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無望感之概念分析

Concept Analysis of Hopelessness

摘要


無望感是心理健康與護理實務上的重要概念,其影響層面很廣,可能導致憂鬱,提高自殺危險性,甚至威脅生命,但無望感卻仍缺乏一致性的定義。本文以Walker及Avant(1995)所描述的概念分析步驟,確立無望感的定義特徵爲:(l)感到無能力解決現在的問題;(2)表現出負向的情緒,包含口頭與肢體的語言;(3)表達出對未來悲觀的看法;(4)主觀的認爲無法控制未來的情況。本文並列舉無望感的典型案例、邊緣案例、相關案例及相反案例,分析無望感的前因與後果,及敘述實證性參考指標,期透過此概念分析,可有助於專業人員能更有效的運用此概念於健康照護領域。

關鍵字

無望感 概念分析

並列摘要


Hopelessness is an important concept in psychology and nursing. It can result in depression, increased suicidal intention, and fatality. Hopelessness still lacks an agreed-upon definition. This paper applied the methodology outlined by Walker and Avant to analyze the concept of hopelessness. The result of the analysis indicated that the defining attributes of hopelessness included feeling inability to solve the present problem, demonstrating negative emotion through verbal and body languages, expressing pessimistic thoughts for the future, and believing unable to control future situation. The paper illustrated model, borderline, related, and contrary cases and analyzed antecedents and consequences. Empirical references were also outlined. It is hoped that this analysis can help nursing staff to effectively apply this concept to health care services.

並列關鍵字

hopelessness concept analysis

被引用紀錄


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吳瑞燕(2015)。探討思覺失調症患者希望感之相關研究〔碩士論文,中山醫學大學〕。華藝線上圖書館。https://doi.org/10.6834/CSMU.2015.00191
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陳雁梅、朱美玲(2022)。照顧一位口腔癌末期病人無望感之護理經驗高雄護理雜誌39(2),138-149。https://doi.org/10.6692/KJN.202208_39(2).0012
高士鈴、黃美鳳、王思涵(2016)。一位初次診斷愛滋病個案之護理經驗彰化護理23(3),67-78。https://doi.org/10.6647/CN.23.03.15

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