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

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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

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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〉

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連結：
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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。
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