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研究生:黃智玉
研究生(外文):Chin Yu Huang
論文名稱:康復之家慢性精神病患的社會支持與復原力之相關性探討
論文名稱(外文):Exploring the Social Support and Reslience of the Patient with Chronic Mental Illness in Halfway House
指導教授:曾明月曾明月引用關係
指導教授(外文):Ming Yueh Tseng
學位類別:碩士
校院名稱:美和科技大學
系所名稱:護理系健康照護碩士班
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:2017
畢業學年度:105
語文別:中文
論文頁數:147
中文關鍵詞:康復之家慢性精神病患社會支持復原力
外文關鍵詞:halfway housechronic mental illnesssocial supportreslience
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由於精神疾病屬慢性化的疾病,影響社會適應技巧,增加復原的困難度,當精神復健團隊協助病患回歸社區生活時,應提昇其因應環境變化的能力,並運用支持系統渡過生活的壓力與困境,本研究為橫斷式研究,目的為暸解康復之家慢性精神病患的社會支持與復原力的相關性,採問卷調查花蓮地區某精神科專科教學醫院附設康復之家的慢性精神病患,以150位康復之家慢性精神病患為收案對象,共發出問卷150份,有效問卷回收150份,有效回收率為100%,研究量表包括三大部分:基本資料、社會支持量表、復原力量表,資料以SPSS/PC 23.0進行獨立樣本t-test、ANOVA、Pearson積差相關,及複迴歸等統計分析。
研究結果顯示:(一)研究對象基本屬性男女各半,以平均年齡47.3
歲,有固定工作,未婚,高中職,宗教信仰為佛教/道教、家人來訪頻率半年一次,平均生病時間為17年,平均住院時間為13年,精神疾病診斷為思覺失調症,藥物副作用有,但不影響日常生活與活動為最多(二)社會支持方面:慢性精神病患來自機構工作人員的社會支持以年齡在45-54歲之間、信仰基督教/天主教者較高;感受到來自家人的社會支持以女性、未婚、大學以上、家人來訪頻率1-3個月來一次較高;感受到來自親戚朋友的社會支持以病患生病時間31-40年較高。(三)復原力方面:有固定工作者的復原力較高。(四)康復之家慢性精神病患社會支持來源包括家人、親戚朋友、機構工作人員與復原力均呈現顯著正相關。(五)康復之家慢性精神病患復原力的主要影響因素,包括家人的社會支持、機構工作人員的社會支持、及職業。
本研究結果可作為精神醫療團隊成員,在未來提供精神病患復健服務時的參考依據,強化其社會支持的功能與來源並提供適切之職業復健,有助於提升復原力與回歸社區之能力。
Mental illness is a chronic disease that affects social adaptive skills and increases the difficulty for recovery. When the mental rehabilitation team helps patients return to community life, they should enhance their ability to respond to environmental changes and teach them how to use utilize resources to deal with their life dilemmas.
This cross sectional study was designed to explore the relationship between the social support and reslience of the patients with chronic mental illness in halfway house . A questionnaire was developed to for related issues in this study the psychiatric patients in the psychiatric college of Hualien District . A total of 150 chronic mental Illness patients from the Halfway House affiliated with psychiatric teaching hospital in Hualien County were enlisted to participate in this study and all patients completed the study.
The questionnaire includes three parts: basic information, social support scale, and CD-RISC. The data was analyzed by SPSS / PC 23.0 , t-test, ANOVA, Pearson product-moment correlation analysis, and Multiple Regression analysis.
The results are (i) basic information : a one to one ratio of female to male participants ; the average age is 47.3 years old ; most patients have regular full time jobs ; single unmarried ; high school education ;religious beliefs are Buddhism / Taoism predominantly ; average frequency of family visits is every six months ; duration of mental illness is 17 years ; average length of psychiatric hospitalization is 13 years ; Most are diagnosed as schizophrenia ; most patients had experience of drug side effects without affecting daily life activities.
(ii) Social support scale: Chronic mentally-illed subjects who are aged of between 45-54 years old, and Christian/Catholic appears to have more social support from Institutional staff ; patients who are women, unmarried, university educated and have family visiting of frequencies of 1-3 months have more support from families. Mental illness duration of 31-40 years group feel more support from friends.
(iii) Reslience factor: employed patients have better Reslience than unemployed ones.
(iv) mentally-illed patients in halfway house who receives social support from families, friends, and Institutional staff has a positive reslience factor.
(v) The main influencing factors of the reslience of mentally-illed patients include the social support of the family and that members and that of the staff , and the occupation.
The results of this study provide a reference for community psychiatric team members regarding future patient rehabilitation services, to enhance patients’ social support system and to escalate the ability of their ability to return to the community.
目次
中文摘要…………………………………………………………………… i
英文摘要…………………………………………………………………… ⅲ
致謝………………………………………………………………………… ⅴ
目次………………………………………………………………………… ⅵ
表次………………………………………………………………………… ⅸ
圖次………………………………………………………………………… ⅹ
第一章 緒論 ……………………………………………………………… 1
第一節 研究背景與動機 …………………………………………… 1
第二節 研究目的 …………………………………………………… 3
第三節 研究問題 …………………………………………………… 4
第四節 研究假設 …………………………………………………… 4
第五節 研究流程 …………………………………………………… 5
第六節 名詞界定 …………………………………………………… 7
第二章 文獻查證 ………………………………………………………… 11
第一節 慢性精神病患 ……………………………………………… 11
第二節 康復之家 …………………………………………………… 18
第三節 社會支持 …………………………………………………… 20
第四節 復原力 ……………………………………………………… 29
第五節 社會支持與精神復原的相關性 …………………………… 41
第三章 研究設計與方法 ………………………………………………… 44
第一節 研究架構 …………………………………………………… 44
第二節 研究對象及場所 …………………………………………… 46
第三節 研究工具 …………………………………………………… 47
第四節 樣本數估算 ………………………………………………… 52
第五節 研究收集與統計分析 ……………………………………… 53
第四章 研究結果 ………………………………………………………… 58
第一節 社會人口學特性與相關因素 ……………………………… 58
第二節 社會支持現況與復原力 …………………………………… 64
第三節 資料常態檢定 ……………………………………………… 72
第四節 社會人口學變項及疾病相關因素與社會支持之差異情形73
第五節 社會人口學變項及疾病相關因素與復原力之差異情形80
第六節 社會支持與復原力之間的相關性…………………………… 85
第七節 社會支持與復原力之主要影響因素………………………… 86
第五章 討論 ……………………………………………………………… 89
第一節 康復之家慢性精神病患社會支持及復原力之現況 ……… 89
第二節 康復之家慢性精神病患社會人口學變項對社會支持之關係100
第三節 康復之家慢性精神病患社會人口學變項與復原力之關係… 105
第四節 康復之家慢性精神病患社會支持與復原力之相關性……… 109
第五節 康復之家慢性精神病患社會人口學變項、社會支持對復原力
之影響因素 ………………………………………………… 110
第六章 結論與建議 ……………………………………………………… 111
第一節 結論 ………………………………………………………… 111
第二節 研究結果應用與建議 ……………………………………… 114
第三節 研究限制 …………………………………………………… 118
參考文獻 ………………………………………………………………… 120
附錄 ……………………………………………………………………… 140
附錄一 參與研究同意書 …………………………………………… 140
附錄二 研究問卷 …………………………………………………… 141
附錄三 社會支持量表使用同意授權書 …………………………… 145
附錄四 復原力量表使用同意授權書 ……………………………… 146
附錄五 安泰醫院人體試驗委員會同意臨床試驗證明 …………… 147
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