中部地區公共衛生護士強制精神病患送醫意願之相關因素研究

邵文娟

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中部地區公共衛生護士強制精神病患送醫意願之相關因素研究

邵文娟 , Masters　　Advisor：劉俊昌　　

繁體中文

公共衛生護士、精神病患、強制送醫； public health nurse ； psychiatric patients ； coerced treatment

Abstract │ Reference (67) │ Times Cited (1) │ Altmetrics

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Objective：Some adverse events happened during the coerced treatment
process of psychiatric patients Taiwan in recent years. It is worthwhile to find out the shortcomings of the present caring system and regulations of the mental health community in Taiwan. This study aims to explore the influence factors to the willingness of Taiwan public health nurses to send psychiatric patients coerced treatment.
Method：The study is a cross-sectional survey, and a self-administered
questionnaire which was developed for this study. The questions consist of variables such as demography, professional experiences, resources, execution difficulties, and execution willingness. Among the questions, the ones concerning difficulties and willingness were all evaluated using a four-point scale. Data on all public health nurses working in middle Taiwan including these five areas: Changhua County, Nantou County, Taichung County, Taichung City, and Yunlin County. The questionnaire was collected from August to September 2006. 635 nurses (98%) out of 641 anonymous ones responded to the questionnaire. Data was analyzed by descriptive method and logistic regression (SPSS/PC120 bundled software).
Results：Study results indicated that 91.8% claimed they had difficulties contacting the patients, and 70.8% worried about the legitimacy of coerced treatment process. Additional analysis showed three major factors affecting nurses’ willingness of carrying out coercive treatment process:  execution experiences, the level of support from superintendents, and the degree of difficulties confronted during the procedure. Those who ever dealt with coerced treatment patients in the last two years were less willing; those who had higher support from the officers of local health bureau were more willing; those who experienced higher degree of difficulties at the process were again less willing. Conclusions ： The study suggests strengthening professional ability training programs for the public health nurses to deal with dangerous psychiatric patients. The local bureau in charge should actively finds out the obstacles that executors are facing, and also positively support and integrate the coerced treatment procedure.

Reference ( 67 ) 〈TOP〉

毛家船、張玨（1996 ）。護理倫理困窘與護理決策過程。護理雜誌43 ( 1 ) , 40 一45 。
連結：
李明濱（1997 ）。病人自主與知情同意，醫學教育1 ( 4 ) , 377 一388 。
連結：
林靜蘭、蕭淑貞、黃宣宜（2005 ）。社區精神護理持續性護理的現況及展望。護理雜誌，52 ( 1 ) , 11 一17 。
連結：
彭美琪、許銘（2006 ）。建構社區精神病患照護炯一以台北縣為例。長期照護遑雜誌10 ( 4 ) , 323 一332 。
連結：
陳美碧（1994 ）。臺北市北區慢性精神病患心理衛生需求之探討。國立陽明大學碩士論文，台北國立陽明大學。
連結：

Times Cited (1) 〈TOP〉

蕭孝如(2017)。警察強制護送就醫制度之研究－以精神衛生法第32條為中心。國立臺灣大學法律學研究所學位論文。2017。1-234。

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