| 中文摘要 |
本研究主要目的：（1）探討憂鬱症患者非理性信念、生活壓力與其憂鬱程度之現況及其關係；（2）探討非理性信念與生活壓力在憂鬱程度之預測力。本研究採問卷調查法，以立意取樣方式選取200位年齡介在20-65歲的憂鬱症患者為研究對象，研究問卷包括貝氏憂鬱量表、理性行為量表、成人生活壓力知覺量表及個人基本資料。最後所得資料採t檢定、單因子變異數分析、皮爾遜積差相關及逐步多元適歸分析等統計方法加以處理。本研究得到的結論如下：門診憂鬱症患者憂鬱程度多處於中度憂鬱及重度憂鬱；患者常見的非理性信念為災難、情緒控制、完美、過分關切、憂慮；患者重要之生活壓力事件分別為家人的健康或行為有重大的改變、休間活動方式或次數的重大改變、經濟情況的明顯變壞；患者憂鬱程度與非理性信念、生活壓力呈顯著正相關；另外非理性信念可預測患者之憂鬱程度。以上結果有助於精神科臨床護理人員在面對憂鬱症患者時，先評估患者主觀感受的生活壓力及非理性信念，以發展主要針對憂鬱症患者之相關介入措施，以執行整體性的護理。The purposes of this study were (1) to explore the relationship among irrational beliefs, life stress, and levels of depression in outpatients with major depression, and (2) to explore predictors of depressive patients. This study used the questionnaire inquiry. The researcher chose 200 samples of patients with major depression aged from 20 to 65 years The questionnaires contained four instruments including the Beck Depression Inventory, the Rational Behavior Inventory, the Adult Life Stress Inventory, and personal demographic questionnaires. The data were analyzed using t-test, one-way ANOVA, Pearson's correlation, and stepwise multiple regression analysis. The results of this study showed that the majority of patients suffered from depression at a were in moderate or severe level. The major irrational beliefs were disaster, emotion control, perfect, over concern and anxity. The major life stresses were dramatic changes in family member's health, leisure activities, and economic status. The level of depression showed a positively relation to irrational beliefs and life stress. Irrational beliefs can serve as predictors in patients with major depression.The findings of this research suggest that psychiatric nurses need to understand the perceived degree of life stress and irrational beliefs in patients with depression. They also need to develop related therapeutic intervention to achieve the best therapeutic efficacy and practice integral nursing in caring for patients with depression. |
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