The Use of Coping Strategies and Related Factors in Severe Hand Injury Patients

• Main Authors: Shu-Ching Chen, 陳淑卿
• Other Authors: Yeur-Hur Lai
• Format: Others
• Language: zh-TW
• Published: 1999
• Online Access: http://ndltd.ncl.edu.tw/handle/19974753307314374534

碩士 === 台北醫學院 === 護理學研究所 === 88 === Severe hand injury is one of the major accidence in Taiwan. The physiological and psychological impact of severe hand injury patients will influence coping long-term adaptation. The purposes of the study was to explore (1)The characteristic of post-traumatic response、uncertainty and coping strategies in severe hand injury patients.；and (2) the use of coping strategies and their related factors . A cross-sectional descriptive design was used for the study. Eligible subjects were recruited by purposive sampling from an plastic surgery inpatient ward in a medical center in Northern Taiwan. Research instruments included Pain Intensity Scale, Acute Post-traumatic Response Scale , Mishel Uncertainty Scale-Community Chinese Version (MUIS-C) , Jaloweic Coping Scale Chinese Version (JCS). Data were analyzed by descriptive statistics , Cronbach''sα, factor analysis , stepwise regression. Two hundreds and two subjects were recruited from the above setting. In general, all of the research instruments demonstrated satisfactory psychometric properties. Patients had moderate acute post-traumatic responses and moderated uncertainty level. Patients used problem-focus coping strategies more frequently than emotional-focus coping strategies. The regression analyses showed that patients with lower post-traumatic responses and lower uncertainty level used problem-focus coping strategies more frequently than other subjects. Patients with higher acute post-traumatic responses, female, and higher uncertainty level used emotional-focus coping strategies more frequently than other subjects. The results strongly supported that patients uncertainty level and post-traumatic responses will influences their consequent using of coping strategies. Health care professional should therefore actively help patients to decrease their uncertainty and post-traumatic responses to increase their use of effective coping.