| Summary: | 碩士 === 國防醫學院 === 護理研究所 === 103 === Background: Illness is family affair. It is important to incorporate family into nursing care. Very few studies used Calgary family assessment and intervention model to take care of trauma patients and their families.
Aim: This study examined the effects of the Calgary Family Assessment and Interventions Model on patients and families’ stress, coping and family resilience, as well as the related factors among stress response, stress coping and resilience.
Methods: This study used a repeated measures experimental design.
We used convenience sampling to recruit patients with hand, leg or foot fracture due to trauma, at an emergency room of a medical center in Taipei. These trauma patients and their families were randomly assigned to control (N=40) and experimental group (N=40). The two group respectively received: (1) routine standardized care (control group); (2) the routine care and the Calgary Family Assessment and Intervention models of care. The Chinese version of Acute Stress Disorder Scale, Brief COPE and family resilience scale were administered to trauma patients and families at admission within 48 hours and before discharge. Data were analyzed using descriptive (frequency, percentage, average, and standard deviation), and inferential (chi-square test, Fisher’s Exact test, and generalized estimating equations) statistics.
Results: This result showed that after the Calgary family assessment and intervention model significantly reduced the stress responses in patients of the experimental group. The stress coping scale were divided into 14 dimensions, and only the score of the oriented aspects of the families was significantly improved in the intervention group. The scores of the family resilience scale did not significantly increase in patients and their families of the experimental group.
Conclusion: The study results show that Calgary Family Assessment and Intervention model can relieve stress response for fracture patients. The study indicates that the model is helpful for trauma patients and families in alleviating the acute stress responses. The study also suggests that future research need to separate the patients with upper and lower limb fracture, in order to increase the homogeneity of the samples. In addition, the study recommended develop long-term follow-up the effects of the Calgary Family assessment and intervention Model in the future.
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