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題名：燒傷病人憂鬱及其相關因素之探討
書刊名：護理雜誌
作者：張紀萍／蔡芸芳／陳月枝／黃秀梨
作者(外文)：Chang, Chi-ping／Tsai, Yun-fang／Chen, Yueh-chih／Hwang, Shiow-li
出版日期：2001
卷期：48:2
頁次：頁37-48
主題關鍵詞：燒傷病人；憂鬱；自我概念；社會支持；Burns patient；Depression；Self-concept；Social support
原始連結：連回原系統網址new window
相關次數：
  • 被引用次數被引用次數:期刊(7) 博士論文(1) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:7
  • 共同引用共同引用:18
  • 點閱點閱:132
　　　　　本研究的目的在探討燒傷病人出院後，產生憂鬱之狀況及其相關因素， 係採描述性橫斷性調查法，以立意取樣方式，選取東部某準醫學中心，五年內出 院之燒傷患者96位為研究對象，研究工具包括A貝氏憂鬱量表B、A自我概念量表 B、A社會支持量表B及A個人基本資料表B四部份。研究結果顯示，96位燒傷病 人憂鬱量表平均得分為13.38，顯示屬輕度憂鬱；自我概念量表平均得分為1.22， 顯示燒傷患者自我概念尚可。患者對社會支持滿意度平均得分為2.36，顯示患者 對社會支持的滿意度尚可，而以情緒性支持平均得分最高，實質性支持平均得分 為最低。此外，憂鬱與社會支持呈顯著負相關；憂鬱與自我概念亦呈顯著負相關； 社會支持與自我概念呈顯著正相關。經路徑分析發現基本資料中的經濟困難、慢 性病過去病史、住院天數、受傷類別，自我概念與社會支持是憂鬱的重要預測變 項，可解釋總變異量70.2%，且社會支持是藉由自我概念來影響患者憂鬱情況。 本研究結果可提供護理人員瞭解燒傷病人出院後的憂鬱狀況及其影響因素，提供 未來照護燒傷病人時的參考依據，以增加患者的調適能力，減少其出院後的心理 適應問題。
　　　　　The purpose of this study was to explore the factors related to emotional disturbance among burns patients, using purposive sampling. A total of 96 subjects from an Eastern Taiwan medical center were selected. Instruments used included the 毢eck Depression Inventory? 浿elf-Concept Inventory? 浿ocial Support Inventory? and 氥emographic Data Inventory? Results showed the average depression index score was 13.38, indicating mild depression. The average score was 1.22 for the self-concept measure, showing an acceptable self-image among burn victims. The average score for the social support scale was 2.36, indicating an acceptable level of satisfaction with social support. The highest level of social support reported was for emotional support, with an average of 2.52 points; the lowest scores reported were for material support, with an average of 2.12 points. Depression and self-concept were found to have a negative correlation. Depression and social support were also found to have a negative correlation. A positive correlation was seen between social support and self-concept. Economic difficulties, history of chronic illness, number of days hospitalized, type of injuries, self-concept and social support are major predictors of depression status, explaining 70.2% of variance in the depression. Social support has only an indirect effect on emotional disturbance through its relationship with self- concept. Nursing professionals assisting burn victims with depression and other issues should find these results useful as a guide to care provision in the future, reducing the problems of psychological adjustment and increasing patient adaptability after discharge from hospitals.
期刊論文
1.Bernstein, N. R.、O'Connell, K.、Chedekel, D.(1992)。Pattern of bum adjustment。Journal of Bum Care & Rehabilitation，13(1)，4-12。  new window
2.Heinberg, L. J.、Fauerbach, J. A.、Spence, R. J.、Hackerman, F.(1997)。Psychological factors predict the decision to undergo reconstructive surgery following bum injury。Journal of Bum Care & Rehabilitation，18(4)，374-380。  new window
3.Faber, A. W.、Klasen, H. J.、Sauer, E. W.、Vuister, F. M.(1987)。Psychological and social problems in burn patients after discharge。Scandinavian Journal of Plastic & Reconstructive Surgery & Hand Surgery，21(3)，307-309。  new window
4.Darko, D. F.、Wachtel, T. L.、Ward, H. W.(1986)。Analysis of 585 bum patient hospitalized over a 6-year period. Part III: Psychosocial data。Bums Including Thermal Injury，12(6)，395-401。  new window
5.Cobb, N.、Maxwell, G.、Silverstein, P.(1990)。Patient perception of quality of life after bum injury: Results of an eleven-year survey。Journal of Bum Care & Rehabilitation，11(4)，330-333。  new window
6.Chang, F. C.、Herzog, B.(1976)。Bum morbidity: A follow-up study of physical and psychological disability。Annals of Surgery，183(1)，34-37。  new window
7.Pruzinsky, T.、Rice, L. D.、Himel, H. N.、Monrgan, R. F.、Edlich, R. F.(1992)。Psychomertric assessment of psychologic factors influencing acult bum rehabilitation。Journal of Bum Care & Rehabilitation，13(1)，79-87。  new window
8.Lawrence, J. W.、Fauerbach, J.、Eudell, E.、Ware, L.、Munster, A.(1998)。Sleep disturbance after bum injury: A frequent yet understudied complication。Journal of Bum Care & Rehabilitation，19(6)，480-486。  new window
9.Heller, K.、Swindle, R. W.、Dusenbury, L.(1986)。Component of social support processes: Comment and integration。Journal of Consulting and Clinical Psychology，54(4)，466-470。  new window
10.White, A. C.(1982)。Psychiatric study of patient with severe bum injuries。British Medical Journal Clinical Research，284(6341)，465-467。  new window
11.Tucker, P.(1987)。Psychosocial problems among adult bum victims。Bums Including Thermal Injury，13(1)，7-14。  new window
12.Tedstone, J. E.、Tamer, N.、Frargher, E. B.(1998)。An investigation of the factors associated with an increased risk of psychological morbidity in bum injured patients。Bums，24(5)，407-415。  new window
13.Scully, J. H.、Hutcherson, R.(1983)。Suicide by burning。American Journal of Psychiatry，140(7)，905-906。  new window
14.Shavelson, Richard J.、Hubner, Judith J.、Stanton, George C.(1976)。Self-concept: Validation of construct interpretations。Review of Educational Research，46(3)，407-441。  new window
15.李文貞(19930300)。燒傷與院內感染。榮總護理，10(1)，17-23。new window  延伸查詢new window
16.Beck, A. T.、Ward, C. H.、Mendelson, M.、Mock, J.、Erbaugh, J.(1961)。An inventory for measuring depression。Archives of General Psychiatry，4(6)，561-571。  new window
17.Barrera, M. Jr.、Sandler, I. N.、Ramsay, T. B.(1981)。Preliminary development of a scale of social support: Studies on college students。American Journal of Community Psychology，9(4)，435-447。  new window
學位論文
1.柯慧貞(1989)。內因性與非內因性憂鬱症在腎上腺皮質素抑制反應、認知偏差及生活壓力上之比較(博士論文)。國立臺灣大學，台北。new window  延伸查詢new window
2.林麗玲(1988)。智障者母親社會支持與心理調適之研究(碩士論文)。東吳大學。  延伸查詢new window
3.蕭仁釗(1989)。疾病壓力與一般壓力下社會支持運作歷程的探討(碩士論文)。國立臺灣大學。  延伸查詢new window
4.張慈惠(1997)。燒傷病患生活品質及其相關因素之探討(碩士論文)。國立臺灣大學。  延伸查詢new window
5.黃金島(1988)。肢體殘障者之身體心像、自我概念、歸因組型、與生活適應的關係(碩士論文)。國立政治大學。  延伸查詢new window
6.顏瑞儀(1999)。「給他們一份工作！？」大台北地區都市原住民勞工就業現況與就業促進政策之探討(碩士論文)。國立臺灣大學。  延伸查詢new window
圖書
1.張典齊(1998)。心理疾病面面觀：情緒、思緒與生活脫序。台北：健行文化。  延伸查詢new window
2.花蓮縣政府(1996)。中華民國八十四年花蓮縣統計要覽。花蓮：花蓮縣政府。  延伸查詢new window
3.蔡宏進(1992)。我國外籍勞工可能引發的社會問題及其因應對策。台北：行政院研究發展考核委員會。  延伸查詢new window
4.Brehm, S. S.、Kassin, S. M.(1983)。Social psychology。Boston：Hough Mifflin。  new window
圖書論文
1.顧乃平(1994)。壓力與適應。護理專業導論。台北：匯華。  延伸查詢new window
2.Remensnyder, J. P.(1990)。Acute electrical bums。Acute management of the burned patient。Philadelphia：W. B. Saumders。  new window
3.House, J. S.、Kahn, R. L.(1985)。Measure and concepts of social support。Social support and health。Orlando：Academic Press。  new window
4.Wilmshurst, A. D.(1992)。Prognosis of the bum injury。Critical care of the burned patient。Cambridge：Cambridge University Press。  new window
 
 
 
 
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