広島大学大学院教育学研究科紀要. 第三部, 教育人間科学関連領域 Issue 52
published_at 2004-03-28

ネフローゼ症候群患児のコーピング方略がストレス反応に及ぼす影響

Effects of coping for disease-related stressors on stress responses in adolescent patients with nephrotic syndrome
Hiraga Kentaro
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Abstract
This study evaluated effects of coping for two major disease-related stressors, diseaserelated daily discomfort and disease-related anxiety for the future, on stress responses in 30 adolescent patients with nephrotic syndrome. Patients were requested to complete the scales for stress responses in adolescents and the coping scales for stressors. The coping scales for stressors consist of two independent strategies, approaching coping and avoidant coping. Patients who had high stressor scores against disease-related daily discomfort significantly showed high stress responses when they applied approaching coping strategy. However, the scores of stress responses were significantly reduced by the application of avoidant coping strategy. On the other hand, patients who had high stressor scores against disease-related anxiety for the future showed low stress responses when they applied approaching strategy. The scores of stress responses were not reduced by the application of avoidant coping strategy. These results suggest that the specific coping strategy for the individual stressor significantly reduce stress responses. Thus, the application of suitable coping strategy may play an important role in the management of the psychological stress in patients with nephrotic syndrome.
Keywords
コーピング
ネフローゼ症候群
疾患に関連したストレッサー
ストレス反応
coping
nephrotic syndrome
disease-related stressors
stress responses