護理雜誌/The Journal of Nursing
台灣護理學會,正常發行
選擇卷期
- 期刊
面對精神醫療發展的變化，作者提出以Duble E的精神：靈悟（enlightenment）及賦能（empowerment），建構精神衛生護理願景，希望護理人員更有活力、能力、能量去擴展精神衛生護理的服務，定位於「立足台灣，與國際精神衛生護理同步，呈現具我國社會文化特質的精神衛生護理專業能力」，達成以下目標：（1）提升實務專業能力；（2）提升教育學術發展；（3）開拓自主性、合儘性的工作職場；（4）提升專業的形象及影響力；（5）強化國際觀及交流，並在本文中提出達成目標的策略範疇。
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為因應敘述性知識典範來臨的時代，本文旨在尋找當精神衛生護理的新定位，並對現有之護理實踐內涵進行反思。因而，起始於「護理是什麼?」的哲學之問，再察精神衛生護理的典範迷失，最後提出新典範的再出發與護理敘述性知識體系的回歸。整篇文章中，筆者嘗試指出護理原有以人為主體的人本精神即是新典範的核心論述。護理人員當珍愛自己所原有的敘述性知識體系，不需外求於其他學門的知識典範，讓的發展有其空間，並且善用此典範回歸的當下，進行臨床實踐與知識建構中的整合。
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本論文為探究以護理實踐建構倫理態度的方式，分別由文獻分析和參與觀察案例的行動探索兩個部分加以論述。第一部分先闡述護理實踐的意涵，包括護理的科學性、護理實踐的倫理意涵與實踐導向的方法學；第二部分以案例行動探索護理實踐中反省態度的成分包括投身、反身與對話，並指出由三者間循環關係所構成的反思實踐歷程，以說明探究倫理議題的路徑，期能深化護理人員專業自我的效能，促進護理照顧品質精緻化。
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本文旨在說明筆者於3/1/91-3/15/91參與聯合國第四十六屆婦女委員會於紐約舉辦的會議之經過，並以一位精神衛生護理從業人員提出對婦女精神衛生感想與看法，希望當代強調婦女健康時，婦女的心理健康亦受到應有的重視，並能以婦女生命週期的觀點來看，以建構婦對精神醫療照護需要的模式。
- 期刊
本研究的目的為瞭解支持團體對精神分裂症病患照顧者疾病知識與社會支持之影響。本研究係採用類實驗控制前後測設計法，以八週的教育心理支持團體為介入措施，研究對象於團體前、後及團體結束後一個月填寫結構式問卷以進行資料收集。研究樣本係選自某醫學中心及精神專科醫院之精神分裂症病患照顧者，實驗組與控制組各35人，共70人。研究結果顯示：實驗組在團體後相較於團體前，疾病知識及社會支持之改變量均優於控制組；一個月後追蹤發現，實驗組疾病知識改善情形維持平穩，而社會支持雖呈現下降的趨勢但仍比團體前佳。依研究結果建議照顧者支持團體應推展為常規之醫療照護模式，並將團體相關理論、團體技巧訓練與團體領導經驗列入護理人員進階制度之繼續教育內容中，以提升護理人員專業能力。
- 期刊
The purpose of this intervening evaluation study was to investigate how reminiscence therapy may lessen the depression level of elderly people in long-term care institutions. Elders who were subjects of this study suffered minor depression with GDS scored 11 and above. Reminiscence therapy was implemented as the tool to ameliorate residents' depression level activities. The depression levels of the elders prior to and after the intervening activities were recorded, monitored and compared. A total of nine elderly residents participated in all of eight intervening activities over a twomonth period. The therapy comprised four stages: assessment, introduction, activity, and evaluation. According to results of this study, the average age of subjects was 74.56 years. Most of the subjects were males who were born in Mainland China and had graduated from high or vocational school. Many of them were married, and without any religious beliefs. The average length of their stay in the institution was 10.8 months. The expenses for the institution were covered by the elder's retirement pay or paid by their children. Children and friends visited the subjects in this study most frequently. On average, each was visited 2.2 times per month. The most common reason why they chose to stay in the institution was to avoid bothering their family. High blood pressure and cardiovascular disease were the two most common medical diagnoses for subjects, and many of them suffered both. Based on the Wilcoxon Signed Ranked Test, the depression level of our subjects of study had decreased from a score of 21.67 prior to the intervening therapy to a score of 14.44 after the intervening therapy. The average score for depression had also decreased from 0.64 to 0.47. A total decrement of 0.17 points was observed and the result was statistically significant (Z = - 2.670, p ＜ .01). According to the results of this study, reminiscence therapy can help subjects to lessen their depression level through enhancement of self-control, self-recognition, socialization, and sense of achievement. Suggestions of this study are that longterm care institution may utilize meaningful objects or events as the tools for raising residents' reminiscence. In addition, activities with caring attitude such as touching, massaging, and ROM exercising would also help to establish a therapeutic relationship with compassion, respect, concern and acceptance with residents in order to lessen depression levels and improve the health status of the elderly.
- 期刊
本研究目的的旨在探討血液透析患者疲憊、憂鬱與運動耐力之相關性。採描述相關性研究設計，以立意取樣於南部某醫學中心選取52位血液透析病患。研究工具包括疲憊評量表、貝氏憂鬱量表及進行固定式腳踏車運動測試以測量尖峰攝氧量來評估運動耐力。研究結果顯示血液透析患者的疲憊與憂鬱情緒皆傾向中等程度，平均運動耐力為10.93ml/kg/min，代表心肺耐力極差；年齡、身體質量指數、疲憊、憂鬱與運動耐力呈顯著的負相關，表示年齡愈大，身體質量指數愈高、疲憊愈高、憂鬱愈高，則運動耐力愈低；其中年齡、身體質量指數及憂鬱等三個預測變項，可解釋運動耐力37.3%的總變異量。本研究結果可髼為護理人員提供血液透析病患改善運動耐力介入措施之參考。