Johnson J E, Christman N J, Stitt C
Res Nurs Health. 1985 Jun;8(2):131-45. doi: 10.1002/nur.4770080207.
A randomized 2 X 3 X 2 factorial design was used to evaluate the short- and long-term effects of interventions that provided different means of exerting personal control over postoperative experiences in a sample of 121 black and 47 white hysterectomy patients. One variable was the presence or absence of the description of the experience in concrete sensory terms; the second variable was instruction in a cognitive-coping strategy, instruction in a behavior-coping strategy, or no instruction; and the third variable was experimental or control information about the posthospital experience. There was support for the coping processes that concrete sensory information was expected to stimulate, but no significant effects on resumption of usual life activities as was expected. The behavioral-coping technique was associated with a reduction in pain medication. The cognitive-coping technique was associated with reports of better physical recovery during hospitalization, but longer hospitalization. Posthospitalization recovery data, collected 2, 4, and 12 weeks after discharge, showed a different pattern of effects for the interventions than observed during hospitalization.
采用随机2×3×2析因设计，在121名黑人及47名白人子宫切除患者样本中，评估不同干预措施对术后体验施加个人控制的不同方式所产生的短期和长期影响。一个变量是是否以具体的感官术语描述体验；第二个变量是认知应对策略指导、行为应对策略指导或无指导；第三个变量是关于出院后体验的实验或对照信息。预期具体感官信息会刺激的应对过程得到了支持，但对恢复正常生活活动没有预期的显著影响。行为应对技术与减少止痛药物使用有关。认知应对技术与住院期间身体恢复较好的报告有关，但住院时间较长。出院后2周、4周和12周收集的出院后恢复数据显示，干预措施的效果模式与住院期间观察到的不同。
