The Relationships between Uncertainty and Posttraumatic Stress in Survivors of Childhood Cancer
Resource
THE JOURNAL OF NURSING RESEARCH v.14 n.2 pp.133-142
Journal
THE JOURNAL OF NURSING RESEARCH
Journal Volume
v.14
Journal Issue
n.2
Pages
133-142
Date Issued
2006
Date
2006
Author(s)
LEE, YA-LING
Abstract
本研究的主要目的有二：（一）為了解青年期兒童癌症存活者的疾病不確定感和創傷 後壓力的情形，及（二）檢驗不確定感和創傷後壓力兩者間的關係。本研究為一橫斷 式相關性的設計，以問卷調查法收集資料。研究工具主要有二：（一）密歇兒疾病不 確定感的社區(MUIS- C)量表，用來測量不確定感；（二）加州洛杉磯大學創傷後壓 力障礙指標(PTSDI)量表，用來測量創傷後壓力。受訪對象中有46位（回收率51.5%） 寄回問卷，有效問卷為45份。研究結果：不確定感的平均得分為51.3（標準差：14.5 ，範圍：23-90）；創傷後壓力的平均得分為15.7(標準差：11.0，範圍：0−43 )。不確定感與創傷後壓力有顯著的正相關(r=.40, p=.039)。密歇兒的再概念化的疾 病不確定感理論(Re-conceptualization of Uncertainty in Illness Theory)和青 年期的發展理論可以用來解釋本研究的發現。密歇兒再概念化的疾病不確定感理論可 以做為將來研究的指引。 The purposes of this study were to understand the levels of uncertainty and posttraumatic stress and to examine their relationships in young adult survivors of childhood cancer. A cross- sectional correlational design was used in this study. Mailed survey was the data collection method. The Mishel Uncertainty in Illness Scale- Community Form was the measure of uncertainty. The University of California at Los Angeles Post Traumatic Stress Disorder Index was the measure of posttraumatic stress. A total of 46 (51.1%) survivors responded to the survey and the analysis was based on data from 45. Participants reported a mean 51.3 (SD=14.5, range= 23 to 90) level of uncertainty; and a mean 15.7 (SD=11.0, range=0 to 43) level of posttraumatic stress. Uncertainty was positively correlated with posttraumatic stress (r=.40, p= .039). The re-conceptualization of the Uncertainty in Illness Theory (UIT) and developmental perspectives can explain the relationships between uncertainty and posttraumatic stress in the young adult survivors of childhood cancer. The re-conceptualization of UIT can serve as a guide for future studies.
Subjects
創傷後壓力
不確定感
存活者
兒童癌症
青年期
posttraumatic stress
SDGs