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研究生:陳尹甄
研究生(外文):Yin-Chen Chen
論文名稱:探索接受中醫治療之護理人員因應經期不適之看法
論文名稱(外文):Patterns of perception toward coping with menstrual discomfort among nurses under the Chinese medicine treatments
指導教授:黃久美黃久美引用關係
指導教授(外文):Chiu-Mieh Huang
學位類別:碩士
校院名稱:國立陽明大學
系所名稱:護理學系
學門:醫藥衛生學門
學類:護理學類
論文種類:學術論文
論文出版年:2019
畢業學年度:107
語文別:中文
論文頁數:106
中文關鍵詞:護理人員、中醫治療、經期不適、Q方法論
外文關鍵詞:nursing staff、traditional Chinese medicine、menstrual discomfort、Q methodology
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經期不適對護理人員而言是普遍的困擾,職場上的工作壓力、輪班、夜間工作等不良因素,會導致婦女內分泌功能失調,產生月經週期不規則、月經出血期過長、痛經、甚至導致不孕,進而威脅婦女健康、使社交活動受限,同時衝擊到睡眠、學習或工作表現。
本研究採立意取樣方式,共邀請30名研究者參與,以Q方法作為研究主軸,進行41句Q陳述句之Q排列,結構式測量出接受中醫治療之護理人員因應經期不適之的主觀看法,其中陳述句涵蓋六個構面,包括經期不適影響的程度、選擇因應的方式、以往的處理經驗、對於疼痛的意念、配合改變與醫療遵從性、感受社會支持的包容,並且藉由比對受訪者個人屬性基本資料,探究影響觀點異同的內外在因素,以完整詮釋不同類型的內涵。
研究結果將30名受訪者之Q排列資料進行因素分析後,歸納出四種類型,共有26人被歸類,累積變異量達45.3%,此四種類型命名及內涵分別為「症狀嚴重型」:症狀最為嚴重卻又未被解決與關懷、「中醫調理型」:為有耐心接受中醫治療以調理身體、「健康威脅型」:經期不適情況嚴重,屬第二位,自身警覺到健康受到威脅,會積極處理面對、「配合困難型」:因應經期不適時優先緩解症狀、無法改變習慣去配合。
綜整結果發現每種類型之護理人員因應經期不適之看法皆不同,藉此可以作為後續研究醫護人員探討經期不適相關研究之參考,並有助於理解以及促進護理人員職場經期健康照護政策的建構與調整。
Menstrual discomfort is a common problem for nursing staff. The job stress, rotating three shift ratios, night work and other adverse factors in the workplace can lead to women's endocrine disorders, disturbance of menstruation, long menstrual bleeding period, dysmenorrhea and even infertility, which is associated with a negative impact on women’s health, sleep, learning or job performance, and limits social activity.
This study adopts purposive sampling and invited total of 30 participants. The Q-methodology was used as main method of this study. Participants made Q-sorts by ranking 41 statements concerning the subjective view of the nursing staff who received traditional Chinese medicine for menstrual discomfort from "totally disagree" to "totally agree" on a 9‐point scale. The statements covers six facets including the severity of menstrual discomfort, appropriate measures, the past experience, the concept of pain, the change and medical compliance and the acceptance of social support. These Q-sorts were analyzed using PQMethod 2.35 software and was compared with the basic information of the participant's personal attributes, and the internal and external factors affecting the similarities and differences are explored to fully explain the different types of factors to explore the subjective view of the nursing staff who received traditional Chinese medicine in viewpoints to menstrual discomfort.
The results of study analyzed thirty Q-sorts. A total of Twenty-six participants were classified into 4 factors and the total variance explained was 45.3%. The following four viewpoints were found: 1) “Severe Symptoms type”: the most serious symptoms but unresolved and cared. 2) “Chinese medicine conditioning type”: to patiently accept Chinese medicine treatment to regulate the body. 3) “Health threat type”: the menstrual discomfort is serious to the threat of health and will actively deal. 4) “Cooperate with difficult type": for menstrual discomfort will be given to alleviating symptoms, but it is impossible to change habits. According to the comprehensive results, each type of nursing staff has different views on menstrual discomfort, which can be used as a reference for follow-up research medical staff to explore the study of menstrual discomfort, and to help understand and promote the health care policy of nursing staff during the workplace.
目錄
中文摘要 I
Abstract II
目錄 III
表目錄 IV
圖目錄 V
第一章 緒論 1
第一節 研究背景及重要性 1
第二節 研究目的 5
第二章 文獻探討 6
第一節 經期不適症狀 6
第二節 經期不適之導因 9
第三節 經期不適之中醫處置 16
第四節 護理人員的就醫行為 25
第五節 Q方法 28
第三章 研究方法 30
第一節 研究設計 30
第二節 研究對象 31
第三節 研究工具 32
第四節 研究流程 35
第五節 資料處理 37
第六節 研究倫理 38
第四章 研究結果 39
第一節 研究分析過程 40
第二節 受訪者基本資料分析 44
第三節 各類型因素分析與詮釋 46
第四節 四種類型之比較分析 61
第五章 討論與建議 81
第一節 研究討論 81
第二節 研究建議 90
第六章 結論與限制 94
第一節 研究結論 94
第二節 研究限制 96
參考文獻 97

 
表目錄
表3-1 因經期不適接受中醫治療的護理人員之Q陳述句 33
表3-1 因經期不適接受中醫治療的護理人員之Q陳述句(續) 34
表3-2 Q陳述句排列表格 35
表4-1 因素特徵值與解釋變異量 41
表4-2 四種類型的因素負荷表 43
表4-3 受訪者基本資料 45
表4-3 受訪者基本資料(續) 46
表4-4 因素類型一「症狀嚴重型」之理想化因素排列表 49
表4-5 因素類型一「症狀嚴重型」最符合與最不符合之Q陳述句表 50
表4-6 因素類型二「中醫調理型」之理想化因素排列表 52
表4-7 因素類型二「中醫調理型」最符合與最不符合之Q陳述句表 53
表4-8 因素類型三「健康威脅型」之理想化因素排列表 56
表4-9 因素類型三「健康威脅型」最符合與最不符合之Q陳述句表 57
表4-10 因素類型四「配合困難型」之理想化因素排列表 59
表4-11 因素類型四「配合困難型」最符合與最不符合之Q陳述句表 60
表4-12 因素類型之分類對照表 61
表4-13 四種類型受訪者之基本資料綜合比較表 64
表4-14 四種類型受訪者之月經、婦科資料綜合比較表 65
表4-15 共識句 67
表4-16 四種類型最符合與最不符合之Q陳述句及Z值綜合比較表 68
表4-16 四種類型最符合與最不符合之Q陳述句及Z值綜合比較表(續) 69
表4-17 類型一「症狀嚴重型」與其他類型之區辨語句比較表 71
表4-18 類型二「中醫調理型」與其他類型之區辨語句比較表 73
表4-19 類型三「健康威脅型」與其他類型之區辨語句比較表 76
表4-20 類型四「配合困難型」與其他類型之區辨語句比較表 79
 
圖目錄
圖4-1 陡坡圖 41
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