感染嚴重急性呼吸道症候群醫護人員之復原歷程

Abstract

本研究目的在探討2003年因從事臨床醫療及護理工作而感染嚴重急性呼吸道症候群（severe acute respiratory syndrome；SARS）的醫護人員之復原歷程。運用質性研究法，採立意取樣，以四位執行嚴重急性呼吸道症候群而感染之醫護人員為研究對象，以深度訪談及參與性觀察進行資料收集。結果發現感染SARS醫護人員的復原歷程分期為：警戒期、協調期、整合期，四位受訪者在整合期之後均能積極面對生活的挑戰。其中影響感染SARS醫護人員復原歷程之因素有「疾病本身的影響」、「感染SARS期間經歷的相關事件」、「個人特質」、「人生發展階段需求」、「染煞前後的支援系統」、「遭逢SARS事件後面對事物的方式」，而有助於個人面對感染後新生活之復原因子有：個人正向特質、人生發展階段的整合、正向的態度以及適切的支援系統。

The purpose of this qualitative study was to investigate the resilience process of the health care workers who acquired SARS during their work in 2003. This study was a qualitative research and data were generated from a purposive sample of the health care workers who acquired SARS during their work. In- depth interviews were conducted and complemented by in vivo observations. The study interviewed 4 health care workers who acquired SARS with a semi- instructed questionnaire design. The result indicated a three- stage of the resilience process by the health care workers who acquired SARS: lookout phase, coordination phase and integration phase. After the integration phase, all of the four interviewees face their new life constructively. The resilience process of health care workers were influenced by the severity of SARS infected and the complications, related events during SARS outbreak, individual attributes, the needs during one’s developmental stage, supportive system before and after SARS, the attitude before and after SARS. There were some facilitators during the resilience process, including positive individual attributes, the integration of one’s developmental stage, positive attitude toward things and feasible supportive system.