Lin C C, Ward S E
School of Nursing, Taipei Medical College, Taiwan.
Res Nurs Health. 1996 Aug;19(4):299-310. doi: 10.1002/(SICI)1098-240X(199608)19:4<299::AID-NUR4>3.0.CO;2-D.
The purposes of this study were to explore the coping strategies used by patients with chronic low back pain, to test hypothesized mediators of the relationship between self-efficacy and pain outcomes, and to determine the roles of self-efficacy and outcome expectancies in coping with pain in patients (N = 85) with chronic low back pain. The most common coping behaviors were reporting pain, using pain medications, and coping self-statements. Patients' self-efficacy to cope with pain was inversely correlated with pain intensity. Self-efficacy was positively correlated with perseverance of coping effort. Perseverance of coping effort was found to mediate the effects of self-efficacy on pain outcomes; however, level of distress was not found to be a mediator. Outcome expectancies were positively correlated with perseverance of coping effort. These findings are discussed in terms of implications for practice and directions for future research.
本研究的目的是探究慢性下腰痛患者所采用的应对策略，检验自我效能感与疼痛结果之间关系的假设中介变量，并确定自我效能感和结果期望在慢性下腰痛患者（N = 85）应对疼痛中的作用。最常见的应对行为包括报告疼痛、使用止痛药物和应对自我陈述。患者应对疼痛的自我效能感与疼痛强度呈负相关。自我效能感与应对努力的坚持性呈正相关。研究发现应对努力的坚持性介导了自我效能感对疼痛结果的影响；然而，痛苦程度并未被发现是一个中介变量。结果期望与应对努力的坚持性呈正相关。本文将根据对实践的启示和未来研究方向对这些发现进行讨论。
