 邱舜麗(Shun-li Chiu) ； 盧奕丞(l-Cheng Lu)程廣義(Kuang-l Cheng) ； 李昭憲(Chao-Hsien Lee)

《Taiwan Journal of Oral Medicine Sciences》 29卷2期 (2014/12) Pp. 129-139

摘要

本研究為探討病患接受手術後主要照顧者於家人疾病不確定感與因應策略之相關性。本研究採描述橫斷性研究，立意取樣收集高雄市某醫學中心病房病患之主要照顧者為研究對象共325位，收案期間為2012年02月21日至2012年05月01日。研究結果發現：疾病不確定感與因應策略呈正相關，有人可分擔照顧責任及家庭月收入6-10萬之主要照顧者常使用整體因應策略，可預測整體因應策略的總變異量為22%。希冀本研究結果能提供醫療單位瞭解術後主要照顧者之不確定感因素及因應策略，重視術後訪視護理指導並佐以衛教光碟，以緩減照顧者的不確定感，進而提升病患的照顧品質，早日回歸正常家庭生活。

關鍵字

手術後照護 ； 痴病不確定感 ； 因應策略

並列摘要

The purpose of this study is to explore the coping strategy of caregivers in regards to patients with uncertain cause of diseases during the postoperative period. This cross-sectional study enlisted 325 caregivers of patients undergoing surgery at an unnamed medical facility in Kaohsiung between February 21 and May 1 of 2012. The compiled data included demographics, disease-related purposive sampling, and uncertainty in both illness and coping strategy. Their coping strategy was acquired through translated questionnaires developed by Jalowiec, and their dubiety was evaluated by translated questionnaires originally developed by Mishel. We found a positive correlation between uncertainty in illness and coping strategy. Caregivers often worked with tangent with coping strategies to help allocate the responsibility, as well as support those with monthly income between 60,000 to 100,000 dollars. Overall, the predictability of total variance of overall coping strategies was 22%. Based on the results of this study, we recommend that health care providers take the initiative to offer postoperative visit nursing guides accompanied by health education CDs, to heighten the caregivers' sense of certainty, thus augmenting the quality of patient care, facilitating an earlier return to normal family life.

並列關鍵字

postoperative care ； illness uncertainty ； coping strategies