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研究生: 謝秀華
論文名稱: 精神分裂病患家屬疾病知識、疾病歸因與表露情緒之相關研究
指導教授: 吳就君
學位類別: 碩士
Master
系所名稱: 健康促進與衛生教育學系
Department of Health Promotion and Health Education
畢業學年度: 85
語文別: 中文
論文頁數: 100
中文關鍵詞: 精神分裂病患家屬
論文種類: 學術論文
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  • 本研究主要目的,在了解精神分裂病患家屬的表露情緒行為,並探討精神分裂病患家屬的精神分裂病知識、症狀歸因與其表露情緒的關係如何。研究進行於民國八十三年八月至八十四年二月期間,研究對象為臺灣南部某醫學中心精神科治療精神分裂病患的家屬與病患,利用會談與錄音方式取得有效樣本八十九人。重要結果歸納如下:
    (1)37%的受訪家屬為高程度表露情緒,其中女性比率高於男性,無工作家屬高於有工作者。
    (2)受訪家屬的精神分裂病知識評估結果,家屬對精神分裂病症狀認識最佳,而對藥物治療和病因了解的知識最缺乏。
    (3)對精神分裂病患的疾病症狀歸因分析結果,發現最被家屬認同的是壓力歸因,其次是生物歸因、心理動力歸因、道德歸因,最不被認同的是超自然歸因,但各類歸因得分的平均值都偏低,且差距不大呈現家屬精神疾病歸因的不確定性與模糊化;高達97%的家屬至少有兩個以上的歸因。
    (4)疾病知識與心理動力歸因傾向、壓力歸因傾向均有正相關;而與超自然歸因傾向呈現負相關。
    (5)與高表露情緒有關的變項有:家屬性別、有無工作、關係別與心理動力歸因傾向。能預測高表露情緒有關的變項為家屬性別、心理動力歸因傾向和壓力歸因傾向。
    建議針對家屬精神分裂病的認知,包括藥物治療和病因認識的缺乏,歸因的不確定性與模糊化,設計適合臺灣家屬的衛教介入方案,以減少家屬高表露情緒的發生,促進家屬對病患疾病的因應,降低對疾病復發的不利因素。

    The purpose of the study was to evaluate the expressed emotion of the relatives of schizophrenic patients, and its relation to their knowledge of illness and percieved cause of illness.
    A cross-sectional survey of 89 relatives of schizophrenic patients, aged 17-76, was performed. All subjects were recruited from relatives of schizophrenic patients treated at the psychiatry inpatient and/or outpatient services during August 1,1994 to February 28, 1995, in a university hospital in the Southern Taiwan. A face to face interview and tape recording were used to complete a structred questionnaire and a standardized Chinese five-minute speech sample(CFMSS)
    1.37% of the subjects were classified as high expressed emotion(HEE). The HEE rate was higher in female than in male, also higher in jobeless in jobless group than in employed group.
    2. The knowledge score was highest in recognition of diseas symptoms and lowest in knowledge about drug treatment and cause of the disease.
    3. In assessing the perceived cause of illness(PCI), the subjects attributed mostly to stress, lesser to biological, psychological, moral, and least to supernatrual causes. 97% of the subjects had at least two perceived causes. However, average PCI score in each of the five groups was low and between-group differences were small. It revealed the uncertainty and vagueness of perceived causes of illness in the sujects.
    4. The knowledge score was significantly associated with psychological cause and stress cause, inversely with supernatural cause.
    5. The gender, psychological PCI score, and pressure PCI score of the subject were significant predictors of HEE.
    The implication of the study is, in order to decrease the incidence of HEE among relatives of schizophrenia patients, it is mandatory to develop individualized educational programs incorporating elements to enhance the knowledge about drug treatment and causes of schizophrenia, and to reduce the uncertainty and vagueness of perceived cause of illness. It is hoped, therefore, that they would cope successfully to patients' behavior and thus recurrenct of the symptoms in patients would is reduced.

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