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研究生:潘香岑
研究生(外文):Siang-Cen Pan
論文名稱:樂球團體介入於思覺失調症患者負性症狀、自尊、生活品質之成效
論文名稱(外文):The effect of music and swiss ball Group's intervention on negative symptoms, self-esteem, and quality of life in patients with schizophrenia
指導教授:江純瑛江純瑛引用關係
指導教授(外文):Chun-Ying Chiang
口試委員:呂筑韻孫凡軻
口試委員(外文):Chu-Yun LuFan-Ko Sun
口試日期:2023-06-02
學位類別:碩士
校院名稱:義守大學
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:2023
畢業學年度:111
語文別:中文
論文頁數:86
中文關鍵詞:思覺失調症團體治療音樂治療抗力球
外文關鍵詞:schizophreniagroup therapymusic therapySwiss ball
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目的:本研究旨在探討樂球團體之介入措施,對思覺失調症病人的負性症狀、自尊、生活品質之成效。
方法:本研究為類實驗研究,在南部某精神專科醫院年滿20 歲以上住院個案及符合精神疾病診斷與統計手冊(第五版)之思覺失調症診斷,共為104 人。實驗組提供八週音樂與抗力球課程,每星期一次,每次40 分鐘,控制組則為常規照護,研究工具為負性症狀量表、自尊量表、台灣簡明版世界衛生組織生活品質問卷,研究資料以PSS22.0 統計軟體進行描述性統計、Mann-Whitney U test、皮爾森積差相關及回歸分析。
結果:個案平均年齡為52.66(SD=7.76)歲,其中女性有70 位(67.3%)。整體負性症狀平均值為17.94(SD=8.51)、自尊為22.52(SD=14.08)、生活品質為86.42(SD=14.46),利用無母數統計(Mann-Whitney U test)發現兩組負性症狀在前測無顯著差異(U=1198.50,p>.05),但兩組在後測(U=892.50,p<.01)有顯著性差異。結果顯示控制組(MR=54.39, SR=29.35)在負性症狀比實驗組高(MR=43.84, SR=23.23)。自尊發現兩組在後測無顯著差異(U=1205.00,p<.05);兩組在生活品質無顯著差異(U=1305.00,p<.05)。在迴歸分析結果發現前測(β=13.39;p<.001)、發病年齡(β=1.69;p<.05)、教育程度(β=2.75;p<.05)為負性症狀重要的預測因子,可解釋的變異量為31.2%。
結論:研究結果可提供住院中照護之醫療人員了解住院中思覺失調症病患之負性症狀、自尊、生活品質的情形,有助於未來發展適合住院中團體照護之方案,以降低病人負性症狀及提升自尊與生活品質。
Objective: This study aimed to explore the effect of the music and swiss ball group intervention on the negative symptoms, self-esteem, and quality of life of patients with schizophrenia.
Method: This study was quasi-experimental. A total of 104 participants were hospitalized in a southern psychiatric hospital were over 20 years old and diagnosed with schizophrenia, according to the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition). The experimental group was provided with music and swiss ball courses for eight weeks, once a week, 40 minutes each time, and the control group received routine care. The questionnaires were the negative symptom scale, self-esteem scale, and Taiwan's simplified version of the World Health Organization Quality of Life Questionnaire. Descriptive statistics, Mann-Whitney U test, Pearson product difference correlation, and regression analysis were performed on the research data with SPSS 22.0 statistical software.
Results: The mean age of the participants was 52.66 (SD=7.76), and 70 were women (67.3%). The mean overall negative symptoms were 17.94 (SD=8.51), the self-esteem was 22.52 (SD=14.08), and the quality of life was 86.42 (SD=14.46). The Mann-Whitney U test found that there was no significant difference in negative symptoms in the pretest (U=1198.50, p>.05), but there was a significant difference in the posttest(U=892.50, p<.01) between the two groups. The results showed that the control group(MR=54.39, SR=29.35) had higher negative symptoms than the experimental group (MR=43.84, SR=23.23). Self-esteem found no significant difference between the two groups in the posttest (U=1205.00, p<.05); there was no significant difference in the quality of life between the two groups (U=1305.00, p<.05). In the regression analysis results, it was found that pretest (β=13.39; p<.001), age of on set (β=1.69; p<.05), education level(β=2.75; p<.05), were essential factors for negative symptoms Predictors, the amount of variance that could be explained was 31.2%.
Conclusion: The study's results can provide care for nursing professionals to understand the negative symptoms, self-esteem, and quality of life of hospitalized patients with schizophrenia. It also could contribute to developing group care programs suitable for hospitalization to reduce patients' negative symptoms and improve self-esteem and quality of life.
中文摘要 III
英文摘要 IV-V
目錄 VI-VII
表目錄 IX
圖目錄 X
第壹章 緒論
第一節 研究動機 01
第二節 研究重要性 02
第三節 研究目的與研究假設 03
第四節 名詞解釋 04-05
第貳章 文獻探討
第一節 負性症狀病患特色 06-08
第二節 思覺失調自尊理論與研究 09-10
第三節 思覺失調症之生活品質理論與研究 11-12
第四節 思覺失調症在團體治療理論與研究 13-15
第參章 研究方法
第一節 研究設計 16
第二節 抽樣設計 17-18
第三節 研究架構 19
第四節 資料蒐集 20
第五節 樂球團體介入 21-22
第六節 研究工具與信效度 23-24
第七節 資料統計整理與分析 25
第八節 研究倫理 26
第肆章 研究結果
第一節 描述性統 27-29
第二節 推論性統計 30-36
第伍章 討論
第一節 住院中思覺失調症病人個人基本資料、負性症狀、自尊、生活品質之關係 37-38
第二節 思覺失調病人負性症狀、自尊、生活品質的情形 . 39-40
第三節 樂球團體介入對思覺失調症負性症狀、自尊、生活品質之成效 41-42
第四節 影響思覺失調症負性症狀之相關因子 43
第陸章 結論與建議
第一節 研究結論 .44
第二節 理論與實務涵義 45
第三節 研究建議 46
第四節 研究限制 47
參考文獻
一、中文部分 48-51
二、英文部分 52-58
附錄
附錄一 高雄市立凱旋醫院人體試驗委員會審查同意書 59
附錄二 高雄市立凱旋醫院臨床試驗受試者同意書 60
附錄三 問卷量表授權同意書-1 61
附件四 問卷量表授權同意書-2 62
附件五 問卷量表授權同意書-3 63
附件六 研究問卷-活性與負性症狀評量表 64-71
附錄七 研究問卷-Rosenberg 自尊量表 72
附件八 研究問卷-台灣簡明版世界衛生組織健康相關生活品質問卷(WHOQOLBREF) 73-74
附件九 基本資料 75
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