[[alternative]]Resetting Life: The Process of Adaptation in Adults with Traumatic Spinal Cord Injury.

[[abstract]]本研究旨在探討外傷性脊髓損傷(traumatic spinal cord injury, TSCI)者於受傷後的疾病適應歷程。導致TSCI的成因以交通事故、高處跌落等意外為最多，在未有心理準備下，患者需要面對突如其來的變故。意外發生後，患者將經歷急性期、復健期及回歸期，神經功能的障礙影響了患者的生理、心理、家庭乃至社交。為了探究複雜的適應過程，本研究使用紮根理論研究法，共有十五位受訪者加入此研究。文本資料歷經開放編碼及主軸編碼後，三個範疇浮現：「劫後餘生」、「重新學步」及「邁向獨立」，分別代表了患者在傷後的疾病階段，即急性期、復健期與回歸期，最後，研究者將核心範疇命名為「重啟人生」。當受訪者變成外傷性脊髓損傷者，其生理、心理、家庭及社交層面在適應疾病的過程中將受到不同程度的影響，這些影響是動態的、持續的且不規則的，護理人員對脊髓損傷者的照護上需要維持調整護理措施的彈性。外傷性脊髓損傷並不是患者本身獨自面對的問題，它同時影響了患者的家庭，在評估患者護理問題時應包含了解其家庭支持系統。本研究參考Lincoln和Guba（1985）提出之準則，即確實性、可轉換性、可靠性、可確認性以評估研究之嚴謹度。[[abstract]]The purpose of the study is to explore the process of adaptation in adults with traumatic spinal cord injury (TSCI). TSCI is mostly caused by traffic accidents or falling from the high place. Without psychological preparation, patients need to face sudden change in their life. When the disaster occurred, patients would experience the acute period, rehabilitation period and regression period. Impaired neurological function affects patient’s physiological, psychological, family and social aspects. To explore this complex process, the study used grounded theory research method. To the end, fifteen participants joined this study. After open coding and axial coding, three main categories emerged: “survive from suffering”, “learn to walk again”, and “acquire individual independence”. It represents the patient's disease stage after the injury, namely the acute period, rehabilitation period and regression period. Finally, the researcher named the core category “resetting life”. After the participant became a TSCI victim, the physiological, psychological, family, and social issues had varying degrees of impact on them in each course of the disease. It is dynamic, continuous, and irregular in nature. Nursing staffs need to maintain flexibility in caring for TSCI victims. TSCI is not a problem that patients should face alone, it also affects the patient’s family. The family support system should also be evaluated when assessing patient care issues. This study refers to the guidelines proposed by Lincoln and Guba (1985) to assess the rigor of the study including credibility, transformability, dependantbility and confirmability as the main standards of rigor for qualitative research methods