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完整後設資料紀錄
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.advisor | 張玨(Chueh Chang) | |
dc.contributor.author | Chiao-Hui Lan | en |
dc.contributor.author | 藍巧慧 | zh_TW |
dc.date.accessioned | 2021-06-13T01:13:51Z | - |
dc.date.available | 2007-08-08 | |
dc.date.copyright | 2007-08-08 | |
dc.date.issued | 2007 | |
dc.date.submitted | 2007-07-19 | |
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dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/29658 | - |
dc.description.abstract | 本研究之目的在於探討精神醫療機構中醫病互動關係的型態、專業人員與精神病患對於醫療權利與回歸社會所抱持的信念型態、以及進一步瞭解在這樣的醫療氣氛之下病患所感知的醫療經驗。受限於時間與人力的緣故,採取立意取樣、以專業人員及住院病患為研究對象,並使用自填式問卷收集資料;問卷的題目採六點計分,分別是由1分代表完全不同意、到6分代表完全同意。
研究結果主要發現:一、醫療專業人員和住院精神病患在對於病患是否有權知道自己病歷內容、以及病患在醫療決策的自主權利上,看法有顯著差異,醫療專業人員組的分數低於病患組。二、教育程度較高的病患,較重視病患的醫療權利。三、醫療專業人員和住院精神病患對於醫病互動關係的看法有顯著差異,醫療專業人員組對彼此醫病互動關係的覺察較病患組正向。四、住院精神病患的醫療經驗,與醫病互動關係有顯著的正相關。五、將近六成的醫療專業人員傾向同意隔離約束有被濫用的情況。 本研究之結果呈現出醫病雙方的觀點在病患權利及醫病互動上,都存在有差異,因此結果能夠提供精神醫療單位省思,建立更為平等及良好的醫病互動關係、提升對病患權利的重視、適當的使用隔離約束治療;對於精神醫療機構之專業人員或是醫療相關科系之學生的培養上亦能夠有所提醒;也可提供公部門在政策擬定、施行與去污名化運動的推動上參考,提出更有成效的辦法和建議。 | zh_TW |
dc.description.abstract | The main purpose of this study was to understand the doctor-patient relationships in a modern public psychiatric hospital in Taiwan. Another purpose was to explore the personal belief toward inpatient’s right of both psychiatric professionals and inpatients. Meanwhile, this study attempted to present the inpatients’ experience during hospitalization.
The research methods involved qualitative focus groups and survey questionnaires. A questionnaire was developed specific to the study. There were 192 inpatients and 73 clinical professionals of one public psychiatric hospital in South Taiwan participated in this study. The questionnaire contained three dimensions: doctor -patient relationship, personal belief about patients’ right, and treatment-related experiences during hospitalization. The internal-consistency reliability coefficient was 0.762~0.894. The construct validity of this questionnaire was also meritorious (KMO=0.791~0.882). The data analyses were descriptive statistics, factor analysis, and regression analysis. The major finding were: (1)Staffs showed more negative belief about patient’s right then psychiatric inpatients. (2)Patients’ educational level could influence their personal belief about patients’ right. (3) Staffs perceived more positive professional-patient relationship than patients. (4) Significant correlation was found between patients’ treatment-related experiences and the doctor-patient relationship. (5) Fifty-nine percent of staffs agreed that restrain and seclusion were overused. According to this study, perceptions of the relationship between patient and psychiatric professional were different between professional group and patient group. This finding suggested that psychiatric professionals still have a lot to learn to listen what patient say and understand what are the most important concerns of patients. The results of this study could be provided for government to make effective anti-stigma policy. | en |
dc.description.provenance | Made available in DSpace on 2021-06-13T01:13:51Z (GMT). No. of bitstreams: 1 ntu-96-R94845102-1.pdf: 2991193 bytes, checksum: e08416c3b2a9edb7e7d22a6d55b34209 (MD5) Previous issue date: 2007 | en |
dc.description.tableofcontents | 第一章 前言 1
第一節 研究緣起 1 第二節 研究範圍與目的 3 第二章 文獻回顧 4 第一節 精神疾病的烙印 4 第二節 精神病患之權利 6 第三節 醫病互動關係 10 一、 醫病互動模式理論 10 二、 醫病互動相關研究 14 第四節 醫療行為與醫療經驗 15 第五節 過去研究限制 18 第三章 研究設計與方法 19 第一節 研究架構與研究假設 19 一、 醫療專業人員部份 19 二、 住院病患部份 20 三、 研究假設 20 第二節 研究變項之操作型定義 22 一、 自變項 22 二、 依變項 23 第三節 研究對象 25 第四節 研究工具 27 一、 問卷之信度與效度 27 二、 病患填答問卷 33 三、 醫療人員填答問卷 33 第五節 資料分析方法 34 一、 描述性統計分析 34 二、 推論性統計分析 34 第四章 研究結果 35 第一節 研究樣本之描述性分析 35 一、 病患組樣本 35 二、 醫療專業人員組樣本 38 第二節 依變項之描述性分析及平均數檢定 40 一、 精神疾病患者權利 40 二、 醫病互動 43 三、 醫療經驗與醫療行為 45 第三節 依變項之相關分析與迴歸分析 49 一、 病患權利之相關分析與迴歸分析 49 二、 醫病互動之相關分析與迴歸分析 62 三、 醫療經驗與醫療行為之相關分析與迴歸分析 65 第五章 討論 80 第一節 住院病患與醫療專業人員對於病患權利之看法 80 一、 住院病患對病患權利的看法 80 二、 醫療專業人員對病患權利的看法 81 三、 住院病患及醫療專業人員對病患權利看法的比較 81 第二節 住院病患與醫療專業人員對於醫病互動關係之覺知 85 一、 住院病患覺知的醫病互動關係 85 二、 醫療專業人員覺知的醫病互動關係 85 三、 病患與醫療專業人員對醫病互動的覺知差異 86 第三節 住院病患之醫療經驗 89 第四節 醫療專業人員之醫療行為 91 第六章 結論與建議 92 第一節 研究結論 92 第二節 研究限制 93 第三節 未來建議 94 參考文獻 95 附錄 圖表目錄 圖3-1.1 研究架構一 19 圖3-1.2 研究架構二 20 表3-5.1 精神疾病患者醫療權利部分因素分析 29 表3-5.2 精神疾病患者一般權利部分因素分析 29 表3-5.3 病患覺知的醫病互動關係因素分析 30 表3-5.4 醫療人員覺知的醫病互動關係因素分析 30 表3-5.5 精神疾病患者正向醫療經驗部分因素分析 31 表3-5.6 精神疾病患者負向醫療經驗部分因素分析 32 表3-5.7 醫療專業人員之醫療行為因素分析 32 表4-1.1 病患樣本人口學特質描述性分析 36 表4-1.2 病患疾病相關特質描述性分析 37 表4-1.3 醫療專業人員樣本人口學特質描述性分析 39 表4-1.4 醫療專業人員樣本工作特質描述性分析 39 表4-2.1 對精神疾病患者醫療權利的信念之比較 41 表4-2.2 對精神疾病患者一般權利的信念之比較 42 表4-2.3 醫療權利與一般權利之相關性比較 42 表4-2.3 醫病互動關係之比較 44 表4-2.4 正向醫療經驗之描述性分析 46 表4-2.5 正向醫療經驗量表內相關性分析 46 表4-2.6 負向醫療經驗之描述性分析 47 表4-2.7 醫療行為之描述性分析 48 表4-3.1 病患人口學特質與病患權利總分平均值之關係 51 表4-3.2 病患疾病相關特質與病患權利總分平均值之關係 51 表4-3.3 病患組迴歸分析--醫療資訊的知情權利 53 表4-3.4 病患組迴歸分析-醫療決策的自主權利 54 表4-3.5 病患組病患權利之迴歸分析-個人責任取向 55 表4-3.6 病患組病患權利之迴歸分析-殘障包容取向 56 表4-3.7 醫療專業人員組人口學特質與病患權利分量表總分平均值之關係 58 表4-3.8 醫療專業人員組對病患權利之迴歸分析-醫療資訊的知情權利 59 表4-3.9 醫療專業人員組對病患權利之迴歸分析-醫療決策的自主權利 60 表4-3.10 醫療專業人員組對病患權利之迴歸分析-個人責任取向 60 表4-3.11 醫療專業人員組對病患權利之迴歸分析-殘障包容取向 61 表4-3.12 病患人口學特質與醫病互動總分平均值之關係 62 表4-3.13 病患疾病相關特質與醫病互動總分平均值之關係 63 表4-3.14 醫療專業人員各變項與醫病互動總分平均值之關係 64 表4-3.15 人口學特質及疾病特質與整體正向醫療經驗總分平均值之關係 66 表4-3.16 人口學特質及疾病特質與限制性治療經驗總分平均值之關係 67 表4-3.17 人口學特質及疾病特質與一般治療經驗總分平均值之關係 68 表4-3.18 正向醫療經驗-整體醫療經驗之迴歸分析 70 表4-3.19 限制性治療經驗正向感之迴歸分析 71 表4-3.20 一般治療經驗正向感之迴歸分析 72 表4-3.21 人口學特質及疾病特質與隔離約束負向感總分平均值之關係 74 表4-3.22 人口學特質及疾病特質與受歧視醫療經驗總分平均值之關係 75 表4-3.23 隔離約束負向經驗之迴歸分析 76 表4-3.24 受歧視醫療經驗之迴歸分析 77 表4-3.25 醫療專業人員各變項與醫療行為之相關分析 78 表4-3.26 醫療行為之迴歸分析 79 表4-3.27 對病患權利之看法、醫病互動關係與醫療行為評值的相關性 79 | |
dc.language.iso | zh-TW | |
dc.title | 反精神醫療歧視:醫病互動經驗之初探
-以南部某公立精神科專科醫院為例- | zh_TW |
dc.title | Anti-discrimination in Psychiatry: Interaction between Provider and Consumer | en |
dc.type | Thesis | |
dc.date.schoolyear | 95-2 | |
dc.description.degree | 碩士 | |
dc.contributor.oralexamcommittee | 余漢儀,張達人,呂淑貞 | |
dc.subject.keyword | 醫病互動,去污名化,精神病患,歧視, | zh_TW |
dc.subject.keyword | doctor-patient relationship,anti-stigmatization,psychiatric patient,discrimination, | en |
dc.relation.page | 100 | |
dc.rights.note | 有償授權 | |
dc.date.accepted | 2007-07-20 | |
dc.contributor.author-college | 公共衛生學院 | zh_TW |
dc.contributor.author-dept | 衛生政策與管理研究所 | zh_TW |
顯示於系所單位: | 健康政策與管理研究所 |
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