The pattern of coping in persons with spinal cord injuries
The pattern of coping in persons with spinal cord injuries
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DOI：
10.1080/096382800413998
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发表时间：
2000-07-01
影响因子：
2.2
通讯作者：
Lieh-Mak, F
中科院分区：
文献类型：
--
作者：
Chan, RCK;Lee, PWH;Lieh-Mak, F
目的：探讨香港脊髓损伤（SCI）患者的应对和适应模式。方法：采用横断面设计。对 66 名 SCI 患者完成了结构化问卷和半结构化访谈。进行聚类分析以确定有心理社会发病风险的 SCI 患者。结果/结论：有心理困难风险的群体的特点是外部控制得分高、应对模式不足和感知社会支持低。人们普遍注意到严重的抑郁症、社会角色不满、照顾负担、生活满意度低和婚姻不适应。脊髓损伤患者的康复还应旨在促进个人控制感、对身体状况的接受以及对压力情况的现实评估，以促进更好的调整和应对常见的压力和困难。应尽早开始咨询，以减少扭曲认知的发展，从而更好地满足和解决 SCI 患者的需求和担忧。通过建立与疾病和与疾病相关的更现实的理解，可以在早期阶段避免因期望未得到满足而造成的挫败感。
Purpose : To examine the modes of coping and adjustment of persons with spinal cord injuries (SCI) in Hong Kong.Method: A cross-sectional design was adopted. Structured questionnaires and semi-structured interviews on 66 persons with SCI were completed. Cluster analysis was performed to identify persons with SCI who are at risk for psychosocial morbidity.Results/Conclusion : The group at risk for developing psychological difficulties is characterized by high scores on external locus of control, inadequate coping modes, and low perceived social support. High levels of depression, social role dissatisfaction, care-giving burden, low levels of life satisfaction, and marital maladjustment are commonly noted. Rehabilitation of persons with SCI should also aim at promoting perceived personal control, acceptance of physical status, and realistic appraisal of stressful situations to facilitate better adjustment and coping with commonly identified stresses and difficulties. Counselling should be initiated at an early stage to reduce the development of distorted perceptions so that the needs and concerns of individuals with SCI may be better met and resolved. The frustrations due to unmet expectations may be prevented at an early stage through build-up of more realistic understandings related to the illness and living with the illness.