照顧一位遭受婚姻暴力婦女之急診護理經驗

The Experience of Emergency Care for a Woman Suffering From Marital Violence

藥癮者的特殊人格特質，在藥癮治療性社區之運作幾乎無法避免住民違規行為發生，隨著治療性社區住民人數增加其違規行為次數也跟著增多，但如何維持單位的穩定性乃成為重要之課題。本研究目的為以行為規範介入後住民違規率之變化；研究評價設計採回溯前曕之三組後測設計，回溯共有二個時期為第一世代（2009年7月至2010年6月）的研究樣本收集計51人，以及第二世代（2010年7月至2011年6月）的研究樣本收集計49人；前曕第三世代（2011年7月至2012年6月）的研究樣本收集計56人。結果顯示在世代別間違規率最高為第一世代98.0％，第二世代為89.8％，最低為第三世代85.7％，控制年齡及入住社區前有否使用海洛因後，發現世代別間之違規率並無差異，故行為規範介入無法有效降低住民違規率，應再思考其他治療方式。

Violation of the regulations of a drug addiction treatment community is almost impossible to prevent because of the personality of drug addicts. The number of violations in the community increases with the number of residents. Maintaining the stability of the community is therefore crucial. This retrospective cohort study examined the differences in residents' violations after intervention; a total of 156 cases of drug addiction from the drug addiction therapeutic community of a psychiatric hospital in Taiwan were included. We applied behavioral therapy for the intervention, and the irregularities of the residents were collected by the medical team. The results showed that the fi rst generation exhibited a violation rate of up to 98.03%, and the third generation exhibited a violation rate of at least 85.71%. After controlling for age (p=0.001) and prior heroin use before entering the community (p=0.037), a logistic multiple regression analysis revealed that the generation of gender, age, and prior heroin use before entering the community were not associated with the violation rate. The violation rate exhibited no significant difference among the three generations; this might be because excessive categories of violation were included in the study.