護專學生生活壓力、完美主義與飲食異常之相關研究

Relationships among Life Stress, Perfectionism and Eating Disorders in College Nursing Students

楊定燕

指導教授 ： 蕭淑惠

國立臺灣師範大學/教育學院/教育心理與輔導學系/碩士(2009年)

摘要

本研究目的在瞭解護專學生在學期間之飲食異常現狀，並探討其與生活壓力、完美主義得分間之關係。本研究採結構式問卷調查法，以北部三所五年制護理科在籍學生為研究對象（共989名）。研究工具共有四部分，包括基本資料、生活壓力量表、多層面完美主義量表與飲食態度量表。所得資料以描述統計、單因子變異數分析、t考驗、積差相關、多元逐步迴歸等統計方法加以分析。本研究結果發現，整體上12.8%的護生有飲食異常傾向，且飲食異常與生活壓力及完美主義有顯著相關。將生活壓力及完美主義各層面對於飲食異常進行預測時，其中以「在乎失誤」（CM）、「感情問題」（RP）、「組織」（O）、「父母責難」（PC）、「重大生活事件」（MLE）、「經濟問題」（FP）、「課業壓力」（AD）等得分對飲食異常的預測力最佳。在背景變項方面，不同年級和不同運動參與程度的護生在飲食異常得分並無顯著差異；而BMI和不同程度的體重控制行為在飲食異常得分上有顯著差異。飲食異常高分組的護生在生活壓力與完美主義上的得分顯著高於飲食異常低分組的護生。根據以上研究結果，本研究提出對護專學生諮商輔導與未來研究之建議以供參考。

關鍵字

護生 ； 生活壓力 ； 完美主義 ； 飲食異常

並列摘要

The aim of the present study was to understand the prevalence of eating disorders among college nursing students and to investigate the relationship among stress, perfectionism and eating disorders. Participants of this study were 989 college nursing students enrolled in a five-year college program in the greater Taipei area. The instrument used is a structured questionnaire which comprised four parts: background information, the Life Stress Scale, the Multidimensional Perfectionism Scale (MPS), and the Eating Attitude Test (EAT). Data were analyzed using descriptive statistics, one-way ANOVA, t-test, Pearson’s correlation, and stepwise multiple regression. The results suggest that 12.8% of the college nursing students are at risk for eating disorders; and stress and perfectionism are positively correlated with eating disorders. When tested which dimensions of stress and perfectionism were most predictive of eating disorders, the results indicate that Concern over Mistakes, Relationship Problems, Organization, Parental Criticism, Major Life Events, Financial Problems and Academic Demands were shown to be the best predictors of eating disorders. There were significant differences in BMI and weight control behaviors with regard to eating disorders. However, there were no differences in different years of study and different levels of sports participation with regard to eating disorders. Nursing students in High EAT group have significantly higher stress and perfectionism than those in the Low EAT group. Suggestions on directions of future research and clinical implications were proposed based on the findings of current study.

並列關鍵字

college nursing students ； stress ； perfectionism ； eating disorders

參考文獻

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