- 期刊
台北市某二所大學護理學系女學生暴食症之探討
A Study of Bulimia Nervosa Among Nursing Students at Two Universities in Taipei
摘要
目的：探討台北市某二所大學護理學系女學生暴食症之現況。材料與方法：本研究係描述性及相關性研究，對台北市某兩所大學452位護理學系一至四年級日間部的女學生進問卷調查，資料收集工具為中文版暴食問卷、簡式性格量表和自我體重認知測量。結果：(1)研究對象年齡為17-25歲之間，平均年齡為20.17歲，有11名研究對象BITE總分等於或大於26，被視為飲食疾患的「可能的個案」。可能的個案與非個案者所希望之體質指數平均值在統計學呈顯著的差異。(2)在非個案組的「神經質」得分和BITE的總分二者為正相關。(3)研究對象中體重正常組人數最多，但是有329人自認為肥胖，於可能的個案中全部皆自認為體重屬於肥胖，且在統計上達到顯著的差異。結論：研究對象普遍希望自己體重更瘦，且可能未將學習的專業知識應用於自身之飲食行為及體型認知，此值得教育者重視護理學系女學生的飲食行為及暴食症，本研究亦建議教育強調合理的自我體型認知，對學生全面提供篩檢飲食障礙計畫，增加對高危險群的評估，並經由早期提供轉介資源，以獲取適當醫療與照護。
並列摘要
Objective: The purpose of this study was to investigate the incidence of bulimia nervosa among nursing students. Material and Methods: The study used a descriptive correlational design. A total sample of 452 female nursing students was recruited from two universities in Taipei city. Data were collected using the following instruments: Bulimic Investigatory Test Edinburgh (BITE). Maudsley Personality Inventory (MPI), and the self-body weight cog-nitive measure. Results: (1)Subjects ranged in age from 17to25 years, with a mean age of 20.17 years. Among them, 11 subjects were possible cases of bulimia nervosa (BITE≥26). The desired body mass index was significantly different between possible cases and non-cases. (2)Among non-cases, the “neuroticism scores” showed significantly positive correlations with the BITE scores. (3) The majority of the subjects were within the parameters for normal body weight. However, 329 subjects perceived themselves as “obese”. All subjects in the group with possible bulimia con-sidered their body weights obese. Conclusion: The results showed that the majority of the subjects preferred to be thinner. In addition, nursing students might not have applied their learned professional knowledge to their own per-sonal dieting behaviors and perception of a reasonable body weight. Future efforts of educators should focus on vealu-ating eating behaviors, screening bulimia nervosa among nursing students, and emphasizing a reasonable self-body weight cognition. Therefore, possible cases could be identified and referred for medical care.