The Effectiveness of Group Coping Skills Training among Body Image, Mood and Quality of Life with Burn.

• Main Authors: Hsueh-Yin Chang, 張雪吟
• Other Authors: Shiow-Luan Tsay
• Format: Others
• Language: zh-TW
• Published: 2003
• Online Access: http://ndltd.ncl.edu.tw/handle/94008432365998232451

碩士 === 國立台北護理學院 === 護理研究所 === 91 === This study investigated the effects of the group coping skilled training on body image, mood and quality of life among burn patients. The study was a quasi-experimental design. Thirty-two qualified burn patients participated into experiment or comparison groups. Patients in the experiment group were exposed to group training skills, which involved small group therapy, once a week for about two hours and lasting for 8 weeks. Patients in the comparison group received nursing support through telephone. Study instruments included the Hospital Anxiety and Depression Scale (HADS), the Burn Specific Health Scale（BSHS-B）and the Stigma Scale. Data were collected at the baseline and one week following the intervention. Data were coded and analyzed by using the SPSS10.0 for windows edition software. The statistical methods included frequency distribution, percentage, mean, standard deviation, c2, Pearson''''''''s r, and independent t-test. Correlation data suggested that body image was negatively correlated with the quality of life（r = 0.68，p < 0.001）, anxiety (r = 0.51，p = 0.005). Depression (r = 0.65，p < 0.001) was negatively correlated with quality of life, and body image was positively correlated with anxiety (r = 0.46，p = 0.01) and depression (r = 0.48，p = 0.009). The results of this interventional study demonstrated that patients in the experimental group had significantly improved their body image（t = 2.202，p ＜ 0.05）, anxiety levels（t = 2.305，p ＜ 0.05）and quality of life（t = 3.325，p ＜ 0.05） more than patients in the comparison group. However there was no significant difference in depression levels between groups. In conclusion, this study provided an interventional model for nurses who are taking care of patients with burn. It may helps patients to improve body image, decrease symptoms of anxiety and depression, and improve quality of life.