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KMID : 0928020040080010001
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Nursing and Innovation
2004 Volume.8 No. 1 p.1 ~ p.16
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Coping Patterns according to Causal Perceptions in Rheumatoid Arthritis Patients
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Jang Se-Young
Park Sang-Youn
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Abstract
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This study was aim to provide the basic data of development of nursing intervention of rheumatoid arthritis patients as exploring coping pattern according to causal perception of rheumatoid arthritis patients.
As the results of this study the mean score of causal perception of the subjects was 3.37. The score of the internal-unstable was the highest, which was followed by extra-stable, internal factor, internal-stable, external factor and external-unstable in order among the factor of causal perception.
The mean score of coping pattern was 2.64. The type of coping patterns the score of the receptive coping was the highest, which was followed by wishful coping, active coping and negative coping in order among the type of coping pattern.
The analysis of the relation between causal perception and coping pattern no showed significant correlation between causal perception and coping pattern(r=-0.1506, P=0.164). It was shown that there is a significant positive correlation between internal(r=0.2303, P=0.032), and internal stable factors(r=0.2252, P=0.036) and coping patterns, with respect to the correlation to the factor of causal perception. In addition, it appeared that there is a significant positive correlation between the active coping and internal(r=0.2422, P=0.024), internal stable(r=0.2304, P=0.03~), external(r=0.3004, P=0.005) and external stable factors(r=0.2900, P=0.006), as well as between the wishful coping and internal(r=0.3453, P=0.001) and internal stable factors(r=0.3147, P=0.003), in terms of the type of coping patterns.
In general characteristics, the level of education(F=4.74, P=.0017) and home monthly income(F=3.44, P=.0119) was significantly related to causal perception. The factors of causal perception showed that there is a significant difference in the home monthly income(F=2.97, P=.0239) as the internal factor, level of education(F=5.24, P=.0008) and home monthly income(F=2.66, P=.0382)as the external factor, possibility to cure a disease(t=3.08, P=.0028) as the internal unstable factor, occupation(t=2.20, P=.0303) and level of education(F=5.04, P=.0011) as the external stable factor, respectively, and experience in hospitalization(t=4.48, P=.0000) as the external unstable factor.
In general characteristics, it was shown that there is a significant difference in the possibility to cure a disease(t=2.18, P=.0315) as the wishful coping, curing period(F=2.82, P=.0303) as the receptive coping, and occupation(t=-2.85, P=.0055), experience in hospitalization(t=2.82, P=.0059), diseased period(F=3.69, P=.0082) and cured period(F=3.97, P=.0054) as the negative coping.
Based on this study results the factor of causal perception and the type of coping pattern of rheumatoid arthritis patients were shown significant relations. It is suggested, therefore, that when nurses provide rheumatoid arthritis patients with nursing service they need to clinically assess the factor of causal perception and the type of their coping patterns, and to lead their causal perception to the internal factor and intemal stable factor rather than the external factor, and to encourage the patients to do the wishful coping, not the negative coping, during nursing interventions.
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KEYWORD
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Rheumatoid Arthritis, Causal Perceptions, Coping Patterns
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