Hooper Helen, Ryan Sarah, Hassell Andrew
Primary Care Sciences Research Centre, Keele University, Stoke-on-Trent, UK.
Musculoskeletal Care. 2004;2(4):195-206. doi: 10.1002/msc.71.
This study aimed to explore the effects of participants' perceptions of support, ways of coping and feelings of control, on their accounts of well-being.
Semi-structured interviews were conducted with 10 patients with rheumatoid arthritis (RA) and explored the dynamics of participants' accounts of coping with their everyday lives.
Four categories of coping mechanisms were evident in all participants' accounts: support during the medical consultation, nurse support, social support, and comparative strategies. This paper focuses on just one of the themes that emerged from our analysis. Further insight into coping mechanisms was provided by the prevalence of comparative coping strategies. A comparison with previous disease states was used by every participant. This comparison enhanced their sense of control and fostered a sense of well-being. Social comparison was used by seven participants to show themselves how fortunate they were in relation to others with RA.
Comparative coping has been identified as an important strategy adopted by these participants that could be explored in further intervention-based studies of coping.
本研究旨在探讨参与者对支持的认知、应对方式和控制感对其幸福感描述的影响。
对10名类风湿性关节炎(RA)患者进行了半结构化访谈,探讨了参与者应对日常生活描述的动态变化。
在所有参与者的描述中,有四类应对机制很明显:就医期间的支持、护士支持、社会支持和比较策略。本文仅关注我们分析中出现的一个主题。比较应对策略的普遍性为应对机制提供了进一步的见解。每位参与者都将自己当前的疾病状态与之前进行了比较。这种比较增强了他们的控制感,并培养了幸福感。7名参与者进行了社会比较,以向自己展示与其他类风湿性关节炎患者相比自己有多幸运。
比较应对已被确定为这些参与者采用的一种重要策略,可在进一步基于干预的应对研究中进行探讨。