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台湾急性心肌梗死患者配偶的应对方式。

Coping in spouses of patients with acute myocardial infarction in Taiwan.

作者信息

Yeh M L, Gift A G, Soeken K L

机构信息

University of Maryland School of Nursing, Baltimore.

出版信息

Heart Lung. 1994 Mar-Apr;23(2):106-11.

PMID:8206766
Abstract

OBJECTIVE

The purpose of this study was to determine the usage and perceived effectiveness of coping strategies of spouses of patients with acute myocardial infarction in Taiwan, the Republic of China, during the acute phase of the illness.

DESIGN

Survey.

SETTING

Visitors room for a coronary care unit in Taiwan, the Republic of China.

SUBJECTS

Twenty-one female and 10 male spouses of patients with acute myocardial infarction.

OUTCOME MEASURES

The Revised Ways of Coping Scale was modified to assess both frequency of use and perceived effectiveness of coping strategies. It was also translated into Chinese.

RESULTS

Seeking Social Support was the most frequently used coping strategy, whereas Confrontive Coping was used the least. There were significant positive relationships between the extent of usage of coping strategies and their perceived effectiveness. Men used Planful Problem-Solving more often and found it be more effective than did women; they also found the Self-Controlling and Accepting Responsibility strategies to be more effective than did women. Older spouses reported the Planful Problem-Solving strategy to be more effective than did younger subjects. The more family members living with a spouse, the less Accepting Responsibility was used as a coping strategy.

CONCLUSIONS

Spouses of patients with acute myocardial infarction in Taiwan, the Republic of China, report using a variety of coping strategies. Those used most often are perceived to be the most effective.

摘要

目的

本研究旨在确定中国台湾地区急性心肌梗死患者配偶在疾病急性期应对策略的使用情况及感知到的有效性。

设计

调查。

地点

中国台湾地区一家冠心病监护病房的访客室。

研究对象

21名急性心肌梗死患者的女性配偶和10名男性配偶。

观察指标

对修订后的应对方式量表进行修改,以评估应对策略的使用频率和感知到的有效性。该量表也被翻译成中文。

结果

寻求社会支持是最常使用的应对策略,而对抗性应对使用最少。应对策略的使用程度与其感知到的有效性之间存在显著的正相关关系。男性比女性更常使用有计划地解决问题的策略,且认为该策略更有效;他们还认为自我控制和承担责任的策略比女性更有效。年长的配偶报告有计划地解决问题的策略比年轻的受试者更有效。与配偶同住的家庭成员越多,承担责任作为应对策略的使用就越少。

结论

中国台湾地区急性心肌梗死患者的配偶报告使用了多种应对策略。那些最常使用的策略被认为是最有效的。

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