- 期刊
壓力模式與壓力分析在家庭醫學部病人之應用：初探
The Application of Stress Model and Stress Analysis in Patients of the Department of Family Medicine: A Preliminary Study
摘要
隨著身心醫學的發展及疾病型態的轉變，1977年Engel提出之「生物心理社會模式」的醫療照顧廣受重視。由之衍生的「壓力模式」嘗試應用於臨床實務中，提供病患壓力衡鑑與調適之服務，根據研究結果，這項醫療服務具有具體的臨床效果。 某醫學中心家庭醫學部，在提供以壓力模式為基礎的壓力診療多年後，於1999年正式成立「身心諮商特別門診」。本研究即以此門診第一年之個案為對象，探討其身心壓力的現象。根據51位完整個案的分析，主要的研究結果如下：(1)以壓力模式為基礎的壓力分析確實可適切呈現壓力現象。(2)絕大多數個案都出現身心症狀；所有個案都有負向情緒；大約半數的個案完全不表達情緒或只做非常少的表達；半數以上的個案對情緒的處理不但未能解決問題，甚至反而使問題惡化。(3)壓力適應不良的發生是由生活事件以及環境與資源等外在因素，以及個人的內在因素共同決定。(4)絕大部分個案對目前壓力的不利認知都有泛化的現象，而有一部份個案則不能覺知或錯誤覺知所承受的壓力及其來源。(5)壓力模式在研究與臨床服務上，確實都是值得發展及應用的實務架構。
關鍵字
無資料並列摘要
Along with the development of psychosomatic medicine and the changes of disease pattern, George Engel's biopsychosocial model has been emphasized in medical health care. In Taiwan, researchers started to develop the stress model from the biopsychosocial perspective since about ten years ago. Furthermore, the clinical application of stress assessment and management based on the stress model also showed its effectiveness in patient care. For better patient care and to fulfill the social need, we set up a special clinic for stress assessment and counseling in the Department of Family Medicine in a medical center in January, 1999 We conducted this study by analyzing 51 patients' assessment records for the purpose of investigating the nature and related factors of their stresses as well as the applicability of the stress model. The results were as follows: (1) Stress model is appropriate for analyzing phenomenon of stress. (2) Most of the cases had psychosomatic symptoms; all of them had negative emotions; half of them did not or rarely express emotions; more than half of them did not resolve or even worsen the problems. (3) There were no cases of stress maladaptation purely ensued from the external-environmental or personal-characteristic factors. Stress adjustment problems were the results of these two factors.
被引用紀錄
延伸閱讀
- 蕭淑貞、楊秋月、葉櫻媛、黃瑞媛、陳美雲、吳麗萊（1999）。精神病患的家庭結構、疾病症狀與壓力調適之探討。The Kaohsiung Journal of Medical Sciences，15(6)，359-371。https://doi.org/10.6452/KJMS.199906.0359
- 謝蕙宜、莊昭華、李怡旻、鍾一如、劉秋月、魏芳君（2022）。壓力調適對醫療職場員工生活品質及職場疲勞的影響－以某醫學中心為例。中華職業醫學雜誌，29(1)，1-14。https://www.airitilibrary.com/Article/Detail?DocID=10233660-202201-202202080020-202202080020-1-14
- 蘇佳廷、蘇偉禎、許智瑋、李柏翰、胡靜欣、王鵬智、劉倩秀、江心瑜（2012）。職能治療實習生的壓力與壓力因應策略之初探。輔仁醫學期刊，10(4)，193-203。https://www.airitilibrary.com/Article/Detail?DocID=18102093-201212-201304120011-201304120011-193-203
- 吳淑珍（2003）。A Study of the Implementation Status of Hospital Logistics and the Attitude and Adoption Willingness of Material Managers〔碩士論文，臺北醫學大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0007-1704200714530911
- Huang, H. Y., Lin, Y. S., Chuang, Y. C., Lin, W. H., Kuo, L. Y., Chen, J. C., Hsu, C. L., Chen, B. Y., Tsai, H. Y., Cheng, F. H., & Tsai, M. W. (2015). Application of the Transtheoretical Model to Exercise Behavior and Physical Activity in Patients after Open Heart Surgery. Acta Cardiologica Sinica, 31(3), 202-208. https://doi.org/10.6515/ACS20150204A