門診青少年憂鬱症患者心理社會因素之分析研究

A study on Psychosocial Factors of Adolescents with Major Depression in Outpatients

本研究目的在瞭解影響青少年憂鬱症患者之社會心理相關因素，期望藉由研究結果能提供擬定介入措施之依據。研究採立意取樣，以病例對照方式取得47位經精神專科醫師診斷為憂鬱症之門診青少年病患及128位無任何精神疾病之某高中學生進行問卷訪問。經由多變項邏輯迴歸分析發現「憤怒負向轉移」、「尋求醫療之面對因應」、「對未來負向看法」及「以偏蓋全完美主義」等四個變項與是否憂鬱症有顯著相關。根據以上結果，本研究提出護理上應用及未來研究之建議。

A cross-section and descriptive correlation design was used in this study. The purpose of the study was to understand the professional performance and capability of nurse specialist in four dimensions, including clinical care capability, and profession developing capability. Purposive sampling method was used to select 63 nurse specialist. The research instrument was 'The performance and ability survey questionnaire' to serve the purpose of study. The major findings of this study were shown: (1) The highest frequency of self perceive performance was "clinical care ability", coming next were 'complementary medical service ability', "administrative management ability", and 'profession developing ability"; (2)In capability, the highest capability of performance was ' complementary medical service capability", over "professional care capability", ' administrative management capability", and "profession developing capability"; (3) The higher performance frequency, the higher capability; (4)The surgical nurse specialists' performance in "complementary medical service capability" was better than medical nurse specialists, but lower in "administrative management capacity' and "specialty profession developing capacity"; (5)Overall, the nurse specialist development focused on "clinical care capability" and "complementary medical service capability", yet "administrative management capability" and "specialty profession developing capability" were limited.