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COMPARATIVE STUDY THE EFFECTIVE!{855 OF TWO }dETHODS IN PROMOTION OF

SEIF-CARE ON THE O.UALITY OF LIFE AND VULNERABILITY IN

CERVICAL CANCER PATIENTS RECEIVINTI RADIOTHERAFY

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Thesls Tlt-le conpanatlve study The Effectlvenegs of Two

Methods ln Pnonotlon of Self-eane on eualltyof Llfe end VulnenabtIlty In.CenvleaI CanceR

Pat lents Recelvtng Radlothenapy

Name

Degnee

Thesls Supenv{sony

Date of Onaduetlon

Sunlsa Wattanakttttsak

Masten of Selenee (Nunslng)

Csrnmlttee

Somchlf, Hsnuchanunnkul, B.Se. (NuRslng), H.S., ph.D.

Puangtong Kqatphtbul, H.0,, Cent. of pnoflcleney

(Radtothenapy and Nucleen Medlclne)

18 May B.E, 2535 (lg92)

ABSTRACT

Thls quesl-expenlmentel neseansh was destgned to test theeffeet {venesg of two nef,hods In pr.omotton of self-cane on quatttyof l lf'e and vulnenabl I tty In cenvlcat cancen pat lents necetvlngnadtotherapvr based on Orremfs and welsmanrs theonles.. punposlve

eempllng was used to select ?0 cenvlcel caneen patlents peeetvlngr

nadlptherepy at Ranath{bodt Hospltal, Facutty of Hedlelne,Hahtdol un,lvenslty, The flnst gs patlents who necelved

nadlothenapy fnom Augusf, to Octoben tggl sene asslgined Into thecontrol gnoup and the laten ss patlents who necelved the same

thenapy fnon Novenben l99l to Manch lg92.wene ln the expenlmentelgnoup. Pat lents ln both g'noups necleved the s I lde:tape pnoginern

and the manual of self-cane pnactlce dunlng nadlothenpy, but thepattents ln . expenlnental, gnoup necelved contlnully of suppontlveand educetlve fon self-cene fnpm *,he lnvestlgaton and a negesnch

asststent thnoughout nedlstlon tnestment ln adrjtiton. At the end

of the study thene sene Bt petlents left In each 'ginoup.

euattt,yCopyright by Mahidol University

of .Itfe and vulnenabtltty weFe measured 3 t{rnes; befone

the nadlatlon tneetment, dunlng the nlddle of tneatment, and on

the last week of the tneatmentr uslng t,he Qualtty of Llfe Index

developed by Pedllla snd Onant (1985) and the Onega VulnenabtlltyRat tng Scale developed by lVelsman ( l9?g) .

Results of the study lndlcated that the meane scones on

qualtty of llfe and vulnenebltlty dunlng nedletlon thenapy fonboth gipoups were not stgfntf lce'ntly dtffenent (p).0S). Howeven on

the las+, week befone the tneatment endedr patlents ln theexpenlmental. gfnoup neponted stgfnlftcantly htghen nean scone on

quallty of llfe (p(.05) and stgnlflcentty lowen mean scoFe on

vulneRabtltty (p=.05) then fon the conf,not gnofp . eualltetlvedata fnom the expenlnental gnoup nevesled that patlents had 6

sraess of eoncennEr; heelt,h, self-sppnalsal, sonk snd flnanclal,fanl ly and slgfnlf lcanL nelatlonshlp, fnlends and assoclatesrend

exlstentlsi concenns. The helplng noles by the lnvestlgaf,on and

a Reseanch asslstent for. the expenlnental gnoup wene; teaehlng,counsel t lng end guldlng, suppontlng, monltonlng, stlnulatlon,fsel lltatlon and coondlnatlsn.

Results of the study suggested the benlflclat ofpnomotlon patlents pantlclpatlon ln self-cane and the noles ofthe nunses ln hetptng when the patients hed self-cane deftclt.The eppllcatlon of both Onemfs genenal theonles of nunslng and

lVelsmen's theony of coplng wlth cencen ls eppenent.


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nrrilsi'l{'l r,u?'lua1flrsdauru6fla1crfiorqrnarn, rfior r6uilro nrslqzirurn

t1gtf,1?a1fr1guavn1'lurO{rfirulcitrtttg, et e1. l98s: 57-60; stnohl 1988:

43?; Snrlth & Chemonno t98t: 133 ; Yasko l9B2c 6421

s.z r fraarurr drhanrr r fian{lrlsvnlrals"rsdaufrfrudr 01ua {ert

I r I o qur e r Qtloa I D qU!T$Un{FErqAlUauT4t'lfllla{f,',ltA1T1i rSA tSU"tTlltjfuil'lU t{lErrrsnr !1nrunil tfqt .at'qtfroarrlilasrn{udtun1ua1fi1?tfirfit (Dodd t98?: 9?-sB; Ketly & Ttnstey

1981t 942; Snlth & Chamonno t9?8: 133)

J qo a o 3 q u u a, u I

s . s nfiuldar r 6su r fioiltluuuuduirf,{nrruauf,uan r fia{u{ofrnrut

ul u aa J.{U a I u r d v uajll?etFll1nt[T1?tn'ltlt?Trn1a'lfllTnarldo'lleflt[ ldil nllflilrlfv?t'luilavl[08?[auorrD't

s-G nii firtruav tnfiauimnl nfinrfia ofronrrmdriurl:vn1ro'1fi1ril?o3on:ositq

Jo eluuc J vu r . J qu a <-iln1 luldnnau [da1 r eflll 6 0 r nna'ln'lTFlflr lf,a1 I Qflulro{nil r ad tofltl'l {?1Eto'le

Ia al t- 4 J ru ,J aa q u _ila'ln1?il'rnttrd?,{r111 tu0il11l1ilaflu?sn11ouanttta{t lurnil1ydil (Dodd 1987r

114-lt6; Kelly & Tlnsley l98t: 342i Snlth & Chamonno 1981: 133;

Klngr' et al, 1985: 57)

s.4 nr: r rjdnuurlarfrrrdru? r'lmfiloi{u{rf, rirhergrrs{nr1il? r ilr0

e.----e-d.q-r.-r---r-- q u.l,qu , a ; 4 r aallTll{il lfiua dafl l6ila ila 0flll l,$ lTnflud nuetflfllu?tljn?u [ ilatfi?a r iltlllfrJa Iou r aan,o0, 4 lt | {tqry 6 aQ o f o Jr{r, v q o ;fi?rrf,aH1finlililil l,il t{nTilg1d15rnil lo1n1frTa tfluxultil,?$n tfttllt$d sar-lraflr

q

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!? t'lss'BJrsritnn{t flrfrnrrfio r {onrr?lrlTnrr r drurirfifirdrn'l}r ( Dodd t eB? :q9

122-I24; Str.ohl 1988r 433; Vennlcchlo l981: 336; Kel ley & Tlnsley

1981: 338; Srntth & Chernonno 1978: 133; Welken 1982:2068-2069)Copyright by Mahidol University

zo

e. s alriliria0 1flfl ilrn?iar drlrerfl'lsqfrntdsonrs{udtunrtolrltJo o Ve. d a- J q -nt- t ri"-, re-. --,-^-! ,--dfrilnrnlrn ulnfrna,a[ild6] rildou! n'l riarn?a0flilniln1tuar uaanoaaa nlrflilv--.ratrrEa{urhufl1$a1srrdaudaildT flfilxfrtdas tfiafiarnrtfiatrfifltrnfiuuau{fin' A e r dof r!r - a- - a -q..-ri- -.-. -,---?-."0^.aoutuaflnlfliilrltuyt1ra1fi'l?ylil lilst6l{il$d{r?f}na?flsail il$d?{| tlrl ila'1u1tFltld vt u o 3 u- !, ' a

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q

n'l?ri'ln?1ildua1fl{il'[#u#tnnnr{tmdon, tdrfln?aaranlneilflltT oirs ( Dodd te8?:I

sJsntltfla0a'1fi't5

a131f?d{naJdil

drhsn'lrfindaurui t n'lttt'lor r 6l'fi t t f1na1n1r r Aael

f,nnmuaoqrrvdut6aoq

Lia'r:1{srfrfiuaaltr?u

a."'Uo ilrnuavrTutai

a1nn15 la 41xr a'It4fllt n1go J rq ae u

san r afl $fl1?afl tuiilntfi?o lna',4

nrsfi ildr ilrn luav{nt1Fr?'l rdvalnxa {?'l nn1 fl

& Ttnsley 1981: 341)

rlJuuosr-uIfl1giA0flAAnilAfl1 riloilo{nlln1?fliilntIa01osnaafl (ul{Yla{

348; finflnfi fintunru: unu rsrrdnu{ trrufiarl 2533: t5-16;"!qu

2530: 279i u?rfinl ET?ili{d ?531: zoo-201; Dodd 198?:

dr fi rh u1 dfi a'rfi nr:1 d r fi au-[ tdr r

lnrfruad zsesr

1rl{t rnuil{na

t t8-r20)

to4-l05; Yasko 19821 646; Ktng, et a1. tg85: 59; S?nilatl lntfrUAri

zE33: sso-sst; finsnfi fin:ttrur uac rsrrfinurd trrufiarl 2533:l?-tB){q

e.6 nrvrilrurlddrrvdrrrdu airhanrtfitrlrlrnlJ o I q-.

0 ' t

?lluFr1s rnoirnanru rururJdarru H?n{1fl'llld rniotdluoanaaadJ a{

tnTa0tnpl UTnlnil (Dodd 1987: 99; Yagko l9B2: 646)

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6 tV | 4 u q t4ao u d{oaf tildlllft r rJufi 'lnaroa, t o?il?ndlt

9||

(Dodd 198?: 100-t03; Kelley

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nil61il l,6t tr]il tdfl',lTaAa$a1Qs t flaflaan t nrluafl

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& onant, le85s sr) o1flFE[fl1fliinraon1|aril?fitl g naiilmu to00 nx fiars go

lrifidrtrsn?1ildv6r'lrr'n'r,-q

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e il

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d.ironuoutl?d sa{6${lt ou*d^d (Bnown Rasrlnson & Htltes rgBrl ltv^_J|,.

drl'luT:nraaorfiaflrisr#r1qanfiu st nr uaoTrantaruilagraofitr?ait gz at flt'inrurnrufiinTerul{uuu{nrrrufrtr.ra1o1tfiin ( Ltfe sef, | sr'act tolr) uu'irlu

q

u.'J d,+ r , ' oo 3 t s + I c u I

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, oa v d u o o

oo JoJ q Dl 3 , ! ulllll1n1llnOnZgil?r {ld,0nil r ilunln'lu1fltnn1ililnnnildgt tu0,ftl?gilnda0natl d2tn?

rirtT s1udrdurierldltdrhstraraocrrfiaor{sr#r'loaodtfronrt{uifitarnrt usiltqDq

t]t,,t + r u d u a 6arillfl t5ollooaflflilt 50? saanl1$ltuf$flo{a1n1?frail tfiTag

r:iurfietrfittnl?frnu1tasal{la{nuotul? t?o{ ( Lebonde' & Powen

1985 ctted ln Hanuchanunnku[ 1988: 3?) 'ludrlrflTgnflguofluaudadnrAl

"troqqo-6gJ,:orfra{,1 rE0 flT yr}rln'rpl?'lrusuo rq tut?nil1nmrilailnrt{u{fitn1'rvdtnlufiuav

d'l$1innrunila1n1r1tifiTe,sfinrrr r6urleo:iaaoa r uavuildn!flv r fislir'[utrui6flq

larl{aarro{ tsro"khandt 1eB5: 1 t-ts) e'lnn1?dnnr#firhsTrfi{adnt6u e4

'Q ' { r, d J J.i vat ?ruu'ilrmnlufriofrfinrHrsnriT trsl6ia'lrin'1rfifl1'lilrdaililtiln?ra{n.$ a'1il'linCopyright by Mahidol University

22

U rlus u rta s u 6 d oJar fFl?lrnilnst a{fl'Itrdltfl1}r t6t6l til?n {ul idtudll$n1sa{nilfluaun1?il r Qflnfinofla tTa

9qoq

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n o r", g ; ,

to s o quo

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g

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!qr t 4 t rrlu - c e a f I u ooJo

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nl'rils{{ltaurJsr n'lrfi ruerfirufitC

cir r luaunr u r dal trl,ort'ldt'l

||qr

rr1rfiil?lr'1nr{rfi1 u#oner fl'ls?i1 truluarfiu

drudq'$ttfrfiarasianfln, u-tirrlu#ilrflilv r 4,rriu Taruaufin l na{dr ( Ho rmes

& Dtckenson l9B?: rs-zar r'd$a-i; n1'lvdilnlrl dfl1'tva'l?M{ arrlfi,rual.nr i.l q oo

edruunnn n'r'lrt?aljutunutat flr'lila'lil"lrrr'l$fl'lrd'rs'ls d"lrun'l{ rFtTrgfiQ

,lr"a'un.rs{oarorloir6a1ua6n n1i6flrrl?surfisufiufi6u firuToinrrsiarurnrilfiislr rrt d v o J t t , (tilllTlil?laSill|'lllilvtl{fl-A1flnilnt'lfln UilFlUOt{l,U5tl (Welch Mc-Caffney tg85:

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qu i g u r|u r Ifl'li ttrla'l Irn115r1u'1 6|1tdIfl'tl{ [ctun RttunflilnTilltla'lfla'ln'I5 01,1ild1$1fn1-.__-._g_ __. .l ,uq d , e o .q u ( u o ilufl1sn1{1il n'l?lilTdfltaril']fl Ft?1ild1il11nlUn15iltrJfldilUilS UAuOl1[anlet_u---r -.,.,.!__r-{ v4 d .l r o a 6 e a 6l sotoufl 1llfln1an tc n'l'lil?dntilu-dfl lil{Fr?flo iln?1il!{itua 14 n'11il,nflsil']n tu{5fl1

a I o; .1 o" , I

Fl'l'ltl'191flr1,31-0 u.auFl'l"lil l tailu tttfltl a0 doarqAtilalnfl-l'lilAEr r6ursaiT tf,l;;.nCopyright by Mahidol University

?3

u u 3 q rrr J f u uilaafln r n1 g I tcr1[ L a { 10 {| al1l'l fl uav alanfl 1ilil'l'n1n ITfl nxfl 'l ?1nt1

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ss Ffu uau!1s zz a\ uu'irdrherfi{l{firn'11ild'lil1rn'lunrrnrunafiinraonrr as{uo o J .1 q 'o ,

o e a,a . r v d" o , 3

t6to iln?1il r iailtl lilflirlr o{BauilqnernTills tudlnd0 ??ilnrn'l?iln?1il?gtflfl0?an1

fisuunrufiinfindr firl'lufifia'lrltJnfir'laar fro..o,fiufit'luntraduavfiafldtsna9rOCqe

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I

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o631 1

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tl

(Padllla & Gpant 1985: 45-50)

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Q '

uq

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d1il1?n'hnT rriuanura{BauurrafiuamnT sdrm fifuritCltn'lnil?nfiilfftnT ufiina-ovvCeoJ

$ana"l n"ilfr srrj ldl uvnl s r Flrudfi o uau ur r a fi unrrnr tt rnr r iltdrdr ur ufr dr fu ta tqrorto'q

o?'lild"lil'l?n lur'l"l?etuantt a'0 d?uflr'lusu$uau?uflvllas lTan1t1iln'l'llf'd1il1?n tt[

n1?nuantta{n1tdailTofl6i1uursdf,ldttiln1tdool ( Hanuchanunnkul I989: 2t-27, rdurfrsrfiil l??rt$ trfianaao,rrrol finrrludrhsil"r{rdrnrnnnfi{u{tf,

{nrr sl Frur{il'i'l Fr?1ud'lillrnlunrrouanrla,rfinrrldrfitCnr{il?nfiilffEnrufiisl,ou"frrmv{u{of,:qrrnuavn'lasfi${rt{ofr{nrT Iui1voudtrvlunlt]rs1il"Ia'dfittdutu,auOu u.l J u - Q ot$Ft)'lilT IUfl',l5ouafrtIA0 rUAllflU1A)1il'd',Iil,Hr1 tUfl',l5e-luflnrlI A{fi',lilUtl?F101A{

| 0t . , !

T a r mrrir qv rir s r druemnr uft i n uri drl: silo r { r ilr nreranfi {ud r fl {nur


a'l5tE[rtnAel t ?A'l\{ t I f D4 r q rr{ u o q r{ r rq I stilu,$tl0illil{ lTFl n?'lilTdfl'l'lFl'lilflilgl$l On til t6l n'l tfi l,ilutl lq |'ilil-nta{rl"lTTflt'1ouc.vJ.laduaus16uea

rnfln?1iltdntfl?1 urtlt tdflle f,usls lflflnsln lnlt ilt'Itf,0 SdflB,o ilfl']fl1tjaou",doql'qFnU{ UAuliltiltdm (Sllbenfanb & Oneen 1982a 477i KRumm t9822 ?30-

r34e EdIund & sneed tese: 6et )TflstauT uluoinfirfirflulurErnattuulfilfitCA Da ,J g J 6 :; v ( d 116

q

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tla{xoslHFldil}lu8 (Holmes 1987: z9z4i Knouse 1985: 45-48,

o. J r a I o u It trTdsfr nall r fr { n'l ?fi attdua 0n1 s a1 ?ufluau nr r r al^tX.rtûn r uillsi'l { lxa s

ul d av | { ' .,1 ( t t

"Hlt?s$ut1$x6r{tna trlfifia n1?fintlxathdulu (l{elenan t9?5: t8?-195) tuI

v ( a ul d ..i t JVrr aa o

nr:drunruflraufifln'lildrhflilu r E 'rttersir o filrtiun, rT-nqdsnirurn t Gs n$ lers

lduuuioal?ua'l*dilndTan ul'irdrhgdfin",rru'rru{nndTnnd ofiarnr:firllnr s.1 ,3q!. 1

irtnrumnn'irarnrrr,uu.o$rarwl{rrdt rflfis mrldudil rf,untfrHorTanltV l, al 9!, -u |, v a er Q e o.a r

5l"rtT1fl tnsilul{41nrf,rfii?r116{niltof, ilg|J$'l lunTailnrluau{'lstFtil1fl d'luufi10qs0{

rnrwfrqsi'r {find, ntratl{ri, uaurn{T frr airudrhufifinrrvarruiyrnrlTern'fiaudlo9.l

rf,utfifrlatTanluoirufi f,1il1rnrrufuufiurrrrv rnEuerld flail{mrlilqE'iuaunrru!,u

toA6d'Ifl tfraaqlndau

s

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fl1?uA',lTilffilnx [Fln Lu0.,il?gru t 5 sYt lollrfl1??uailflFt? nulnfl'Ifl luruuv t tat 100 allqgr tll QUas o g t . JuTn flil?1ql!?f, ld?fffl11t8j?trUthm1 (Coplng Stnategles) ttlliln1d1nU {{a1A

ou!4eetrr4JoJqa.u.ffa4oo

r llu?Efl17unu[fi1n r flol|lr terflnlT r eJtrunu$[fi1 tfl801n T?oa1e r ilt1fina'tElFt?'lrlo"rfaq,ro'

tnTfloaoflr'lililfl?ras losT-anrseirr1fit rs if; dofl t)n1?ud?{fi1daryarfrtrfilq'o

adT rfirqrrard z)nlruflnarl{rmn{il:inrrurEafiuaisu slnrsfirl#rfiurEarru{r, t, I q q 0

rdarj{ur rlderuanrunlrrfilrfififir 4 ) ri'l?rffl'lslilfiiln?il l6urhefi r ruftruaii s ) n'lrfiu!o. q V ,r i J u v a. q r u q q d orfifll1ildntalil?J\|fi{au 5)fl'l1suT1r1riltrxlqfi'1afl1{r1l'llelsf,n'lilrr]$ar{ 7)n1T

u i r nr d r t)

floil{udRlurrl1r r 6luruuauflfl1s1nfr'lriafira rrrrr r 5urlrflfiu I ) fl'liila$tirtusia

25

$l1va1{rdnndTnnlufirt?nilv I { o

nr:fi?irradfilTtnru" r{s drhsa* rfionrruhif,:raurn#odruir{nluuau9€q

a965-asslIra$41nfl"tTo1 ru$14{l tTfl 'lrfl'rjfrlu1flt10'l n'l']il?tu?{uau


26

d t " d I s '1 tB o J 6 - q I

n?1ilr4tlil?g 9)n13nTu7t1d{n'r{'ltos lilsraorilaaflal']ilrft?80 l0)n1? ln?n??flAt;aaf'dJ{uluqr:rurnr { r aanil tTilludt t I ) fl1flaon?1il9r{ t n1fl6t loElflTvnld 'rn I illlalrfl?'lgfla

'tigt t2)nrtrraflstusnriradnrrfrrar ts)nl?dlfifrai5tuf,ad',r6u 14)n'liri'In1ild of . - o ol as.

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utJ?1flullu1t'] t6tgtlT1tl4'lflIan']n1il uav?E6oYt1fl t 5 ) n15rl'lsufliilr as ua-ldlrJ?'l{E

ut d; a s Vt^l ra r Gllrao d au + aluaorullflily r r rn r Bfxulnl ter lilo 6'lul1fl tdlafll?fianfiil$[n1 l6rEr ttlana'lgfil1rJole!

a t! { uJo ( t+. f q u trotFtiflh]1lfl']81ilA9ln?''til?ln?la{ I ilUaj?ltjfl'-l'luA'113$8?lt'11 tFlr]d0. erA{ lafl lUgl',lU letelUau6 Vr- - | t ara a.9 Yto d ""'io t' (+ilfl1?u lil6Xdil1At|',l Sf 1 0fl1flr'1fl d',l1[6ln t E,f ffUlEufl'.l l,6lR t ljll0Jililfl']2uA1?ilntllnX tFlnqoucctu Q qao a r r .t- .t uJ d uJ + q u a 6uafl tfllflfl1?ud? {rslflailaunvusa{iltv lEtdu4lft8 al r ililajflila{ ['dfi tuoluo ilnl1r,

u1{uuuuqallvs'ir 1 dil us ra{il-d$un"l od r rrru uau fin'l 1 il hia:rau'r fl {as

druntaad (Knause teel : z4o-zlilldfinrrfidrfluor{rt'uorrirol tzee vq J qro ac u g !- q .

u 1 ur unt n{nrlilianrfialdilnrsi'tqdflerisu:ntriurfisrfir }ru?'r0m?sraflau 68 fi$o

d. ra l, d J 6l o : .D q euaoaln1Tfian rlfiraalirTa fiuorvfiiln nnrana? ?m?m rrtirfir uaul'fiefirru':rlfrurrdluu.V . . I

dtt n15ud?{m?iafla rrlrgl{Fr?1rs{o1i n'lrAorrl?flurfiuudufirhe6u nrrfiwr9.9

lqaqrafctdl6'1dU1 fl"ltUd?{r31n?1il{?flrSAAAlnafOU Uavnl?illrd8lFlfllfEt1fl1ilail?1glilraltil?g

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d t ul t cilu I T S$1fl fl 1',1 0'tl? gnaila1 gatl

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e 1 n 0 1 rt ds6i t n6ir r ?ir rdu q v r fi u1 d'i 1 fl 1 ? u a1 ror(nntiTnnta,r airh truu r € rrrr-eo

rfier r daoqrrritq{flsa'lfldru#'0ueiars ilsuduflrtdrfirluafin fiinnraurr{rnr:usirq

d1u d1tun1{ t firtdfie u?o'ddildtrril1sddnil a'rn1rlrid?rdil1el?11{ir onrg ?'eddqq

6. * Jq s ) v a ur r r d + i

t af {flrlruT1n l{unnn'} dnlr uaurflnnnlulal|a,!?sunnuall'l r ullnuilar ranltlriT ul0qg

r q Dl d il"a, v q tt ! a r u 4v dd?il luhf ll?8nJu I ? 0yl lo?1tfl1?il'tfl1itd i,il?gdlut1nno21? {d1nE1 r illlsu

v s r! w Jg e o Qu o ?q e e v a I sflfiran!fl1a{fl1tlt1t'}nd$s? { ?r1 lfi tnfln')'lilidf19')'r6ll-ln1 al'ttf{x tFlTl Ftol'liln11-, , I s

rrJdaauurlnototnrudn# rda,,rqrnr1flFr?'1il{uaur'ilrlq'[un'rs{ntsr fiT'l#urosruTCopyright by Mahidol University

27

rfflram,t{mr (ul{na{ lnsfiund 252oi as; at?d duana z52,2 ?03; Peck

& Botand te'tlz rBo-rs4r Tflflqrnnrrdtaru{firharor{oriauara{,1f, loo 11el

rooa$d duana (zszzr ?os) uu'i, rirhsiaflaou., -oo..nnrroinnritra uas

{uruo r o 1rii...H{, du o r darfil{ sf, r ad nr sud t ar s{ t f,lds'u tdrlnr#{rlr n{afl aoo ' irfl ,riu,fror,{unrtfintrso drnrnrretinnfirratfiatornfiolfllrBn?fldouo'rn4al

xa$65ffii5 il1a,I (2s34) lufirhst"r{ffi1diil{rf,{nrr',i1u1r ?o ?'lft uui,ltldrloidu:,rdrl'lnfinrrninnfinruarn'ir uaold{udarunriann'irluf,rlerr#nErr{rtirld{uu 6qfsdTnEl

airtnrtdln't"r{nuutuauaotluat (Peck & Bolend L9?7 t 180-184}

lua?rlrunrr{tdaur,s{sfi so trs uu'irfirhs{asao ao finrruirrnfi,lra {asa"

za fiarnrsflrurn{T {asao so-sg fia'rnrrrlrcdunru6irsuavniufioasds dno.,.au , J d {ur ut d J.,lu. . qo

q

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1r$umrr riurfiurfiu

airurrtidg'luftu rnolnn fi'ldulliern'l.ou.r*dnndlomnuo1.{uou{uAf e d ^----^ e q uI d . .Jq -t

j-"-ulam nnHlulls (25s2, 6nr1 tuaril?gilu ti0tj'Iflilflaflfl?ilr'0dTflt1e1n?lr so ?'Ifleo

a u e t. I (+ + Dt Jul?1 dn1ul1lfdr?diln?lildrlttnnmrruarrulnflx tdn tosarilremdnltRludilTdro I ,+. I ,,r Jo- : u r : 0 | J-

nnRt'luo'rtrErnn:t tFlnd{nl'10Jil?snx6n1ttn1ildilfdfilt1fl fill'l fiiousflnuafl l$a{o,rlel-e

)taa - aa a s d u u o u Q - - - )t aqrnt[illd'tntnru5nnn rra r -nflrnu'[adtnotarnur ar tiln'liilaudilo{nl1ilna{fl'I1ilog u t o"i o Qtl a o9 q 19 I I

luddriltnrxardll?$a1an'l [u1Rflilltrufr1l,llar1fln to ufluR'l?u trf,1l6il1fla1na'Ifl'11

dr o r fi s r ra s{ rfl unutr" t f, ud 0fi1 {rir uT u n.. o u", rr*dnndTonl ei

rdurfiflrfimrtfrnurlagrua 6suaota#udu tNal l, Ktng & Johnson

reBG: 27 r-zlrt ttahfrrfi rf,uTrsrlot,{o:ruuu{slufl!fiuCuaua'rs{tfr,iurt soouq

nu q1nfll:fllnrurffirhgluflrler"''t{fi*fio aru firlerrdnnrfirslarnr:ars{tfl uncfl1n

rfis{u{rfl{n*",.rrrlnroarr$u,.u.n'lrrfrau "u'i.olil.ofiarrva1srs{Liamulnuau

nr udr urnl unr r rlfi fifi fi qnrgulsu,ir {r drlfitdfi lar nr s {r'$ r H g o qr ni t fr fi r fr ur{ul u

Tnrusv[?a1 ai'luTari:aslunoffB" (obenst, et al. t99t: 7L-7lllElfinrTIt a J u q

'I o -- a o T I

rudrsrv rirnarsf rflsuile3ilrauandrurr ?s ilfi nriluurfionqr"X:ratTo r?il trlri1Copyright by Mahidol University

2B

alfl.rrhidrail,lsyrl rtr rnrfl 'uaraToang rciant"lddtdtt1etn'1oa.tr*{tusaidrfluaY,9 o

fiamnr rriarTouailurnlildrillrr'lufl1rquafiilr a rlosfir1d fiuarrxd'rlrn'lunrtetua;

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{nrrrir'l#fidr E fio ffi nil1fl railn{lE

au , 3' d tvt y-a,e1n{1ri{rI ru6i'lI a1c tuu Inrrnrilnrt!ruu1n?'1ld1s1?tl ltlfl'l5fiBant

r o.

r a.': xa 0 ?id? s Tetfl tr tuttsl uladfiilnutuao'ldn? 1iltn1il uu?Afl xa dTa r zl r fi odr fl 1#310

ur d Ju u qu q I t q ^ î r q out a ]'a

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al + 6 -------t'l-t v d

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I "i q -nliouantl an t tttn'l?fl?un'lnqn tauaufi tfhTilf$t Del ibenate Act lon and Goa It

0r.tenredl drunalriranrtnrurir z rvauda

J i d oo a v q Q Jo t,t o

: u fl ufrnfl o t iluntzu-uafie1ifl1 uavcrodu I onur t ildnltn1unl ilnoaavnlu,n Q,

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ri'rnrsnuantt r a { loagr lnilrydnanru ouna $iln?1ri I flf,l1'ltlgltl I o s uavf, { ulflaailorr

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qorn

fi'le1t'lruTl'tg tatin firtq?runa ts34: B-et Staaemdaofiunqtitta{fl'1{'1{'d['ovrci ul Ie. ca | | ry---.-4--€|o

ldnuruu (Lazanus & Folkman 1984) fl0fl411'l'ln1tu'dl{tfi'lTailatiltl?nfl']Tu.'fl.t a u u I q r o - - --J ^---.!-q-.--luntsrsftUftUn1dilfll1uonn'llt ils Irn1tilsv tilu'dn'tun'lrr[ n1?un$lwlufluarl

arru{rnittn1d (Dendenlan t986c z761 TersTntatuaun'lt1{d (cohen &Copyright by Mahidol University

29

Lazanus t9?9 ctted In Dendanlen lgBg: 266) tf,mdtnfgf ru^mfiUnffv

lFlggfil,ilo{la1nn?1ilt4il!1fl llailailt?fl t1lfl11il?iln'1fl1tfl'l?utn5fl6t loun 6nrmu-.__f___ Q u aao a s ue a tt d J - glas t?Fl lfrnEJalilfl1?fnH'l ?Bo1tiltln"ltfflt'l n11ilTdnfitAs,nr]10rdg$frrRfliiU

,- 9 , 0 vo6 dul qfn a. o d a d tuuav ? ff n1 ryr 0nl'l 8'd'l il'l 5 n t { L unl T r Hffl|fl ljfl 'l ? v nfl n1 ilneu t noilr I oruq

q-.-Y-l- '.J-.f --- r cl d g . D d aotualilraflfun?lil?lstttiluruvritrit fl'lrud?ofilxailariluTdnrrrarBrurlruu'r,i,,lrouodf't*g :nrvdfrnrrilinndrrao{ru?"rurfiuiEnrmiiofiti.oltfl{rhurzufo.drunrldfi

in*.nunJuufiud, rJoo,,,"

teBGr zserltdrl'lsilur{0rdT rufi{trnfirflT fiEr fl1?uf,?rsrdaladlil'l#drhsrhurfiu

dn1 un'r?rdnnnl; r ir1 afi t fonrfir{rld r n?snuavdunrif; nrr urifum1 d Tns$sMa4 a ut olo 4 qu ,ri

r iluatilon:toila?ta1 1!il tTuflalil?Et

n1?Qua{illElxu I 4 olterai,..r 1J qv DU rl, I + ora? t$1nou tfin? 1il?10iln8na,il? Et t gtg?0n'lT

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9rq,qt

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r tnuaunl?f ltlFl? 1ltfl r|1 fl I lld?nd { xutlnn2 1 nailn? ilnilf, I il t o t nr [ ilrunflrgeee

r .q_q!l_-, 16 u al rrt )u s av r Iairunrr-h{ttamnrruil?lrstattaila lulfil?sn?il?df,tnr1 trsl#aidrsfi----.!.4-.-t -,-if-- J g a

o. B ({, ,n,-411iliIfr$rilnrtfnpr tfitfru aCIn'l1l?stflfl {?au,avn1?ua1?t$ lfldxdulg?i?ldldor9.

dtnrrrt-nt'ltat trt"n t Ratney lgBS: tos6-to6l ) 'ludrhflil, r{rfiiu{rfr{nyr,irteu 50 nt uritrf,tnaiila?ilnild'lr?r so nrrfilddara,fiastoerlei{lrfirfiarailrHn

d I J , -- o" I uarrrs r qr "u,nfrt taiu airundmoao{q1rrurfl1flu tonralarln loEr rsitualaeirnrluavltfi{undsfia

l--. ^.^.^,--"J-.gy-v-.f-.11-----.--9- - o Jo u e €ru ' a a vO'ltl tfll?1natJ?l lotill|ailaillneJFlTlil1tfiurflustdfnfurnnrr ilorttSnrrfltrageo-/t{ ' a t t J.{ u. v a

u,av n1 1 v a 1 ?ilfB [ ild?tdll1 il ltafl fl ? 1 fl ailn t oi ttrata{afl


30

lanqrn{qa#udrua"rol, (Johnson, et al. 1988: 45-slI ldfinprq uD ,q. q t, t D4 t J .e-d -.- g-..e qu

ala1la{fl'll lfaala Iog'1,[ tnililfrEllgtFl?1il5dnil1$51{n1fl71411t nfl1lllEtu11l5 0dTnt1OS

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u 6l rrr d t o r { r "i fpr-r15inr1

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u r t v | 1 - \'lfru I oinrl,tiouaolnarr uauflailalrnil 42 Flltlolilnlfnunn'uilfltl tlll?1flailnoaadil

ogqoqo Q rAEA s I o !, I u v qg

nl'tiliI'lu'ln luntrilIuhflq'insilTvQ11r3vs'r'l {uautntfl'Itil1fl? 06t[4f,fl')1fl'ailnlilnilalqq

fq ; C{'. ! -, r.{rqufl [ n r To t nt t ua'l ?lft[ t il611dlt1 fln { da {lflail t t|ilFll 1 ilunfl n1 dfl tl

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q I tDl a v a I u ul 6s 6 v a s - |

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q l f !r v v r Dao a u a v v I q t

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,onuurodsfi$nril-tir,arnd'r ndzufild{udun.ruuurfrsraeir o tfisr t nairnrmu, fio

'l ur n s''i r r {li r f, {n*. uu o, I ul n-ri{uasr{ r fl {r'rrrq9

Itll

snzrrfr g uavrdfi t udnrfirnrurdfisrurlatraonvuiltrafiflrwflrufiisl0q

. v v a I u v a Q u. I v , Xf e av J d , r ufrausilT sd?vfi'I1{Trlf {duflu t1[6rJo1sd6rYt1flnatdildflT sdtnE1 :ltqv tRl[?1flau1!

99v a J aa r t I rV rdv c e aaftdauutlllrilaflarufl"l!rd?nIa{flaililoaa{a0n?1nailn1iloil ufl tililufld1flnm1s6ngt

9909al I v v a u I I o , 3 u de at( 60) = -0. 89r p= 0. 19 lutvmtr{?il?sduaudilo1fidfln'}gflatdtrd6tf {6Tnt'1il

. , i 9o

n'lr r dfrflruila rdns$vrrr sfirfitr 6anairnr?ilnilfiflv ulru r sfisr$ntr?ina rfiudraoa rqaqttrftaJaar$ouete'd?tlflailfloraa$ilFluuuu t oflgFlt[fl1],dlnaoa{u,a?6'$ltust1ila1oil?uflc l,'1a10{na1? I ilaqqro

rdrrtdootvgg.rS-u4I UTllllt?ltlllFl'l1Aluflnn'l ttA{n'l I flAfltluutlilFT[fl']$l{ltrr5'u311{?tllsdUAvnAt[dtdnT {|'A

I

Covar lance )

9qI AU O V AA(M=7 2. 321 Ofl'l {illlfld1ffXn1 0dnn

qo,a

auoudl{ 0dt1ldtildilrn61 il?lauf nt!'l 061 tl

qo

{ntrta tndlnrlnlfiunaimoaa rTnan, si , "t'ro#".',luiltiltruiru

( Ane tys I s of,

d d aa ! u v au d u 1 |

ilpluu,tut aafltErnlfld?nnatlll5{d7n31 [ llrum']urlr5lil ( covan I ate,jaaruuaa,Joae

van I ab Ie ] utl't"lnuttuut ilafltrlr311ud-nn0t?tl? {-driuanafluu$ut ilafF[1fl-1]rtan tn,"il

iuwjltuaudaufrunn{tfl{nurad'lsfidsdrdru?I1tdfifi F( t,se)= 3?.48, P (.oota

( gt'l?"1{n(gr'1?"1{n 4l uau F(1r59)= 37.?8t P {.001 (n13'l$tl 5}fr1$:|16ttl tilatiltililorrutlroJaa{rruflr

tYldtliu$'l'lllflailnlafl1{lflsf,A0 ill|?"lr|nvUilUtilAgFulnlud?nlilUgrnn"l{fltllUfu$'l'10

E( n13',1$?l s ) fr1$d1dil rfiarrliau

",1 d | | s $ O. ( a I{u{ofl F(llse)= l.ss, p= o.t? (sr151rfi al usiunneirrfitludrlErrdaomrflfiarvrrlfimo{rf,{nr1 F( t,ss)= 6,02, p= o.oz (n'}i1rfi sl fitfionaimoaosfinvttxt9-q

J aa o s r ! u , X u au I r

r il6sffur1u-ti$'ludilorrfiaofirsriarfitaof rfi{nrr ( M=B t .20 ) d$fl'i1nailn?ilFril

3 Ao t J aa v Iuafla"lflutlrilar{al?f[lFlltilagnuu,rluFulrfllHd?nl"lfl1a (fl"Ioil12n {)ull'l'l,9r

! s U 4O I I r o d.6 V a u IflallTUT Sfl? nnflilFllltFtilU,AunflilnflAO € ilFtuU.t[$l OagFuBrllljt.lne11tlPl'l',til1flir]t-l{1A Itqqrg--q

dr;;aar!rr.a6vn?1il riililrseirafl firnvuurmnruiirria-unvuu{asudo{'j'lfin'l''tilinnns'}ail'ln

9ri,

rufi'i1t{u{.rfl{rrt'rnuuur r afisrmnrutiyrefrrafl drn{unailfl?ilnilfra6i1Bn'l1iladaer'lr.qgqqu | | a a) | a 0 u I I I t t u qu

n1T5ltl5un'luuauflailnflfla 0nafl1tln11rJoattuafl ttdllo1l8dCIYl1snatdil66r3 0d?fiH1u a | |ulaq6aol,t6n $na d naililFlu uull I aa fl ffLn1ud1 rtnl do6l'l ltn? 1 iloau t un fl


58

aE

n'lf'l0n 3

luflu l'la']fl1fdt

rnllllailao

nailnlllFltl(n =31Fltl)qEa

flailnflaan (n^=31011)q4

Range MSD

tl. 6u r d t a 6o,- .- ^-!^t---ririldc ri1 I Ahfluavnl t lltl{l l, rttt'rl'lglld1trnuuil1[Fu[fl11t1?fli14 0Hil?tl{qll

d , ! - q ..-- 1

iluri,gil1flilflanfltl g lvztv lunalntlniluavnAilflflAa{(N=62 fltl)6tls

Range MSD

riau{uirfi

?ur"j"l t{u{tfls. I adll0l't$f,gln'1fl

43,68-99.47 75.04

49.47-98.95 78.45

4?. 1t-r00 72.32

15. 50

t4.7 6

14,97

50.26-100

44.21-LOO

s6.84-r00

78.39 19.52

76.44 14.54

8 1. ?0 19,29

I

flffirI

r U td | | d q-o l,ln?1{ r drns 0u60{n'l3l ilastBila$Ia {n'l I ilasflvutlllFEllfll]ld?n?lo{Bfll?tl

d , Jq,- u atu ' l-.---r1--.-q--9ilu r I n !1fliloaflil rd{u{ofliner usiav:vtlc sl { unfl atrffi ofr ?ut'j'l n uau

,9uvdilordaotir fl riatf, ran{ tfr {nrr fi tnailnr lniluaurl6iilnfl aa { ( N= 6 2oil )

q

JFlv uuu I ilafl 10 .{r Ftmfl 1!"ti gl

Inailnllnx

qlI

narmnao!i

85

80

75

70

llriat

t P=. oz

t wt ( tlvB't1{ drlolTdflnlAq


5S

a

n'l?'l!fr a r rJ?ng tfisttflrrilus,nsir {ta{nuu,tttl afiaarunrt^tirrq

aarairharo t$cdrn

rue,anlurosdrt{l{sfl{nrrtvn'irtnailarlaruuaonaiilflnaa{ TeranrtAn(r*'9'i1 r Frrlusclrrruuu:rl:rtirru finvuutr adflffunril'tislfiauiilitfiinur r ftdrurlrirzu( N=Ezgrr)

usairn'luurlnh'lr df ss Ms F P

9rlfrruils:rl I 4925.08 4925.08 37.43 0.00

rrairu 1 956. ss 956. ss t . ss 0. 1?9,

rn'11ilna10[n6at[ 59 7762.61 131.57

sjai'?tJ 61 12944.24

It

".r. od t r rl?flil r fiflunrrilunneir tra {nu u,nu l adflffrrrta?in larfidrail" r E rilrn

Q crr (- D t 3 v q. " I I o

,

SFI'AII tll'dtl6l'lT'f,flfl14t14S'du-delT S-dTflt'l7ufi'11 0flailFl')ilnilUAvflAilnflAo{t0e,rle1falrrldsaaruv4lflfln']1'1 t nf 1ufiFtl1illtilTrl?1u11s 8JOyU,$t I ilagFEAl1'.lil{'.lfliflaT51l5 {t-d

{rrsr r fi ucir uft i'rs ( N= EgFlll )

lll

usa{fi't'lsu$l. tl5tu df 5s Ms F p

grln'rurl51'Iil 1 4630, B8 4630. 88 37. 28 0. O0

I

flnil | 748.38 748.38 5.02 0.O2i,

qn?1raa1o t aaau 59 7 329 .7 | tZ4 .Zg

il-d3'ttl 61 LZ?AA.97


60

aruHfis1u{ud r nai.rrir drlrnilor4,rrlrnrnarrfis{u{sfr{nur fildiunrt

finnruafirnoouar'lninrrHflrnrroourut, asirufiiln'''t'[ddnn.i6au( naimetaat t fi, i -.''-- -- n , 0 -l- --. -l

q

'a C dr-,--i---'^ ' Jq-u-'f-i-- d r- -E I

Ftvuur! aaetrt,l,luarsrsfinnt]flneirniT naiffilofu6anrt6outtltl0otll 0 t 618? ( flail

J q , ]r, -"-erc--.^..- ,^,-]-{-^r^-..t^^ 3 ,-t-et-q--.-Ft?rtnil) frt-[ttvrirtildtflintruav'fitln1*doYl1snarnttdot{drfltl

qqq

t t "

q1flsl1r'lrd e uavtdfi z udorsfi{nrrlrrlfiaurlattatauutiltilfiflflllun.a

C (q I u v q I u !l.q 9r --{-' -q, -..' a e qw d '4ttra1?rdnfltlotnriat{uirfirvs'jT 'riuis6uavdrlon*aon1flflardildsl? {drnE1 lfi1r to?'l

9 , t t- '9

|dll+-rrtaeqlol

ffu utr t a6gnrruaT rufinnilFinta',tnailnlrtptiluauflatJnoaa sflat l ftlt, sdufl nnl {fl tlusl

.,t rd u o u .6a . :- - 6l ^.--.*i^ oJ.,J oE'o.,,, o,o, , J

tililttlf,1rTun1tanfi t(60)= 0'e4, p= o' t7 lurou'i'rtil{tfinrvuilulil6sn'l'lu, ,i t ,tt__.(-_-rl--.-,--.3 ---rf -ers--.--.-^-,

atrufinn{lnnlarfioda{naiilaoa{ uavddor$dflfr1flflaudtdfliodiflt1xa$flaila'}ilFltlqlq.Ecq

rAar{tr$n,flaelrffrvdnainnnaaraora{ r$ndoo rdotrl?flilIfiflilorrruuenei1{xat,oo 4 lq.

Fru u$T I S6fl fl 1 ? v O1?rrtnnt l, 6nq

5u?'j'r o{u{ tfi uaodrlo'rdnofir sriatdunEr{ tfi {nur

ro{ntiilFtlunlfirmaitfloaa{ tosnrzi tFll'lu#nllluilzrhruiu ( Ana lvs I s ofqq9r

covan r ance ) Toflfinruuur adflnrrual?#nndTondot{u{tfi{ntl fltdrurltdrlI ( d+- , v vr 6 6 6q, r l2-.ll qa I

( Covan I ate ' Van I ab 1e ) illd1nvUtttl[ il6flfl1?v01?r$tnnx lFinflau5il5 {tf,il0,ano

d 6 df- q u v €lnu ur[l[ t il6fl n1 1 c A1f tff[nflx t em t ilTuT?'l 07117 {a{(

q

q

u. I a , a

ua v drlo rddnfr r etd at3 uaeri I flqq

{ng1aeirofrdildrdfln1s6fiA F( 1'ss)= 21,e9, P ('001 (sl1l'ttfr rl UAU,r,

aOurlr4.---llF( t r 59)= 18.08, P <,001 (n"111{n 8) n1ilA10! ttJOtlJTgUtngI?ufil1tnnil

I

v | 3 r o d t l+.- r4-t I s Q ) v v qdrad,r sfrrna rilil'rt-tnvuurr ahfln'lrua1Trfifnnt lfln lilunnor sflt lu5Yfi?1{5111{ld

,Q

F( r,5s)= 0.04r p= 0.84 (st1r1td zl usiuflneirsdrodrtfrfiarirfonr,ra'nfi'lt,-t

t -- ,t d u g I

firlcrrriaorirsfiailSMo{tfr{nur F( 1,se)= 4.0o, P= o.0s (et"lr1{R 8)dunanali J " c --c-t- q rfr t, v,,,:- !) " -"

nnaosilnuurrr ilnsfl1lva't?lrBnnr tgln tuAilerrudnnlflnaufiuaor{tfiint1( M=20. 23 )iq

f, t l I dv e u -6o

{aflnrrnatJ6l'tilnil ( M=23 . 00 ) Afl'l {ilU8d1F[l|.n1 0doglqq

!,illl.t{f,')1r

ronaln{ r dafrq'ls$rrir r adenu urrn'l ?vartlr(nndTdn:r fl da ( nlelaru?flq

, u v qu 3 t r o d ' - -^,!.-- d+

{. ) riatiuirH{nmtirnaiilFt'mrtiluauflailflnaa cqtrtuutt$ t ilAflrl11valTlfiltllrlll tr1flf, t' ,

-- ,- - , q to t

' -t -l-"!f- ---:^.--^.^^.g^ ^d-,^ô- -^.j-l6ooirrnruifrnndonat lo Ir:ugrr rifi rdrnH'lnailn?lFliltlFlvutlut AaSl'11?va1?illusqq'r

d+ u uan qul I u U4 -.---l,-.el- ..- q rlr 4

nrtdT6fl6{aorsirunrrHifrnlipir rtaiil?lflaanpitrurrtrsffintraonail lq uau I'1[6tl6l'1s.i'--- - o ; 0 q , 0 e

D I E| u lrs r d q d d+ u

aerrirafiar3tdoir6{nsr naiilfi'}ttrrrtrtavuttttilaflrl'l'lu015M[nfll lF1fi6sAflFl'luFl'l1lli-.qqirqotO- 3- u ! | V Vq e V ua \4 U I

{finiltt{t 6'ttn6iilnflao$6i1$Fl11ilif,fl tfillaHnluaYfl?1Al1dn ITFl1oqDo

I6uaU{ { 6illrdtrlldililnd1 1r1l4f, o s

q{


,j

61

; I J | 6i ( dt. ---u.t--st'lf1€fr 6 n1[ilafl [nunl rilgir r,1lilil1fi56'lrlF]vutttfl'l')va1?ffilnn{ tflnla{0{ll'tlloq!

6lrl3 lyuv Itrtalnttniluaunailnflaa{ ( N=62Flll)qqgrrv r{t:lrnlsranfit

1vfla114',lfl'lfdulllaila

0

I

nailFl']ile]tJ ( n =3 lFllI)rql

Ran$e M SD

ndrunoraat (n-=S lFrttqz

Range M SD

dat{u{rf,

ivri'ltiu{,,rfiddor#asrr{ra

t5-41 25. g t

t4-37 21.71

I 5-38 ?3.00

8.7 |

5. 71

5. 09

t4-37

r4-29

t4-26

24,26 6.19

20.81 4,96

20,23 9.24

a

ztfr zt

rV,Jrra/-dtr-t5'ltlt'dufi10 u'set {fl15 r, ilafliluila { Ia {e11 ['ilaflF]u u,lltfl11ui]-tTtft'E?lfill lFlr-i

u I d , JV ir. v 4v , 3 t t a. u ar " ,

Bjll',tflilu IT'3tl',lflilnarln tflTltT{-d5fltr',]U,mnu5vfly n{USirlAtSrT{-d ivg't'l{te0

vr ( u . 3 u au 3 t I

u-dvdtlfl1tf6Ft7t1flflatldlldFrT{d5ftE't ntnailnl1J6liluavnallnoaa0(N=5201a).lqq

LI

Iold+Flv u,uu l, ilnfl Ia { fl ') ? u alTM[?tfl 1 tFln

30

z5

20

15

t

narolllolf!ia

nnilnna0'tt

I

r1A1lt u. ( a

Tvlfi?1d drlo1fid6ln1flq

---:-_______tF

P=. O5


n1r.|sd ?

62

,o d r | ; ( t+. rrlr rhsn tYtguol''liluglflgl1'1110{n1t ilnflauuttlfl'l1ua1t$llfln?l 16flto0ilI?elqg

d , q I u o €lu | | I

ssr.isil'lflflxonn lutvrtt€7rl?{tdlntl ?uT?1tna$o?ilnilununar+ a ( , I I or 6 - -4 -dâ--floaos Losnrtl t n3'lufin11suilTll1?il1?ililn'l I il49fl1?va1?fftnflI tFlfl

e

riau{uf sfl{nur r f,udrurlsir$

usaisaruudtdtru df M55S

UlIsllutH?1tl

I

nail .9t

g

nl'lrna'l6ttaaoll

464.92

o. 8g

1258.06

t

I

59

468.92

o.69

zl,gz

21.99 0.00

o.ott o,84

sa??s 6t 1727.87

arrr{d 0 r rJisulfisunrlsusrfisi'l lxa{d'l radsnuuuul'llsa1?#ondTnnla sfirhsig

d , || rr. 6 a I { - u Gru | |ilu r rnd'lflrflafl ltdrJsrr#aorirsriardudni sarnsl ?vst1 {na$atilRs,3

.l

u,auna$ilflaatI

Toanrst, nt.ud*..ilurldgr udril

fl'lrra1?${nndTnn riau{uisf,{rur r f,udrurlriu

lqar asn"l lilaflncu,utl

q

lrl

ura{n?1$ut|fll??tl FHSs5df

vrlgtluil??1il

flailq

Ic

n11InA10tnaatl

t

I

59

345,"9 t

76, 33

I12?.O',|

t8.08 0,oo

4.OO 0.05

345. 3 I

75. 39

19. to

sas?il 6t 1549,?t


I

I

63

6 do ogafil?-l I fi?'l cBfl a$a t t €fi{nfl 1H

*unr uasn?Trti ma?a o ddesD

q ul | uau rll ou tuo u I u 6 ,- - dlratil'lgnalnoaad andetuaurut?g?Qfl [oulclfl1iliJll1fluaullllY|fl?aila tfla?oqcsDe

u r, u I q . Ul u u su o

nurlugrnrlsn0?atl{ [flfl1 {lIa'iilil?flfiaaoTuflv tln1fl11i,il?{dfnt1 n1ilFl'lllofl,

- a t ul

0 otr1 Jro!, ut qu ,g , (

r a'luauilflnnt:runr { 1xasB,illa rylslBJil?fl 7ril?4flU,auilt',lfl14fl61S1-ltrldtltl1}ilr ! s o E lc' qu o Y d

T?ildiln1?dt rnn uav{'Iil'l? tFlllvli Loe l,{nntnIo.0 [?duilil (}yei srnan' 1979:'dl

d o 6 da I72-80) [i]ltult]ll'1{ tThe I I lustnatlve Model) ( tlglQ'l etaflnl[llt-uannflq,vv u !

lr1Tf,1fl ) LO6'4fl{il

e v t,l a u 5l JI . rl'l1tlr]€ )nO']11611fl1t1 iltlltl?lflFlllllFl'l1$l-l { 1A t t t lA SnlTolUAnU I A {

ql|{ etl

ffuuil'rfl{{fl Tfinr:ffiro:snrrei'r..r1 a,an1r{nrl nlrvdtnlufirrlfratlurJatlrl, 'n t ,

f qq a' s a | ! d I s a d J f t,lotarurlruutn sla I r-lg'1nua1fl1?n1 { '16l su a'al[r },afl I f illYlrll"}El r laa1fi1f nau Ld

arr6au ts r'ra tTa{rfifl ta r1s uarldndl ? 11; r4n?ofiErr$n')'lruavratrv

r?a1d1flaee1ru 4 51a $ana1fififialn1i tiaorun flaarruuau{o dnfirntt,9tD

O 6 I d ; U I U r q OO O O I

1t5r?mnil1fl5{f, il?flna{ il'lflfiair iltrrr1ftv illl1fiTalaaolaalln'l{{a{flaag]ul 6 u u J u fl t , J o 4 q t d ,

ttavatulflnnnll?flfln {?ana? t nfl?niln1? LduT r, ilaa1fl? irdFlTlr Fro?1 r qil!?flil1nn"'rilt,ql

rirrarrrrirtactiilraf;t erro'irprtdfrnn*nueiar-l'rrilail6ltTtrunnra 2 s {r

t

z. Fr?1ilfi$raoirm, trlrurfiilnura{ rirhsritrarfrsrfirnrtdnu{aarur{rpara,oJaJ.ooJ{rdJo

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a']n'lT1l1{ LFlil{il1fllllr l,ilaa']T'll nntJ lf,a'lIoflu fla{ raa n1 tfit'l$n'lElI d $ . rl ut Jo y lyu v a J u'ao$ltrJa?J u'lsutlan 0aila{ u.flu t latil'tflnfl.1$'}1[ Hr t6l ft'l531tf t flfllfllloou + v.C u4 a r q a4 ,t av q D q Daflai IwlFlsu'dvFl-]'1ilT-dflilFu,1Fn Lugltlt a{aflas 1l1{T'1il1-sll?lau?luafl leil']r'lail?Dn lfi

uq0

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ogl, a I u qit 6 OU

uilu'l sylrl t 1flfl1?ntl to fiia t diltfll?d{nild 0 r Fr?1v# usi.ir r fluda rfi r truxtq

d ot qut J d JV t o !u | | .lirt qr,'rEr1r uavilo1 [da']fla['lanil1nil1fln tild1il']Tn [ !n to I dtr a1 l{a1fl liln1?e | , J- rf r qq, Q o 'alU, ! e utiflH11r"10'dl1[ n1nflnillv3r-lH1 n1 [da',lfl l,lrf]'l5rot?]1'r a1t{a1fl'fl?rc]'t ililrfl

tlCopyright by Mahidol University

aaq-gelut|,avrxlfrTa1fl1',l fl fr A {A'l S 1 UUSAAvfl 0n',lfl 'lT'd? Ugll

u n a " 4 -t-qq-J---r u I

TA1flt',lelstasn ITtu'l]11 t iluFl"l Iila']flm1{1fl $na1'tU

tu'uuauil1q1flgl'l{Q 0RlSl

. 4. n.llarirrardsrfiilnroiln{?uauilona€lnd?o airhsfiil'lqrnsir'odsuioo u u ! J c- -r- --S-tt-^..:- ^-^^.-e^ 'r- ^-.^r^.,^-finrtudytadrturn t -ua rarn I iltfil gntttruuaun?arof ? sta sil1?f]tlTvtlu t ?41

c et Jo u v q ----- e I '

il1ll tofl t qu1uHil1elTililgl1o1ettrafluauTilfl15u lllnlsouanlaloil airut ?at tuRoqgc

dlfiuCrlt drlrsuarn:rsdfinndr Lisia tnrm?oldat'lo il'r 0r1et'trt6'lfarfrfi r r.rnst,,.

a e (v o J rq ul r a !)4- 4 -t----g o aul | -- -q-q-dmitriduufr r5u usi-[ilB,ilrsnarsnasfdn r iltur odrru {{d1ilafil'1flf,'l$il'1fl t 111 ta

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fiuana. " rqilnfi uaudfl'lflnrsors#rataidruilur{tsia{tfl{nt, . " d1?A+

1'ld. 3l (slqEn'lFlal 252?) : ?O3-? rg ]

lunrnanfr r,ot. Hanlr'ldatfinurirufiunrtrfirnrriluandr"endeianrtaoqtrnv6salragdl

?uollFl1'1il?gtflfin?a n?1il1iltFlT1 uau IHiln11gailT!f,fl1HFl?']il!Qilill8r c 6l u Q Ul d , {ru u otu a 6 I

Fl'}1il1?ililA [t[fl'17?flt1 t$Hl|'tgilv r10tl',]flilotafl tolflri{|d?nt']. 'lnfl'lsfl$atu (

rl?nrurinfl'1f,'lafi?ilTrrhfiq d'lx'lHsMad1t1r(trdfl d1s1T0tdnFl1dfid.e! t

ftifrsrinsr$er au'ringrdsilfrern, zssr.

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lflelsman, A.D,"Eanly Dta8lnosls of Vulnenabtllty In Cancen Ps+,lent.n

The Arnenlcan Jounnal of the Medlcal Sclencee. 27L(Januany-

June t9?6): tB?-196.

. Cpplngi wlth Cancen. New Yonk: McOnsw-HILl Book Company.

1979,

. rtVulner.eblI{ty alrd The Psychologlcal D{stunbsnces of

Cancen Patlents.r Psychosonat{c, 30(}Yln{en 1989)l 80-85.

Welsman, A.D, and Wonden, J,W, f'The Exlstentlal PltEht ln Cancen;

Sigintf lcance fon t,he Flnst tOO Deys." @of Psychlat,ny ln ldedlclne. 7( t)1.976-19772 f-15.


Ylsko t

Yegko,

95

J.l{. iCane of Pattent'Recelvlng Padlatton Thenepy.t

Nunslng' Cttntcs of Xonth Aneplca. l?(Deceroben 1902) s

631-648. .

J.l{. and DudJul; L.A. iThe Ener3lngl Eole of The 0ncology

Cllntcal llunse Specle-llEt." ln Thc llunsin$ Pnofegslon

Tutpffrg Pof?tp, p,340-348 llonnrn L. Cheata ed' Sf . Loulsl

The CV lorly Coupeny' l99O


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