| Summary: | 碩士 === 長庚大學 === 護理學系 === 99 === The purposes of this study were to explore the relevant factors of pressure perception, coping strategies and effectiveness for diabetic amputees before and one month after the discharge from a hospital. Purposive sampling was used and 100 diabetic patients who were amputated during their hospitalization received individual interviews for data collection. Results showed that majority of our sample was male (62%). The average of age was 59.7 years and the duration of diabetic was 14.4 years. Among them, 56% was underwent toe amputations. Pressure perception, coping strategies and effectiveness were significantly correlated with each other either before or one month after the discharge. Regression analyses revealed that the degree of amputation was a significant predictor of perceived pressure before discharge and it accounted for 7.6% of the variance. While the degree of amputation and perceived pressure before discharge were significant predictors of perceived pressure one month after discharge and they accounted for 67.7% of the variance. Gender and social support were significant predictors of coping strategies before discharge and they accounted for 14.5% of the variance. While age, the degree of amputation, the frequency of coping strategies use before discharge, and social support one month after discharge were significant predictors of coping strategies one month after discharge and they together accounted for 39.8% of the variance. In addition, gender and social support were also significant predictors of the effectiveness of coping strategies before discharge and they accounted for 10.8% of the variance. While the effectiveness of coping strategies before discharge and social support after discharge were significant predictors of coping strategies one month after discharge and they accounted for 26.8% of the variance. Based on the results of this study, clinical health care providers could have a more understanding about relevant factors of pressure perception, coping strategies and their effectiveness for diabetic amputees. As a result, they can provide a higher-quality care to them.
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