臺灣博碩士論文加值系統

青春痘是青少年皮膚疾病中非常常見的疾病，它對青少年的身心、自尊、人際關係皆會造成非常大的影響。嚴重青春痘常造成焦慮及缺乏自信，甚至社交退縮；而焦慮也會導致青春痘惡化，造成惡性循環。美國的調查數據顯示，青春痘的紅腫與凹疤狀況，對青少年的心理及社會適應所傷害不亞於中風、氣喘或癲癇的病患。然而國內有關青春痘的臨床報告中，針對青少年的觀念態度以及因長青春痘所造成的身心理影響幾乎少之又少。
本研究運用質性研究法，試圖建立青少年因對於青春痘的迷思與誤解所造成的身心理影響，以及就醫治療經驗的描述性理論。從2010年11月至2011年3月，在台北市某皮膚科門診就醫的病人中，採立意取樣法共收集了十三位年齡為12歲至18歲中重度青春痘的青少年，以深入訪談的方式來了解其在就醫前及接受治療過程中的經驗與感受。根據紮根理論的資料分析程序，建構出青少年因對於青春痘的迷思與誤解所造成身心理影響模式。希望可以提供日後青少年對青春痘醫療照護、臨床衛教，以及相關醫療政策制訂之建議參考。

Acne is one of the commonest skin diseases afflicting adolescents. Patients often have considerably impaired psychosocial development, perceive emotional distress and reduced self-esteem with anxiety. As a consequence, emotional distress and anxiety will further deteriorate ance. The survey from the U.S study years ago showed that psychosocial impact from acne scarring in teenagers were comparable with asthma, stroke or epilepsy. However, the clinical reports on adolescents’ altitudes’ and behaviors’ toward acne and its psychosocial consequences are rare. This study utilized qualitative research method to generate a descriptive theory about adolescents’ “myths and misconceptions” toward acne and their physical and psychological implications. 13 adolescent patients with moderate to severe acne (age from 12 – 18 years old) were recruited by means of purposive sampling from a dermatologic outpatient clinic in Taipei during the period of Nov. 2010 to Mar 2011. They were conducted by in-depth interviews method to explore experiences and feelings during the period of seeking medical help.
According to the study's grounded theory approach to data collection and analysis, we can construct a model to describe adolescents’ “myths and misconceptions” toward acne and their physical and psychological implications based on the above interrelationships. Therefore, we can provide suggestions for caring teenagers’ acne, nursing practice, and formulating medical policy recommendations.

誌謝…………………………………………………………………………………… I
摘要…………………………………………………………………………………. III
Abstract……………………………………………………………………………… IV
目錄…………………………………………………………………………………... V
圖目錄………………………………………………………………………………. VI
表目錄……………………………………………………………………………… VII
第一章 緒論………………………………………………………………………….. 1
1.1 研究動機與背景 1
1.2 研究目的 3
1.3 研究限制 4
1.4 研究步驟 4
第二章 文獻探討…………………………………………………………………… 6
2.1 青春痘之定義、種類及形成原因 7
2.2 目前皮膚科醫師對青春痘的治療方法 11
2.3 青少年關於青春痘的認知與態度 18
2.4 青春痘對青少年的生理及心理影響 21
2.5 小結 26
第三章 相關理論與技術…………………………………………………………… 28
3.1 質性研究 28
3.2 紮根理論 30
第四章 研究方法…………………………………………………………………… 34
4.1資料收集與分析 34
4.2受訪者基本資料整理 36
4.3對患有嚴重型青春痘青少年生理、心理的影響模式建構 37
4.4 分析及結果 71
第五章 結論與未來研究…………………………………………………………… 75
5.1 結論 75
5.2 對未來研究之建議 77
參考文獻…………………………………………………………………………….. 78
附件一 受訪同意書
附件二 訪談指引初版
附件二 醫師觀察評估表

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