Uncertainty and coping in Spinal cord injuryed Patients.
Date Issued
2004
Date
2004
Author(s)
Liao, Ya Hui
DOI
zh-TW
Abstract
Purpose:
The purpose of this study were (1) to explore the level of uncertainty in SCI patients; (2) to explore the coping strategies used in SCI patients; (3) to determine the correlated factors such as demographic, illness data with uncertainty; (4) to determine the correlated factors such as demographic, illness data with coping; (5) to determine the relationship between uncertainty and coping; (6) to determine the predictors of coping.
Method:
A cross-sectional research design was used for the study. Eligible subjects were recruited by purposive sampling from a Rehabilitation Unit’s inpatients and outpatients which suffered from SCI within five years. Research instruments included Background Information, Mishel Uncertainty Scale Chinese Version and Jaloweic Coping Scale Chinese Version. A total of 38 valid questionnaires were received. Data were analyzed with descriptive statistics, Pearson’s correlation, t test, one way ANOVA, and multiple & stepwise regressions.
Results:
The findings of the study included that (1) the level of SCI patient’s uncertainty was moderate, and the level of ambiguity was higher than the level of complexity in uncertainty scale; (2) as time past, the level of uncertainty and the coping strategies changed. Four to five years after trauma was a critical point. The uncertainty level rised and patients used emotion focused coping strategies more often than problem focused coping strategies during this period; (3) the predictive variable for emotion focused coping was uncertainty, which explained 37% of the total variance; (4) The predictive variables for problem focused coping were uncertainty and information support, which explained 31% of the total variance.
Conclusions:
Our results provide valuable information to the health care providers and administrators. The results strongly supported that patient’s uncertainty level will influence their consequent using of coping strategies. Health care providers should help patients to decrease their uncertainty level and help them to use coping strategies properly.
Keywords: spinal cord injury, uncertainty, coping
Subjects
不確定感
因應
脊髓損傷
coping
spinal cord injury
uncertainty
Type
other
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