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研究生:王宜珍
研究生(外文):Wang, Yi-Jhen
論文名稱:護理人員正向情緒對於病患樂觀之影響
論文名稱(外文):Nurse's Positive Emotion and Patient's Optimism
指導教授:鍾燕宜鍾燕宜引用關係
指導教授(外文):Chung, Yen-Yi
口試委員:紀乃文林夷真
口試委員(外文):Chi, Nai-WenLin, Yi-Chen
口試日期:2013-01-14
學位類別:碩士
校院名稱:中臺科技大學
系所名稱:醫療暨健康產業管理系碩士班
學門:商業及管理學門
學類:醫管學類
論文種類:學術論文
論文出版年:2013
畢業學年度:101
語文別:中文
論文頁數:95
中文關鍵詞:正向情緒樂觀情緒
外文關鍵詞:Positive emotionoptimismemotion
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背景目的:護理人員是第一線臨床照護人員,也是維護病患生命安全最後一道防護線。護理人員和病患關係密不可分,當病患身心狀況不佳,易產生負向思考及悲觀情緒。依據情緒感染理論,情緒有彼此影響的社會交互作用。因此,本研究藉由護理人員及病患的配對研究,瞭解護理人員正向情緒、護理人員情緒感染力對病患樂觀之影響,並釐清病患正向情緒的中介效果和情緒易感性干擾作用。
方法:以地區醫院及診所進行問卷調查,立意取樣,每組一位護理人員與配對照顧之病患1~1至1~4位,問卷回收護理人員132人,病患取樣301人共433人。統計方法採描述性統計分析、驗證性因素分析及迴歸分析。
結果:研究結果顯示護理人員正向情緒、護理人員情緒感染力、病患正向情緒皆有利於病患樂觀的提升;病患正向情緒中介「護理人員正向情緒與病患樂觀的關係」,「情緒感染力在護理人員正向情緒與病患正向情緒的關係;情緒易感性在病患正向情緒與病患樂觀間的關係具有干擾中介效果。
結論:護理人員的正向情緒可促進病患的樂觀,而降低病患之易感性,可以讓高正向情緒的病患有較佳的樂觀。建議重視及加強護理人員的情緒管理,若能導向正向的情緒,將助益病患樂觀的提高。
Purpose:Nurses are the first line of clinical care, but also safeguard the patient lives of the last defense line. Inseparable from the relationship between nurses and patients, the poor condition of the physical and mental condition of the patient, and easy to produce negative thinking and pessimism. Based on emotional appeal theory, emotion had social reciprocal of interaction. Therefore, the present study utilized paired research nurses and patients to understand the influence of nurses’ positive emotion and nurses’ emotional appeal on patients’ optimism, and distinguished mediating of patients’ positive emotion and interfering function of nurses’ emotion sensitivity.

Method: The questionnaire survey was did at community hospitals and clinics, and selected by using of purposed sample method, each nurse looked after 1~4 patients, recycling effective questionnaire 433 (nurses=132 and patients =301).The collected data were quantitatively analyzed with descriptive statistics, confirmatory factor analysis, and regression analysis.

Result:The findings revealed that nurses’ positive emotion, nurses’ emotional appeal, and patients’ positive emotion were all beneficial to enhance patients’ optimism. Besides, patients’ positive emotion not only mediated the relationship between nurses’ positive emotion and patients’ optimism, but also mediated the relationship between nurses’ positive emotion and patients’ positive emotions. Moreover, emotion sensitivity had interfering mediating between nurses’ positive emotion and patients’ positive emotions.

Conclusion: Nurses’ positive emotion sensitivity could lead to better optimism of highly positive emotional patients. The researcher suggested that emphasized and reinforced nurses’ emotion management, nurse’s positive would be conductive to raise patients’ optimism

目錄
摘要 I
Abstract II
目錄 III
圖目錄 VI
表目錄 VII
第一節 研究動機與目的 1
第二節 研究重要性 3
第三節 研究目的 4
第四節 名詞釋義 4
第二章 文獻探討 6
第一節 血液透析護理人員及病患 6
第三節 護理人員正向情緒與病患樂觀 8
第四節 護理人員正向情緒與病患正向情緒 9
第五節 病患正向情緒與樂觀 10
第六節 病患正向情緒的中介效果 11
第七節 護理人員情緒感染力干擾效果 11
第八節 病患易感性干擾效果 12
第三章 研究方法 13
第一節 研究架構與假設 13
第二節 研究對象 14
第三節 研究流程 15
第四節 研究工具 18
第五節 施測過程 21
第六節 資料分析方法 23
第七節 中介效果的顯著性考驗 26
第八節 資料收集及倫理考量 26
第四章結果與討論 27
第一節 樣本資料分析 27
第二節描述性統計與皮爾森相關分析 35
第三節 整體模式適配度 36
第四節 護理人員正向情緒與病患樂觀 40
第五節 護理人員正向情緒與病患正向情緒 40
第六節 病患正向情緒與病患樂觀 41
第七節 病患正向情緒的中介效果 41
第八節 護理人員情緒感染力干擾中介效果分析 42
第九節 病患易感性干擾中介效果分析 44
第十節 病患易感性構面干擾效果分析 46
第五章 結論 57
第一節 研究主要發現 57
第二節 學術意涵 64
第三節 管理意涵 65
第四節 教育意涵 66
參考文獻 67
附 錄 一受試者同意書 80
附錄二 護理人員問卷 82
附 錄 三 病患問卷 84
附錄四行政院衛生署桃園醫院醫學倫理及人體試驗審查委員會試驗證明書 86
圖目錄

圖3-1 研究架構與假設 13
圖3-2研究流程圖 15
圖3-3 中介型干擾或干擾型中介之檢定架構圖 25
圖4-1病患正向情緒與病患易感性(悲傷)交互作用 54
圖4-2 病患正向情緒病患易感性(恐懼)交互作用圖 55
圖4-3 病患正向情緒與病患易感性(怒)交互作用 56

表目錄
表4-1護理人員-病患配對問卷-覽表 27
表4-2 護理人員樣本特性統計(n=132) 32
表4-3病患樣本特性統計(n=301) 33
表4-4平均數、標準差與相關係數 35
表4-5護理人員整體性驗證性因素分析結果(n=131) 37
表4-6 病患正向情緒之驗證性因素分析(n=301) 39
表4-7中介效果 42
表4-8干擾型中介效果迴歸分析-1(n=301) 43
表4-9干擾型中介效果迴歸分析-2(n=301) 45
表4-10 干擾型中介效果迴歸分析-3(n=301) 47
表4-11干擾型中介效果迴歸分析-4(n=301) 48
表4-13 干擾型中介效果迴歸分析-6(n=301) 52
表4-12 干擾型中介效果迴歸分析-5(n=301) 50
表4-14干擾型中介效果迴歸分析-7(n=301) 53
表5-1 研究假設與結果匯整 64
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