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1 研究報告 Drawing up of Structural Equation Modeling for Family Needs and Coping Strategies in Critical Care Settings Hiroaki Yamase cns-face Key Words family needs, coping, cns-face, critical care nursing, structural equation Ⅰ. はじめに ICUintensive care unit Lazarus Molter CCFNI Critical Care Family Needs Inventory Bouman Molter IIFS Iowa ICU Family ScaleICU, Koller Jalowiec Coping Scale,, Molter - CNS-FACECoping & Needs Scale for Family Assessment in Critical and Emergency care settings - ICU CNS-FACE Ⅱ. 研究方法 1. 対象と期間 CNS-FACE ICUCCU CNS-FACE Graduate School of Medicine, Yamaguchi University Vol. No.

2 2. 測定ツール (CNS-FACE) について CNS-FACE - CNS-FACE Lazarus CNS-FACECCFNICritical Care Family Needs Inventory Ways of Coping CNS-FACE CNS-FACE データの収集と集計 CNS-FACE CNS-FACE ICUCCU CGICommon Gateway Interface 4. 分析方法 CNS-FACE Vol. No.

3 CNS-FACE No. PT ICU No. No. Vol. No.

4 SPSSVer..JAMOSVer.. 5. 倫理的配慮 CNS-FACE IRB Ⅲ. 結果 1. 対象者の特徴..meanSD... CPAOA cardiopulmonary arrest on arrival cpaoa.... ICUCCU.. CNS-FACE 各ニードとコーピングの基本統計量 各ニードとコーピングの推移 n= Vol. No.

5 .. 4. 構造方程式モデリングの結果.p. n n Vol. No.

6 GFIgoodness of fit index. GFIAGFIadjusted goodness of fit index. RMSEAroot mean square error of approximation... Ⅳ. 考察 Molter KollerCCFNI Vol. No.

7 .. CNS-FACE CNS-FACE CNS-FACE. CNS-FACE.. 謝辞 CNS-FACE 結 論 要 旨 CNS-FACE Coping & Needs Scale for Family Assessment in Critical and Emergency care settings ICUCCU Vol. No.

8 Abstract In the present study, the Coping and Needs Scale for Family Assessment in Critical and Emergency care settingscns- FACE was used to clarify the characteristics of needs and coping transition for families with members requiring critical care. And I described how strong the factors affect between the needs and coping strategies by using the structural equation modeling. The CNS-FACE was administered between admission and discharge to family members of patients who were admitted to an emergency room or ICU. In terms of chronological shifts in needs and coping strategies, needs for information, proximity and assurance became greater and problem-oriented coping played a more important role with time, while need for emotional support and emotional coping became less relevant with time. In addition, I drew up the structural equation modeling: latent variables were needs on mutual relations with a patient, needs to maintain own stability, problemoriented coping, and emotional coping. 文献 - Lazarus, R.S., Folkman, S.,,, -,,, Molter, N.C., : - Leske, J.S. : Internal psychometric properties of the Critical Care Family Needs Inventory, Heart Lung,, -, Bouman, C.C.: Identifying priority concerns of family of ICU patients, Dimens Crit Care Nurs,, -, Halm, M.A., Titler, M.G.: Behavioral responses of family members during critical illness, Clin Nurs Res,, -, Johnson, S.K., Craft, M., et al.: Perceived changes in adult family member's roles and responsibilities during critical illness, Image J Nurs Sch,, -, Koller, P.A.: Family needs and coping strategies during illness crisis, AACN Clin Issues Crit Care Nurs,, -, Beglinger, J.E.: Coping tasks in critical care, Dimens Crit Care Nurs,, -, Dhooper, S. : Family coping with the crisis of heart attack, Soc Work Health Care,, -, : - - : Molter - - ICU - ICUCCU - - CNS-FACE - CNS-FACE - CNS-FACE - CNS-FACE : CNS-FACE -CNS-FACE ICUCCU - Folkman, S., Lazarus, R.: Ways of Coping Questionnaire, -, Consulting Psychologists Press, California,,, : - : - Vol. No.

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