支持團體對癌末喪親悲傷、信念與調適策略之研究

The Study on Support Group to Grief, Belief and Adjustment in Caregivers after Death of Terminal Cancer Patients

閩嘉娜(Chia-Na Min) ； 周玲玲(Ling-Ling Chou) ； 邱泰源(Tai-Yuan Chiu) ； 陳慶餘(Ching-Yu Chen) ； 姚健安(Chien-An Yao) ； 蔡兆勳(Jaw-Shiun Tsai) ； 尤雅芬(Ya-Feng Yu) ； 聶華明(Hwa-Ming Nieh) ； 胡文郁(Wen-Yu Hu)

《安寧療護雜誌》 9卷4期 (2004/11) Pp. 336-352

https://doi.org/10.6537/TJHPC.2004.9(4).2

摘要

本研究以支持團體對癌症病逝者中老年人遺族為樣本共30名探討悲傷焦慮程度、信念、社會心理與調適策略研究，以有、無參加支持團將其分成實驗組與對照組。重要結果如下：
一、研究對象介入前，社會人口學變項包括「年齡、家庭型態、施測時間、遺族與往生者關係、遺族目前與誰同住、婚姻、小孩總數、兒子數目、遺屬三個月內參加疾病追蹤檢查及意願原因」與介入前之「健康信念及焦慮悲傷程度」有顯著相關，其中「施測時間、遺族與誰同住、小孩總數、遺族三個月內參加疾病追蹤檢查及最後參加追蹤檢查意願」與「自覺利益信念」有相關；另外，男生數與「自覺障礙性信念」達相關；「年齡、測時間、遺族與往生者關係、婚姻與親人往生年限、三個月內參加疾病追蹤檢查及最後參加疾病追蹤檢查意願原因」、皆與焦慮成顯著相關；最後「家庭型態、遺族與往生者關係、婚姻、往生年限」皆與「中老年人遺族悲傷」成顯著正相關。
二、實驗組在支持團體實施後，其後測時之「健康信念、焦慮悲傷程度」得分顯著優於前測，並且相較上達到統計顯著水準。但兩組在「悲傷程度、健康信念、焦慮程度」，經相較下只有「嚴重性認知與焦慮悲傷程度」達統計分析顯著水準，其他方面並無差異。

關鍵字

認知 ； 利益 ； 障礙 ； 罹患性 ； 嚴重性

並列摘要

This study is to discuss the influence of the support group on the grief, anxiety, belief, social psychology, and adjustment strategies of the 30 elders (over 50 years old), whose relative died at the final stage of cancer. Thirty participats, based on joining in the support group or not, are divided to the experiemental group and the controlled group. The exclusive results are listed as the following: 1. Before the involvement of support group, the social population facts of 'Age, Family Type, Residence, Marriage, Numbers of Male and/or Female Children' are related to 'Health Belief and Degree of Anxiety and Grief.' Among these items, 'Time,' 'Members who Live Together,' 'Numbers of Children,' and 'Reason/Willingness to Join in the Following Diease Test within Three Months' are related to 'The Perceived Beneifits of Action.' Furthermore, 'Numbers of Male Childern' is related to 'The Perceived Barriers of Action.' 'Time of the Test,' 'Relationship with the Deseased,' 'Marriage,' 'The Year when the Loved One Passed Away,' and 'Reason/Willingness to Join in the Following Diease Test within Three Months' are significantly related to 'Anxiety.' In the end, 'Family Type,' 'Relationship with the Deseased,' 'Marriage,' and 'The Year when the Loved One Passed Away' are all positively related to 'Grief of the Elders whose Relative Died at the Final Stage of Cancer.' 2. With the interviewing of the support group, the experiemental group obtains a higher score in the post-test than in the pre-test for 'Health Belief, and Degree of Anxiety and Grief,' and the performance reaches a significant difference. Based on 'Degree of Grief, Health Belief, and Degree of Anxiety,' the experiemental group and the controlled group show only the significant level in Statistics after the comparison in 'Awareness of Severity, Degree of Anxiety and Grief.' There is no difference in other aspects of these two groups.

並列關鍵字

perception ； benefits ； barriers ； susceptibility ； severity