Developing interventions for chronically ill patients: Is coping a helpful concept
Developing interventions for chronically ill patients: Is coping a helpful concept
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DOI：
10.1016/s0272-7358(99)00046-x
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发表时间：
2001-03-01
影响因子：
12.8
通讯作者：
Schreurs, K
中科院分区：
文献类型：
--
作者：
de Ridder, D;Schreurs, K
在这篇综述中，应对的作用，从慢性病患者的心理社会干预的发展进行了讨论。在总结了将应对概念转化为干预措施所涉及的理论问题后，对35项旨在改善应对措施对患者生活质量影响的研究进行了回顾。这些研究涉及七种不同的慢性疾病类型（艾滋病、哮喘、癌症、心血管疾病、慢性疼痛、糖尿病和类风湿性关节炎），并显示出明确考虑在应对方面管理疾病是罕见的。然而，许多研究涉及的是应对的等价物，即旨在应对被评估为压力的疾病情况的行为和/或认知。这些研究的结果是令人鼓舞的，虽然主要限于改善一个或两个特定的应对策略，特别是以问题为重点的策略。有人认为，为了扩大这些初步积极的调查结果，更多和更明确的考虑应给予潜在的应对概念的干预与慢性病患者。例如，应对压力情况的评估、应对资源的使用以及特定应对策略的战略应用都应该得到更仔细的考虑。(C)2001 Elsevier Science Ltd.
In this review, the role of coping in the development of psychosocial interventions from chronically ill patients is discussed. After summarizing the theoretical issues involved in the translation of the coping concept into an intervention, a review is undertaken of 35 studies concerned with the impact of interventions aimed at improving coping on patients' quality of life. These studies concern seven different chronic disease types (AIDS, asthma, cancer, cardiovascular diseases, chronic pain, diabetes, and rheumatoid arthritis) and show explicit consideration of attempts to manage illness in terms of coping to be rare. many studies nevertheless address the equivalent of coping, namely behaviors and/or cognitions intended to deal with an illness situation appraised as stressful. The results of these studies are encouraging, although largely limited to the improvement of one or two particular coping strategies and problem-focused strategies in particular. It is argued that in order to expand on these initially positive findings, greater and more explicit consideration should be given to the potential of the coping concept for intervention with the chronically ill. The appraisal of stressful situations, the use of coping resources, and the strategic application of particular coping strategies should, for example, be given more careful consideration. (C) 2001 Elsevier Science Ltd.