1,721,007 research outputs found
運用peplau理論及社交技巧訓練於一位精神分裂病患社會適應之護理過程
No full text本個案報告為一位精神分裂病患，於急性精神症狀穩定後，在精神科日間留院的照顧 體系下，護理人員運用Peplau人際關係護理理論與病患建立專業性護病關係，透過個 別性護理及團體治療進行社交技巧訓練，能促進社會適應的護理過程。結果發現：病 人在持家能力、夫妻溝通、親人相處、拒絕技巧、請求協助技巧、人際交往及求職技 巧等功能都有所增進，可支持護理人員和病人在建立治療性護病關係後，於介紹期始 進行社交技巧訓練，可達到「社會適應」的治療目標
糖尿病患者出院期間素質因素與使能因素之評估及轉介結果之初步探討
No full text The purposes of this study were to investigate the predisposing and enabling factors of Diabetes Mellitus( DM) patients during discharing periods and inspecting the results of referrals. A total of 50 DM patients who met the sampling criteria were interviewed by way of a questionnaire. The crosssectional survey method was used and the survey period was from Dec.1, 1993 to July.31, 1994. The findings were as follows : (1) Subjects of the study showed that 66﹪had DM over 6 years, 80﹪ had other kind of chronic diseases, 68﹪ were the first-time inpatients, 60 ﹪ had relatives who had DM. (2) All the subjects obtained health education about DM, over 90﹪ of them had recent experiences when hospitalized this time, nurses and nutritionists played the major role as instructors. (3) The rate of correctly answered about DM knowledge was 80﹪.(4) Almost 80﹪ of the subjects were refered to district health centers, 80﹪ of those referrals were visited by the centers, over 60 ﹪ of the cases were accepted for futher management, only 40﹪ of those visits were done by public health nurses within one week.(5) Most of the doctors and nurses made referrals, the referral sheets written about patients' health needs, did help public health nureses in continuity care. 院期間糖尿病患者的素質因素及使能因素, 在病人出院時進行轉介,並追蹤轉介結果 。樣本來自某醫學中心近日內將出院之糖尿病患者共50名,採橫斷式調查研究法, 問 卷調查期間自82年12月 1日起至83年7月31日止。 結果發現: (1) 研究對象罹患 糖尿病至今超過六年以上者共佔66﹪, 八成的人患有其他慢性病, 68﹪的人是初次住 院,六成的人有親友罹患糖尿病。(2) 全部對象都曾接受有關糖尿病的衛生教育, 九 成以上的人最近的一次的經驗是在本次住院時, 護士與營養師是最主要的教導者。(3 ) 糖尿病知識的答對率為80﹪: 血糖控制的答對率最低, 自我照顧及糖尿病相關因素 的答對率次之, 糖尿病的症狀與低血糖認知及其處理﹑有關合併症的認知答對率最高 。(4) 近八成的個案被轉介至當地衛生所, 八成的轉介被接受, 地段護士能在一週內 訪到個案者僅佔四成, 訪視結果,六成以上的個案被收案。(5 )大多數的醫護人員均 能支持轉介服務,記載糖尿病人需要的轉介單,能引導地段護士繼續追蹤服務的方向。 #2342
精神分裂症病患子女之一般性發展:比較性研究
No full text Children of schizophrenic patients have and increased risk of having mental problems. It is extremely difficult to perceive the distinguishing features that may exist in thesr children before they become manifestly ill. Early identification of these distingyishing features might provide a reference for identifying vulnerability and early intervention to subsequent disorder. This study was carried out to assess the general development of 26 children of schizophrenic patients compared to that of 22 children of normal parents. Data were collected through physical and psychological assessments, semi-structured interviews, and questionnaires. Results showed no group difference in children's height, weight, motor coordination, cognitive ability, or level of depression. However, children of schizophrenic patients exhibited sig-nificantly more anxious behavior. #0395
應用生命階段過渡期之概念於懷孕婦女為人母的過程
No full text過渡期是由一種情境轉變爲另一種情境，在此過程中包括角色、認同、關系、 能力、及行爲模式的改變。護理人員所面對的對象常是處於過渡期的個案，協 助處於生命階段過渡期的個案接受其新角色，並有較好的生活，則是護理的中心概念 。本文即針對過渡期的定義、形式、過程、成功過渡的指標、影響過渡的因素、以及 護理人員應如何應用此概念協助個案加以闡述。由於不孕婦女過渡到「人 母」的角色，是一種複雜的雙重角色過渡，故本文再將上述概念運用於不孕婦女人母之過渡期，以對生命階段過渡期與護理加以闡述說明及應用
胰島素依賴型糖尿病少年自我照顧行為及歸因
No full text本研究探討胰島素依賴型糖尿病病患居家自我照顧之影響因素。以中華民國糖尿病學 會「台北IDDM登錄小組」及康泰基金會IDDM聯誼會之會員中，國小四年級至高中三年 級之病患為研究對象，采取結構問卷及半結構式方談之方法收集資料。研究結果發現 病患的年齡、教育程度、知識、自我概念、家人照顧行為對於自我照顧有顯著相關。 結果可提供醫療團除在團體衛教活動、追蹤輔導時參考，以增進病患及其實用性有關 糖尿病知識、日常生活與自我照顧之執行及其心理適應。The purpose of this study was to investigate the self- reported self-management of juveniles with IDDM and the factors influencing self-management. Sixty-eight subjects, ranging from the fourth grade of primary school to the third year of junior high school, were recruited from the enrollment list of the Taipei IDDM Registry and from the list of the Kang-Tai IDDM Association. Results illustrated that patient’s age, educational level, knowledge about IDDM , self-concept, and family rearing behaviors had significant associations with some aspects of self-management. Intensive health education or counselling for patients and their parents is highly recommended in order to improve their knowledge, self- management practice and psychosocial adjustment
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