肝硬化病人不確定感與因應行為之研究

林婉如

doi:10.6833/CJCU.2015.00166

44.200.25.51，Hello！

Close
Search Quick Search Advanced Search Publication Search	Personal Service Member Login Searching History Use Bonus Card SYMSKAN
Browse Browse by University of Graduate Thesis Browse by Pinyin of Graduate Thesis Browse by Conference Proceedings Topic Browse by Conference Proceedings Publisher Browse by Pinyin of Conference Proceedings Browse by eBook Category Browse by eBook Topic Browse by eBook Publisher
Customer Services Authorize Airiti Recommend a Journal

Search Symbol (Half-width)	Description of Search Symbols
Space	"AND" indicates the intertwining of key terms used in a search
Double Quotation Marks ("") ( " " )	Double quotation marks indicate the beginning and end of a phrase, and the search will only include terms that appear in the same order of those within the quotations. Example: "image process" ： " image process "
?	Indicates a variable letter. Entering two ? will indicate two variable letters, and so on. Example: "Appl?", search results will yield apple, apply… e , appl y … ( (often used to English word searches) )
*	Indicates an unlimited number of variable letters to follow, from 1~n. Example: Enter "appl*", search results will yield apple, apples, apply, applied, application…(often used in English word searches) e , appl es , appl y , appl ied , appl ication … ( (often used to English word searches) )
AND、OR、NOT	Boolean logic combinations of key words is a skill used to expand or refine search parameters. (1) AND (1) AND: Refines search parameters (2) OR (2) OR: Expands search parameters (3) NOT: Excludes irrelevant parameters

DOI stands for Digital Object Identifier （ D igital O bject I dentifier ） ,
and is the unique identifier for objects on the internet. It can be used to create persistent link and to cite articles.

Using DOI as a persistent link

To create a persistent link, add「http://dx.doi.org/」「 http://dx.doi.org/ 」 before a DOI.
For instance, if the DOI of an article is 10.5297/ser.1201.002 , you can link persistently to the article by entering the following link in your browser: http://dx.doi.org/ 10.5297/ser.1201.002 。
The DOI link will always direct you to the most updated article page no matter how the publisher changes the document's position, avoiding errors when engaging in important research.

Cite a document with DOI

When citing references, you should also cite the DOI if the article has one. If your citation guideline does not include DOIs, you may cite the DOI link.

DOIs allow accurate citations, improve academic contents connections, and allow users to gain better experience across different platforms. Currently, there are more than 70 million DOIs registered for academic contents. If you want to understand more about DOI, please visit airiti DOI Registration （ doi.airiti.com ）。

Data Source

Health & Medical Care > Social Medicine
College of Health Sciences > Graduate Institute of Nursing

Bibliography Management Tool

Related Links

Report an Issue

Purchase Single Articles

Download PDF

肝硬化病人不確定感與因應行為之研究

The Uncertainty and Coping Behaviors of Patients With Liver Cirrhosis

林婉如 , Masters　　Advisor：黃惠滿　　

繁體中文 DOI： 10.6833/CJCU.2015.00166

肝硬化病人；不確定感；因應行為； Liver cirrhotic patients ； uncertainty ； coping behaviors

Abstract │ Reference (117) │ Times Cited (10) │ Altmetrics

Abstract 〈TOP〉

Parallel Abstract 〈TOP〉

Patients with liver cirrhosis tend to develop a sense of uncertainty when they lack control over the progress of the disease, treatment decision making, physical discomforts, the acquisition of medical information, and the ability to plan their future. The sense of uncertainty that liver cirrhotic patients develop when facing their disease or treatment may elicit physical and psychological distress which can influence the patients’ cognition, evaluation capacity, and coping behaviors. This study investigated actual liver cirrhotic patients’ sense of uncertainty and coping behaviors. A cross-sectional, quantitative research design was used with convenience sampling being performed to select 76 liver cirrhotic inpatients in the division of gastroenterology at a hospital in Southern Taiwan. Three structured questionnaires were used for data collection, yielding the following results:；(a) Liver cirrhotic patients perceived a moderate or increased level of uncertainty and problem-oriented coping behaviors were the most frequently used coping behaviors. (b) Patients who had no religion, who were unemployed, or who had severe disease conditions or fatigue exhibited comparatively high levels of uncertainty. (c) Patients who were divorced or unemployed, or fatigue often showed affective-oriented coping behaviors.Consuming alcohol frequency, illness severity was positively correlated with affective-oriented coping behaviors. (d) Patients who were unemployed often exhibited problem-oriented coping behaviors. Educational level andconsuming alcohol frequency were positively correlated with problem-oriented coping behaviors.(e) Patients’ uncertainty was positively correlated with affective- and problem-oriented coping behaviors.(f) The employment status, consuming alcohol frequency, and uncertainty were the predictors of affective-oriented coping behaviors and explained 40.0% of the total variance. (g) The education level, consuming alcohol frequency, and uncertainty were the predictors of problem-oriented coping behaviors and explained 33.4% of the total variance.
    These results can assist nurses in identifying the level of uncertainty in liver cirrhotic patients and detecting their psychological problems to mitigate the patients’ negative emotions through early interventions. Since liver cirrhotic patients frequently exhibit affective-oriented coping behaviors because of their negative emotions, nurses should accept their behaviors, encourage them to express their emotions and problems, and listen to them patiently. Nurses should also guide the patients in adopting problem-oriented coping behaviors. If patients were high levels of uncertainty, frequently exhibit problem-oriented coping behaviors, by spontaneously providing disease-related information and social support, they can readily adopt to their disease conditions.

Reference ( 117 ) 〈TOP〉

方文芳、李欣岱、蘇千田、李芸霏、鐘國軒（2009）．酒癮及酒精戒斷症候群．家庭醫學與基層醫學，25（7），260-267。
連結：
向肇英、李介至、李韻雯、鄭素月（2012）．乳癌婦女的不確定感及相關因素之探討．新台北護理期刊，14（2），23-30。
連結：
李瑜弘、王瑞霞(2001)．長期血液透析病患之無助感、社會支持與自我照顧行為之相關探討．護理研究，9（2），147-158。
連結：
李碧娥、林秋菊（2002）．疲憊的概念分析．長庚護理，13（4），339-343。
連結：
影響因素之探討．慈濟護理雜誌，1（3），57-65。
連結：

Times Cited (10) 〈TOP〉

Altmetrics

〈TOP〉

E-mail ：

When an article is available to download, a notice will be sent to your mailbox address.

E-mail ：