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研究生:曾慧嘉
研究生(外文):Huei-jia Tzeng
論文名稱:癌末病患家屬面臨喪慟因應行為、人際依附型態與預期性哀慟反應相關之研究-以高雄市安寧病房家屬為例
論文名稱(外文):The relationships of coping behaviors with bereavement, attachment styles, and anticipatory mourning reactions among families of terminal cancer patients in Kaoshiung Hospice
指導教授:何長珠何長珠引用關係
指導教授(外文):Chang-chu Ho
學位類別:碩士
校院名稱:南華大學
系所名稱:生死學研究所
學門:人文學門
學類:其他人文學類
論文種類:學術論文
論文出版年:2007
畢業學年度:96
語文別:中文
論文頁數:84
中文關鍵詞:癌症預期性哀慟喪慟因應行為人際依附型態癌末病患家屬
外文關鍵詞:anticipatory mourningattachment stylescoping behaviorsbereavementfamilies of terminal cancer patientscancer
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  本研究主要目的在探討癌末病患家屬面臨喪慟因應行為、人際依附型態與預期性哀慟反應的相關性,並以性別、年齡、宗教信仰、健康情形與社會支持等影響喪慟之因素作為背景變項,以了解其對癌末病患家屬預期性哀慟反應之差異情形。本研究以高雄市三家醫院安寧病房家屬為對象,使用「人際依附風格量表」、「簡明因應量表 (Brief COPE)」、「悲傷經驗量表修訂版 (RGEI)」作為評量工具,所得142份有效問卷資料以次數分配、百分比、平均數、標準差、獨立樣本t考驗、單因子變異數分析與皮爾森積差相關等統計方法進行分析。本研究結果之重點摘要如下:
 一、癌末病患家屬的預期性哀慟反應平均而言為中等偏低程度,但仍可見少數高程度哀慟反應者。
 二、癌末病患家屬面臨喪慟之因應行為以正向因應行為使用頻率較高,負向因應行為較少使用。
 三、與癌末病患家屬之預期性哀慟反應有顯著差異之喪慟相關因素為:性別、健康情形、社會支持來源與特殊情感關係。
 四、不同人際依附型態癌末病患的家屬在「作計劃」、「正向重建」、「宗教」、「否認」、「行為逃避」之面臨喪慟因應行為有顯著差異。
 五、不同人際依附型態的癌末病患家屬在「存在關注」、「憂鬱」、「身體症狀」之預期性哀慟反應有顯著差異。
 六、癌末病患家屬預期性哀慟反應與「主動因應」、「正向重建」、「接受」、「工具性支持」和「發洩」因應行為呈現顯著的負相關,與「否認」、「行為逃避」和「自責」因應行為呈現顯著的正相關。
  
  根據以上研究結果,研究者對安寧照護人員提出具體建議,以作為國內對癌末病患家屬喪親服務之參考。
  The main purpose of this study was to explore the relationships of coping behaviors with bereavement, attachment styles, and anticipatory mourning reactions among families of terminal cancer patients, and to understand the differences between anticipatory mourning reactions and bereavement-related factors, such as sex, age, religion, health condition and social support. The subjects of this study were 142 families in Kaoshiung Hospice. The subjects were evaluated by Attachment Style Scale, Brief COPE Scale, and RGEI Scale. The data were analyzed by percentile rank, mean, deviation, t-test, one-way ANOVA, Scheffe’s posterior comparison and Pearson product-moment correlations.
The results were summarized as follows:
 1. The mean level of anticipatory mourning reactions among subjects was moderately low, but
high level of answers was still seen in few subjects.
 2. The frequencies of positive coping behaviors were higher than negative coping behaviors with bereavement among subjects.
 3. The anticipatory mourning reactions among subjects were significantly effected by sex, health condition, sources of social support, and relationship quality, such as conflict or dependence .
 4. Attachment styles were significantly related with the differences in "planning", "positive reframing", "religion", "denial", and "behavioral disengagement" of coping behaviors with bereavement.
 5. Attachment styles were significantly related with the differences in "existential concerns", "depression", and "physical distress" of anticipatory mourning reactions.
 6. The anticipatory mourning reactions among subjects correlated negatively with coping behaviors of "active coping", "positive reframing", "acceptance", "using instrumental support", and "venting", whereas positively with coping behaviors of "denial","behavioral disengagement", and "self-blame".
  
  Suggestions were proposed in accordance with the study result.
第一章 緒論............................................1
第一節 研究背景與動機……………………………………………1
第二節 研究目的……………………………………………………4
第三節 研究問題……………………………………………………5
第四節 名詞界定……………………………………………………6
第五節 研究範圍與限制……………………………………………10
  
第二章 文獻探討........................................11
第一節 預期性哀慟之意涵與相關研究……………………………11
第二節 喪慟因應之理論模式與相關研究…………………………16
第三節 依附型態對喪慟因應與喪慟反應之相關研究……………23
第四節 影響喪慟之相關因素………………………………………27
  
第三章 研究方法........................................31
第一節 研究架構……………………………………………………31
第二節 研究假設……………………………………………………32
第三節 研究設計……………………………………………………33
第四節 研究對象……………………………………………………33
第五節 研究工具……………………………………………………34
第六節 研究程序……………………………………………………37
第七節 資料處理與分析……………………………………………38
  
第四章 結果分析與討論..................................39
第一節 癌末病患家屬之喪慟相關因素、人際依附型態、面臨喪慟因應行為及預期性哀慟反應的描述性統計…………………………39
第二節 不同喪慟相關因素在預期性哀慟反應之差異……………45
第三節 不同人際依附型態在面臨喪慟因應行為及預期性哀慟反應之差異…………54
第四節 預期性哀慟反應與面臨喪慟因應行為之相關性…………57
第五節 綜合討論……………………………………………………58
  
第五章 結論與建議......................................63
第一節 結論…………………………………………………………63
第二節 建議…………………………………………………………65
  
參考文獻................................................67
中文部份………………………………………………………………67
英文部份………………………………………………………………68
  
附錄
附錄一 研究同意書…………………………………………………80
附錄二 個人資料表…………………………………………………81
附錄三 「人際依附風格量表」原編製者使用同意書………………82
附錄四 Professor Carver同意授權 Brief COPE 量表中文化之e-mail記錄…………83
附錄五 Professor Lev同意授權 RGEI 量表中文化之e-mail記錄……84
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