憂鬱症患者所感受之護理關懷行為與其智謀的相關性探討

本研究主要目的為探討憂鬱症患者感受護理關懷行為與其智謀的相關性，以瞭解憂鬱症患者感受之護理關懷行為程度、智謀程度現況及各變項彼此之相關性。本研究採橫斷式研究設計及立意取樣方式，在南部一所醫學中心與兩所精神專科醫院收案共108位憂鬱症患者為研究對象。以結構式問卷收集資料，測量工具包括：（1）患者基本資料；（2）第二版貝克憂鬱量表；（3）感受護理關懷行為量表以及（4）智謀量表。研究結果顯示憂鬱症患者憂鬱程度指標分數為53.80，屬中重度憂鬱，患者感受護理關懷行為之程度指標分數為61.38，屬中等程度，智謀程度指標分數為53.6，屬於中等程度，而患者憂鬱程度與智謀程度呈現顯著負相關（r=-.579, P＜.001）；感受護理關懷行為與智謀程度呈現顯著正相關（r=.259,P＜.001）。經線性複迴歸分析發現，顯示憂鬱症患者之憂鬱程度與感受護理關懷行為是智謀之重要預測因子，其解釋變異量為37.4%(F=32.91, P＜.001)。本研究結果顯示憂鬱症患者感受到護理人員之關懷照護不足，臨床護理人員之關懷照護有待提升，故可發展護理關懷照護與智謀能力之訓練課程，落實關懷照護行為協助憂鬱症患者能更有效應用智謀能力，調節其壓力，提升其適應能力。

關鍵字

憂鬱症；感受之護理關懷行為；智謀

並列摘要

The purpose of this study was to examine the relationships among caring perceived by depressed adults from nurses, and depressed adults’ resourcefulness. A cross-sectional design and purposive sampling were used. 108 depressed patients who are receiving medical treatment at one medical center or two psychiatric hospitals have been recruited in southern Taiwan. Four structured questionnaires such as (1) personal demographic questionnaire, (2) Beck Depression Inventory-second version (BDI-Ⅱ), (3) Caring Behavior Scale (CBS), and (4) Resourcefulness Scale (RS) were used to collect subjects’ personal information, depressive level, perceived caring, and resourcefulness. The results of this study showed that the index score of depressive level was 53.80, which indicated patients in this study were suffering from moderate level of depression；the index score of perceived caring from nurses was 61.38, which indicated depressed patients perceived moderate level of caring from psychiatric nurses. Finally, the index score of resourcefulness was 53.6, which had moderate level of resourcefulness；In addition, this study found that depressive level was significantly and negatively correlated with resourcefulness（r=-.57, P＜.001）；perceived caring from nurses was also significantly but positively correlated with resourcefulness（r=.25, P＜.001） in patients with depression. Furthermore, the depressive level and perceived caring from nurses were important predictors of resourcefulness. Both independent variables (depressive level and perceived caring from nurses) accounted for 37.4% of variance of resourcefulness. The outcome of this study offers psychiatric nurses more understanding about the level of the perceived caring from nurses and resourcefulness. It would be helpful for developing effective intervention including nursing caring skills for nurses. The more caring depressed patients perceived, the more resourcefulness depressed patients would get. Finally, depressed patients may be more resourceful to adjust their living pressure and to promote their adaptive functioning.