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系統識別號 U0026-0812200910344137
論文名稱(中文) 急性心肌梗塞病患其配偶返家後自覺壓力及其相關因素之探討
論文名稱(英文) The perceived stress and related factors in spouses of patients with acute myocardial infarction after discharge from hospital
校院名稱 成功大學
系所名稱(中) 護理學系碩博士班
系所名稱(英) Department of Nursing
學年度 91
學期 1
出版年 92
研究生(中文) 江昭儀
研究生(英文) Chao-I Chiang
電子信箱 f2003307@ms52.hinet.net
學號 t2688101
學位類別 碩士
語文別 中文
論文頁數 97頁
口試委員 指導教授-顏妙芬
口試委員-陳清惠
口試委員-王靜枝
中文關鍵字 自覺壓力  急性心肌梗塞  配偶 
英文關鍵字 perceived stress  acute myocardial infarction  spouse 
學科別分類
中文摘要   本研究為橫斷性、相關性研究,目的在探討急性心肌梗塞病患其配偶返家後自覺壓力程度及其相關因素。以立意取樣,選取南部兩家醫學中心及兩家區域醫院之急性心肌梗塞病患之配偶,共34位,研究工具包括:個案基本資料、病患病況資料、「內外控人格量表」、「神經質人格量表」、「社會支持量表」及自擬之「自覺壓力量表」,所得資料以SPSS 8.0版進行資料分析。研究結果顯示自覺壓力經因素分析有三個範疇「猝死之威脅」、「配偶較疾病發生前承擔更多的角色及責任」、「生活形態調整引起之壓力」,年齡、內外控人格量表得分及社會支持與第三範疇呈顯著相關,投入複迴歸後,年齡解釋總變異量的31%,為最重要之預測因子。本研究結果可為臨床之醫護人員應敏感查覺年輕病患及配偶之需求的重要參考依據,建議此族群成立支持團體,分享照護經驗及提供情緒性支持,協助配偶度過壓力直至病患成功恢復其角色及功能。
英文摘要   The purpose of this correlational study was to explore what factors influence the perceived stress in spouses of patients with first acute myocardial infarction after discharge from hospital. The total 34 including subjects were the legal spouses who lived with patients, with a clear conscious, being able to speak in Mandarin or Taiwanese, ADLⅠorⅡ level of Karnofsky scale. The data were collected using five instruments, including spouses’ demographic data、patients’ illness conditions、sphere of control、Eysenck personality questionnaire、social support scale and perceived stress scale. The perceived stress scale was developed by investigators.

  The data were analyzed using SPSS 8.0 for window. Factor analysis of spouses’ perceived stress indicated three domains, sudden death threat, spouses’ role responsibilities are changing, and the stress related to the modification of life style. The univariat test and bivariat correlation analysis between the three domains and spouses’ demographic data, personality, social support, and patients’ illness conditions were performed respectively. The relationships of the domain of stress related to the modification of life style and three variable, age, personality, social support were significant statistically. In multiple regression analysis, the domain of stress related to the modification of life style was dependent variable and age, personality and social support were independent variables.

  The finding showed that the spouse’ age explained 31% of variance in the third domain of perceived stress . It is suggested that health care workers should concern the need of younger spouses and provide social support through the convalescence.
論文目次 第一章 緒論……………………………………………………………1
 第一節 研究動機……………………………………………………1
 第二節 研究目的……………………………………………………5

第二章 文獻查證………………………………………………………6
 第一節 心肌梗塞病患其配偶返家後自覺壓力……………………7
 第二節 個人特質與自覺壓力之相關性……………………………14
 第三節 疾病特性與自覺壓力之相關性……………………………22
 第四節 配偶之社會支持……………………………………………23

第三章 研究架構與假設………………………………………………30
 第一節 研究架構……………………………………………………30
 第二節 研究假設……………………………………………………31
 第三節 名詞界定……………………………………………………32

第四章 研究方法與過程………………………………………………33
 第一節 研究對象……………………………………………………33
 第二節 研究工具……………………………………………………34
 第三節 研究工具之信效度…………………………………………38
 第四節 資料收集……………………………………………………51
 第五節 資料分析……………………………………………………53

第五章 研究結果………………………………………………………56
 第一節 急性心肌梗塞病患其配偶的個人特質分析………………56
 第二節 急性心肌梗塞病患的疾病特性分析………………………57
 第三節 急性心肌梗塞病患其配偶之社會支持……………………58
 第四節 急性心肌梗塞病患其配偶之自覺壓力……………………59
 第五節 配偶個人特質與自覺壓力的關係…………………………59
 第六節 病患疾病特性與自覺壓力的關係…………………………62
 第七節 配偶社會支持與自覺壓力的關係…………………………63
 第八節 配偶個人特質、病患疾病特性、配偶社會支持
     對自覺壓力之預測…………………………………………64

第六章 討論……………………………………………………………68
 第一節 急性心肌梗塞病患其配偶之個人特質與自覺壓力………68
 第二節 急性心肌梗塞病患的疾病特性與配偶之自覺壓力………72
第三節 急性心肌梗塞病患其配偶之社會支持與自覺壓力………73
第四節 急性心肌梗塞病患其配偶返家後自覺壓力之預測因子…74

第七章 結論及建議……………………………………………………75

中文參考文獻……………………………………………………………77
英文參考文獻……………………………………………………………81

附件一 病人參與研究同意書…………………………………………86
附件二 未修改之自覺壓力量表………………………………………87
附件三 研究問卷………………………………………………………88
附件四 量表使用同意書………………………………………………93
附件五 人體試驗委員會同意臨床試驗證明書………………………97
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