Comparison Study of Postdischarge Care Provided to Suicide Patients by Family Members in East and South Taiwan

比較台灣東部及南部家屬照護自殺病患

孫凡軻(Fan-Ko Sun) ； 柯貞如(Chen-Ju Ko) ； 張幸齡(Shing-Ling Chang) ； 江純瑛(Chun-Ying Chiang)

《The Journal of Nursing Research》 20卷1期 (2012/03) Pp. 53-65

https://doi.org/10.1097/JNR.0b013e3182466da2

摘要

背景 自殺病人的復原受家屬照顧影響很大，目前研究較少著重於台灣不同區域的家屬對自殺病患之照護。目的 本研究主要目的是探索台灣東部及南部最近才剛出院之企圖自殺病人家屬所提供之照護。方法 本研究採茁根理論研究法，以三年時間分別在兩個不同區域訪談兩組個案。每一組個案均包括15位曾經自殺病人及家屬，收集之資料是採用開放、主軸及選擇性編碼來分析。結果 研究發現：（1）台灣東部居住條件比南部貧乏。（2）台灣東部企圖自殺方式比南部具致命性。（3）台灣東部喝酒情形比南部多，家暴的經驗也比南部多，所以導致東部家屬比南部家屬較不照顧自殺病人的安全。（4）台灣東部自殺病人所獲得家人支持比南部自殺病人少。結論／實務應用 雖然台灣東部自殺病人所獲得家屬照護比南部自殺病人少，但仍應衛教所有自殺病人家屬如何提供最好最適合的照護，此研究可做為臨床護理人員提供自殺病患家屬衛教之參考。

關鍵字

自殺 ； 家屬 ； 居家照護 ； 茁根理論 ； 護理

並列摘要

Background: Care provided by the families of those who have attempted suicide affects their healing and recovery process. Data on care provided by families to suicidal individuals in different areas of Taiwan are extremely limited. Purpose: This study explored care provided by families living in eastern and southern Taiwan to relatives admitted to hospitals and subsequently discharged after a suicide attempt. Methods: The study used a grounded theory approach. Interviews were conducted in two distinct geographical areas in 3 years and included two sample groups. Group 1 comprised suicidal participants (n = 15) and family caregivers (n = 15) in East Taiwan. Group 2 comprised suicidal participants (n = 15) and family caregivers (n = 15) in South Taiwan. Data were analyzed using open, axial, and selective coding.Results: The East Taiwan group was less prosperous than the South Taiwan group. Suicide attempt methods were more lethal in eastern than in southern Taiwan. Alcohol and family violence were more important factors in suicides in eastern than in southern Taiwan. Consequently, families in East Taiwan focused less on protecting the safety of suicidal family members than families in South Taiwan. Participants in East Taiwan received less support from their families than those in South Taiwan. Conclusions/Implication for Practice: Suicidal participants in East Taiwan received less care from family caregivers than did participants in South Taiwan. However, all families require education to provide optimal care for suicidal relatives. Study results may help promote more appropriate education for clinical nursing professionals with a responsibility to care for suicidal patients.

並列關鍵字

suicide ； family caregivers ； home care ； grounded theory ； nursing

參考文獻

Jhou, M. S.、Chi, Y. L.、Hsieh, Y. S.(2010)。Spatial analysis of suicide in Taiwan: Spatial imitation or structural similarity。Journal of Population Studies。41，1-65。

Chesler, M. A. (1987). Professionals' views of the dangers of self-help groups: Explicating a grounded theoretical approach (Center for research on social organization, working paper series). Ann Arbor, MI: Department of Sociology, University of Michigan.

Department of Health, Executive Yuan, Taiwan, ROC. (2010). Report on general conditions in Taiwan hospitals and health centers. Retrieved from http://www.doh.gov.tw/CHT2006/DM/DM2_2.aspx?now_fod_list_no=11170&class_no=440&level_no=4 (Original work published in Chinese)

Department of Health, Executive Yuan, Taiwan, ROC. (2011a). Summary statistical report on causes of death in Taiwan: 2010. Retrieved from http://www.doh.gov.tw/CHT2006/DM/DM2_2_p02.aspx?class_no=440&now_fod_list_no=11897&level_no=3&doc_no=80725 (Original work published in Chinese)

Department of Health, Executive Yuan, Taiwan, ROC. (2011b). Taiwan comprehensive cause of death statistics: 2009. Retrieved from http://www.doh.gov.tw/CHT2006/DM/DM2_2_p02.aspx?class_no=440&now_fod_list_no=11397&level_no=-1&doc_no=76512 (Original work published in Chinese)