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| DC 欄位 | 值 | 語言 |
|---|---|---|
| dc.contributor.advisor | 張榮珍(Jung-Chen Chang) | |
| dc.contributor.author | Wei-Hsin Liou | en |
| dc.contributor.author | 劉瑋馨 | zh_TW |
| dc.date.accessioned | 2023-03-19T22:58:59Z | - |
| dc.date.copyright | 2022-10-03 | |
| dc.date.issued | 2022 | |
| dc.date.submitted | 2022-07-25 | |
| dc.identifier.citation | 尤瑞君（2019)．探討青少年精神健康及其相關因子．國立臺北護理健康大學生死與健康心理諮商研究所碩士論文。 行政院青少年事務促進委員會（2005，元月）．青少年政策白皮書綱領。 https://www.yda.gov.tw/upload/cont_att/4cdb53a4-9f78-42dc-99c2-38b5dfe64944.pdf 李宜珊、賴韋安、李佳蓉（2019）．兒童及青少年注意力不足過動症．家庭醫學與基層醫療，34（12），350－358。 林立寧、張妍怡、何曉旭、李蘭(2012) ．青少年之睡眠問題。台灣醫學，16（1），72－83。 張耿嘉、鄭靜明、李柏鋒、方思婷、歐陽文貞（2021）．思覺失調症患者非計畫 性十四天再入院之相關因素探討．醫學與健康期刊，10（2），21－31。 許倍甄、陳幸琪、盧美柔、陸汝斌、林靜蘭（2017）．雙相情緒障礙症病患之照護．護理雜誌 ，64（3），19－26。 郭惠雯（2013）．精神分裂症病人出院後一年內再住院及其影響因子之研究．國立臺北護理健康大學健康事業管理研究所碩士論文。 陳田育、葉啟斌、黃正憲、毛衛中、楊靜修、郭博昭（2019）．青少年常見睡眠障礙的診斷和處置．台灣醫界，62（10），12－16。 熊德筠、楊芝菁、馬維芬（2015）．心理健康促進於社區精神疾病高風險青少年 之論述分析．護理雜誌，62（4），12－18。doi:10.6224/JN.62.4.12 衛生福利部中央健康保險署（2020，5月1日）．2014年版_ICD-9-CM2001年版與ICD-10-CM/PCS對應檔(109.05.01更新)。https://www.nhi.gov.tw/Content_List.aspx?n=C1C92AB9ED30A9FD&topn=23C660CAACAA159D 衛生福利部統計處（2021）．精神疾病患者門、住診人數統計。https://dep.mohw.gov.tw/DOS/cp-5339-59467-113.html 衛生福利部統計處（2021，6月18日）．109年死因統計結果分析。https://www.mohw.gov.tw/cp-5017-61533-1.html 賴琦秀（2015）．台灣青少年精神醫療利用之研究．國立臺北護理健康大學健康事業管理究所碩士論文。 Agathão, B. T., Lopes, C. S., Cunha, D. B., & Sichieri, R. (2020). Gender differences in the impact of sleep duration on common mental disorders in school students. BMC Public Health, 20(1), 148. https://doi.org/10.1186/s12889-020-8260-5 Australian Institute of Health and Welfare (2018) Australia's health 2018. In Brief. Cat. no. AUS 222. Canberra: AIHW. Avenevoli, S., Swendsen, J., He, J. P., Burstein, M., & Merikangas, K. R. (2015). Major depression in the national comorbidity survey-adolescent supplement: prevalence, correlates, and treatment. Journal of the American Academy of Child and Adolescent Psychiatry, 54(1), 37– 44.e2. https://doi.org/10.1016/j.jaac.2014.10.010 Backman, H., Laajasalo, T., Saukkonen, S., Salmi, V., Kivivouori, J., & Aronen, E. T. (2015). Are qualitative andquantitative sleep problems associated with delinquencywhen controlling psychopathic features and parentalsupervision? Journal of Sleep Research, 24(5),543548.doi:10.1111/jsr.12296 Barbeito, S., Vega, P., Sánchez-Gutiérrez, T., Becerra, J. A., González-Pinto, A., & Calvo, A. (2021). A systematic review of suicide and suicide attempts in adolescents with psychotic disorders. Schizophrenia Research, 235, 80–90. https://doi.org/10.1016/j.schres.2021.07.029 Barker, L. C., Gruneir, A., Fung, K., Herrmann, N., Kurdyak, P., Lin, E., Rochon, P. A., Seitz, D., Taylor, V. H., & Vigod, S. N. (2018). Predicting psychiatric readmission: sex-specific models to predict 30-day readmission following acute psychiatric hospitalization. Social Psychiatry and Psychiatric Epidemiology, 53(2 139–149. https://doi.org/10.1007/s00127-017-1450-5 Bartoli, F., Cavaleri, D., Moretti, F., Bachi, B., Calabrese, A., Callovini, T., Cioni, R. M., Riboldi, I., Nacinovich, R., Crocamo, C., & Carrà, G. (2020). Pre-Discharge Predictors of 1-Year Rehospitalization in Adolescents and Young Adults with Severe Mental Disorders: A Retrospective Cohort Study. Medicina (Kaunas, Lithuania), 56(11), 613. https://doi.org/10.3390/medicina56110613 Baum, K. T., Desai, A., Field, J., Miller, L. E., Rausch, J., & Beebe, D. W. (2014). Sleep restriction worsens mood and emotion regulation in adolescents. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 55(2), 180–190. https://doi.org/10.1111/jcpp.12125 Biering P. (2010). Child and adolescent experience of and satisfaction with psychiatric care: a critical review of the research literature. Journal of Psychiatric and Mental Health Nursing, 17(1), 65–72. https://doi.org/10.1111/j.1365-2850.2009.01505.x Bobier, C., Dowell, J., & Swadi, H. (2009). An examination of frequent nursing interventions and outcomes in an adolescent psychiatric inpatient unit. International Journal of Mental Health Nursing, 18(5), 301–309. https://doi.org/10.1111/j.1447-0349.2009.00618.x Brockhus, L. A., Bärtsch, M., Exadaktylos, A. K., Keitel, K., Klukowska-Rötzler, J., & Müller, M. (2021). Clinical Presentations of Adolescents Aged 16-18 Years in the Adult Emergency Department. International Journal of Environmental Research and Public Health, 18(18), 9578. https://doi.org/10.3390/ijerph18189578 Bulechek, G. M., Butcher, H. K., Dochterman, J. M., & Wagner, C. (2013). Nursing Interventions Classification (6th ed.). St. Louis, MO: Mosby Elsevier. Carballo, J. J., Llorente, C., Kehrmann, L., Flamarique, I., Zuddas, A., Purper-Ouakil, D., Hoekstra, P. J., Coghill, D., Schulze, U., Dittmann, R. W., Buitelaar, J. K., Castro-Fornieles, J., Lievesley, K., Santosh, P., Arango, C., & STOP Consortium (2020). Psychosocial risk factors for suicidality in children and adolescents. European Child & Adolescent Psychiatry, 29(6), 759–776. https://doi.org/10.1007/s00787-018-01270-9 Carlisle, C. E., Mamdani, M., Schachar, R., & To, T. (2012). Aftercare, emergency department visits, and readmission in adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 51(3), 283–293.e4. https://doi.org/10.1016/j.jaac.2011.12.003 Castelpietra, G., Knudsen, A., Agardh, E. E., Armocida, B., Beghi, M., Iburg, K. M., Logroscino, G., Ma, R., Starace, F., Steel, N., Addolorato, G., Andrei, C. L., Andrei, T., Ayuso-Mateos, J. L., Banach, M., Bärnighausen, T. W., Barone-Adesi, F., Bhagavathula, A. S., Carvalho, F., Carvalho, M., … Monasta, L. (2022). The burden of mental disorders, substance use disorders and self-harm among young people in Europe, 1990-2019: Findings from the Global Burden of Disease Study 2019. The Lancet Regional Health. Europe, 16, 100341. https://doi.org/10.1016/j.lanepe.2022.100341 Cheon, J., Oh, D., Lee, J., Ahn, J., Song, D. H., & Cheon, K. A. (2020). Increasing Trend and Characteristics of Korean Adolescents Presenting to Emergency Department for Self-Harm: A 5-Year Experience, 2015 to 2019. Yonsei Medical Journal, 61(7), 614–622. https://doi.org/10.3349/ymj.2020.61.7.614 Conus, P., Macneil, C., & McGorry, P. D. (2014). Public health significance of bipolar disorder: Implications for early intervention and prevention. Bipolar Disorders, 16(5), 548-556. doi:10.1111/bdi.12137 Cook, J. A., Burke-Miller, J. K., Razzano, L. A., Steigman, P. J., Jonikas, J. A., & Santos, A. (2021). Serious mental illness, other mental health disorders, and outpatient health care as predictors of 30-day readmissions following medical hospitalization. General Hospital Psychiatry, 70, 10–17. https://doi.org/10.1016/j.genhosppsych.2021.02.004 Dalsgaard, S., Thorsteinsson, E., Trabjerg, B. B., Schullehner, J., Plana-Ripoll, O., Brikell, I., Wimberley, T., Thygesen, M., Madsen, K. B., Timmerman, A., Schendel, D., McGrath, J. J., Mortensen, P. B., & Pedersen, C. B. (2020). Incidence Rates and Cumulative Incidences of the Full Spectrum of Diagnosed Mental Disorders in Childhood and Adolescence. JAMA Psychiatry, 77(2), 155–164. https://doi.org/10.1001/jamapsychiatry.2019.3523 Deacon, M., & Fairhurst, E. (2008). The real-life practice of acute inpatient mental health nurses: an analysis of 'eight interrelated bundles of activity'. Nursing Inquiry, 15(4), 330–340. https://doi.org/10.1111/j.1440-1800.2008.00426.x Donisi, V., Tedeschi, F., Wahlbeck, K., Haaramo, P., & Amaddeo, F. (2016). Pre-discharge factors predicting readmissions of psychiatric patients: a systematic review of the literature. BMC Psychiatry, 16(1), 449. https://doi.org/10.1186/s12888-016-1114-0 Edgcomb, J. B., Sorter, M., Lorberg, B., & Zima, B. T. (2020). Psychiatric Readmission of Children and Adolescents: A Systematic Review and Meta-Analysis. Psychiatric Services (Washington, D.C.), 71(3), 269–279. https://doi.org/10.1176/appi.ps.201900234 Fahimi, J., Aurrecoechea, A., Anderson, E., Herring, A., & Alter, H. (2015). Substance abuse and mental health visits among adolescents presenting to US emergency departments. Pediatric Emergency Care, 31(5), 331–338. Fontanella C. A. (2008). The influence of clinical, treatment, and healthcare system characteristics on psychiatric readmission of adolescents. The American Journal of Orthopsychiatry, 78(2), 187–198. https://doi.org/10.1037/a0012557 Gillies, D., Christou, M. A., Dixon, A. C., Featherston, O. J., Rapti, I., Garcia-Anguita, A., Villasis-Keever, M., Reebye, P., Christou, E., Al Kabir, N., & Christou, P. A. (2018). Prevalence and characteristics of self-harm in adolescents: Meta-analyses of community-based studies 1990–2015. Journal of the American Academy of Child & Adolescent Psychiatry 57(10),733741.https://doi.org/10.1016/j.jaac.2018.06.018 Hall,G.S.,(1904). Adolescence:its Psychology and its relations to physiology, anthropology, sociology, sex, crime, religion and education. D. Appleton and Co. Hayes C, Palmer V, Hamilton B, Simons C, Hopwood M. What nonpharmacological therapeutic interventions are provided to adolescents admitted to general mental health inpatient units? A descriptive review. Int J Ment Health Nurs. 2019 Jun;28(3):671-686. doi: 10.1111/inm.12575. Epub 2019 Feb 12. PMID: 30756470. Herrman, H., Goldstone, S., & McGorry, P. (2014). Research and Practice in Youth Mental Health: An Australian Perspective. 臺灣精神醫學, 28(3), 138-147+i. https://www.airitilibrary.com/Publication/alDetailedMesh?DocID=10283684-201409-201410200065-201410200065-138-147+i Holtmann, M., Duketis, E., Poustka, L., Zepf, F. D., Poustka, F., & Bölte, S. (2010). Bipolar disorder in children and adolescents in Germany: national trends in the rates of inpatients, 2000-2007. Bipolar Disorders, 12(2), 155–163. https://doi.org/10.1111/j.1399-5618.2010.00794.x Hovenkamp-Hermelink, J., Jeronimus, B. F., Myroniuk, S., Riese, H., & Schoevers, R. A. (2021). Predictors of persistence of anxiety disorders across the lifespan: a systematic review. The Lancet. Psychiatry, 8(5), 428–443. https://doi.org/10.1016/S2215-0366(20)30433-8 James, S., Charlemagne, S. J., Gilman, A. B., Alemi, Q., Smith, R. L., Tharayil, P. R., & Freeman, K. (2010). Post-discharge services and psychiatric rehospitalization among children and youth. Administration and Policy in Mental Health, 37(5), 433–445. https://doi.org/10.1007/s10488-009-0263-6 Kim, H., Ryu, J. M., & Kim, H. W. (2020). Characteristics and Trends of Suicide Attempt or Non-suicidal Self-injury in Children and Adolescents Visiting Emergency Department. Journal of Korean Medical Science, 35(33), e276. https://doi.org/10.3346/jkms.2020.35.e276 King, C. D., Joyce, V. W., Nash, C. C., Buonopane, R. J., Sossong, A. D., & Ressler, K. J. (2019). Emergency Department Use Following Pediatric Psychiatric Hospitalization. Psychiatric Services (Washington, D.C.), 70(7), 613–616. https://doi.org/10.1176/appi.ps.201800441 Lassemo, E., Myklebust, L. H., Salazzari, D., & Kalseth, J. (2021). Psychiatric readmission rates in a multi-level mental health care system - a descriptive population cohort study. BMC Health Services Research, 21(1), 378. https://doi.org/10.1186/s12913-021-06391-7 Lin, C. H., Chen, W. L., Lin, C. M., Lee, M. D., Ko, M. C., & Li, C. Y. (2010). Predictors of psychiatric readmissions in the short- and long-term: a population-based study in Taiwan. Clinics (Sao Paulo, Brazil), 65(5), 481–489. https://doi.org/10.1590/S1807-59322010000500005 Loch A. A. (2012). Stigma and higher rates of psychiatric re-hospitalization: São Paulo public mental health system. Revista Brasileira de Psiquiatria (Sao Paulo, Brazil : 1999), 34(2), 185–192. https://doi.org/10.1590/s1516-44462012000200011 Lawrence D, Johnson S, deHafekost J, Boterhoven Haan K & Sawyer M, A. J. (2015). The mental health of children and adolescents: report on the second Australian Child and Adolescent Survey of Mental Health and Wellbeing. In Health., D. o., (ed.), Canberra. Maki, S., Nagai, K., Ando, S., & Tamakoshi, K. (2021). Structure and predictors of in-hospital nursing care leading to reduction in early readmission among patients with schizophrenia in Japan: A cross-sectional study. PloS One, 16(4), e0250771. https://doi.org/10.1371/journal.pone.0250771 Meltzer, L. J., & Mindell, J. A. (2006). Sleep and sleep disorders in children and adolescents. The Psychiatric Clinics of North America, 29(4), 1059–x. https://doi.org/10.1016/j.psc.2006.08.004 Mendes, P., Fonseca, M., Aguiar, I., Pangaio, N., Confraria, L., Queirós, O., Saraiva, J., Monteiro, P., & Guerra, J. (2017). Reinternamentos Hospitalares num Serviço de Pedopsiquiatria: Taxa de Readmissão e Fatores de Risco [Readmission to an Adolescent Psychiatry Inpatient Unit: Readmission Rates and Risk Factors]. Acta Medica Portuguesa, 30(11), 769–774. https://doi.org/10.20344/amp.8842 Mojtabai, R., Olfson, M. & Han, B. (2016). National trends in the prevalence and treatment of depression in adolescents and young adults. Pediatrics, 138, e20161878. Okumura, Y., Sugiyama, N., & Noda, T. (2018). Timely follow-up visits after psychiatric hospitalization and readmission in schizophrenia and bipolar disorder in Japan. Psychiatry Research, 270, 490–495. https://doi.org/10.1016/j.psychres.2018.10.020 Patalay, P. & Fitzsimons, E. (2017). Mental Ill-health Among Children of the New Century: Trends Across Childhood with a Focus on Age 14. London: Centre for Longitudinal Studies. Paruthi, S., Brooks, L. J., D'Ambrosio, C., Hall, W. A., Kotagal, S., Lloyd, R. M., Malow, B. A., Maski, K., Nichols, C., Quan, S. F., Rosen, C. L., Troester, M. M., & Wise, M. S. (2016). Recommended Amount of Sleep for Pediatric Populations: A Consensus Statement of the American Academy of Sleep Medicine. Journal of Clinical Sleep Medicine : JCSM : Official Publication of the American Academy of Sleep Medicine, 12(6), 785–786. https://doi.org/10.5664/jcsm.5866 Polanczyk, G. V., Salum, G. A., Sugaya, L. S., Caye, A., & Rohde, L. A. (2015). Annual research review: A meta-analysis of the worldwide prevalence of mental disorders in children and adolescents. Journal of Child Psychology and Psychiatry, and Allied Disciplines, 56(3), 345–365. Pottick, K., Hansell, S., Gutterman, E., & White, H. R. (1995). Factors associated with inpatient and outpatient treatment for children and adolescents with serious mental illness. Journal of the American Academy of Child and Adolescent Psychiatry, 34(4), 425–433. Sawyer, S. M., Azzopardi, P. S., Wickremarathne, D., & Patton, G. C. (2018). The age of adolescence. The Lancet. Child & Adolescent Health, 2(3), 223–228. https://doi.org/10.1016/S2352-4642(18)30022-1 Sayal, K., Prasad, V., Daley, D., Ford, T., & Coghill, D. (2018). ADHD in children and young people: prevalence, care pathways, and service provision. The Lancet. Psychiatry, 5(2), 175–186. https://doi.org/10.1016/S2215-0366(17)30167-0 Silva, S. A., Silva, S. U., Ronca, D. B., Gonçalves, V., Dutra, E. S., & Carvalho, K. (2020). Common mental disorders prevalence in adolescents: A systematic review and meta-analyses. PloS One, 15(4), e0232007. https://doi.org/10.1371/journal.pone.0232007 Steinhausen, H. C., & Jakobsen, H. (2019). Incidence Rates of Treated Mental Disorders in Childhood and Adolescence in a Complete Nationwide Birth Cohort. The Journal of Clinical Psychiatry, 80(3), 17m12012. https://doi.org/10.4088/JCP.17m12012 Twenge, J. M., Cooper, A. B., Joiner, T. E., Duffy, M. E., & Binau, S. G. (2019). Age, period, and cohort trends in mood disorder indicators and suicide-related outcomes in a nationally representative dataset, 2005-2017. Journal of Abnormal Psychology, 128(3), 185–199. https://doi.org/10.1037/abn0000410 United Nations(1985). International Youth Year : Participation, Development, Peace : report of the Secretary-General. https://digitallibrary.un.org/record/85263?ln=en Victor, S., & Thorup, A. (2021). Demographic trends in a paediatric psychiatric emergency room in Copenhagen. Danish Medical Journal, 68(7), A10200785. Weinberger, A. H., Gbedemah, M., Martinez, A. M., Nash, D., Galea, S., & Goodwin, R. D. (2018). Trends in depression prevalence in the USA from 2005 to 2015: widening disparities in vulnerable groups. Psychological Medicine, 48(8), 1308–1315. https://doi.org/10.1017/S0033291717002781 World Health Organization. (2021). Suicide Worldwide in 2019: global health estimates(1st ed). World Health Organization. https://www.who.int/publications/i/item/9789240026643 World Health Organization (no date). Adolescent Health. https://www.who.int/health-topics/adolescent-health#tab=tab_1 World Health Organization (2021). Adolescent Mental Health. https://www.who.int/news-room/fact-sheets/detail/adolescent-mental-health. Zanato, S., Miscioscia, M., Traverso, A., Gatto, M., Poli, M., Raffagnato, A., & Gatta, M. (2021). A Retrospective Study on the Factors Associated with Long-Stay Hospitalization in a Child Neuropsychiatry Unit. Healthcare (Basel, Switzerland), 9(9), 1241. https://doi.org/10.3390/healthcare9091241 Zeshan, M., Manocha, P., Waqas, A., Naveed, S. & Ghulam, H. (2018). Factors Predicting Length of Stay in an Adolescent Psychiatric Unit, South Bronx, NY: a Short Report. Journal of the Canadian Academy of Child & Adolescent Psychiatry, 27 (2), 142–147. | |
| dc.identifier.uri | http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/85343 | - |
| dc.description.abstract | 背景:生命週期發展的階段中，青少年期是精神疾病罹患率最高的時期之一。青少年心理健康問題若未給予適當介入，其負面影響將持續至成年期或終其一身，可能損害身心健康與限制發展。青少年精神疾病患者於住院期間所接受的治療及照護，影響疾病的預後，然而國內對急性住院之青少年精神疾病患者之醫療利用和護理照護的研究相對欠缺，值得運用長期資料進一步了解。 目的:本研究旨在探討近年青少年精神病患之住院概況、住院前醫療利用情形，以及住院期間護理評估之健康問題與護理照護措施等情形，並利用十三年長期資料來探討住院照護與疾病預後之相關性。 方法: 本研究採取回溯性世代研究之設計，運用臺大醫療體系醫療整合資料（Integrated Medical Database, National Taiwan University Hospital）分析2007年1月1日至2019年12月31日共計13年期間，於精神科急性病房住院的青少年精神疾病患者，了解該族群之人口學特徵、住院概況，包含疾病診斷及共病情形、健康問題與護理照護評估，並透過多元邏輯斯迴歸，探討患者出院後一年內再入院和一年內急診求診之相關因子。 結果:本研究納入共1024人（男性436人與女性588人），平均住院天數26.46天；出院後一年內再入院率為22.07%，再入院之相關因子為出院後醫療利用（門診和急診）頻率高、住院時護理照護發現病人有家庭因應能力失調的健康問題；青少年精神疾病患者出院後一年內有急診就醫率為25.78%，相關因子為出院後門診次數多、有自傷或暴力之健康問題、有思考過程紊亂之健康問題、出院後為獨居者、有服藥問題需持續追蹤者。 結論:由過去13年之回溯性世代研究發現青少年精神疾病急性住院患者之基本人口學特性、診斷類型、住院期間之健康問題、出院後動向與家庭支持資源，都與出院後一年內再入院或至急診就醫有關，此研究結果可提供急性精神科住院青少年病患治療照護計畫之參考，醫護針對每位青少年精神病人急性住院期間，透過完整評估個人及家庭狀況，可針對較為相關的風險因素設計個別化精準照護計畫，以降低疾病惡化而於出院後一年內再入院或赴急診就醫之機率。建議未來研究可再將藥物與特殊處置等納入分析，亦可持續長期追蹤探討護理照護措施與出院規劃及社區銜接之成效。 | zh_TW |
| dc.description.abstract | Background: In the stage of life cycle development, adolescence is one of the period with the highest incidence of mental illness. If adolescents' mental health problems are not properly intervened, the negative effects will last until adulthood or impact the whole life, which may damage the physical and mental health and restrict a healthy development. The treatment and care received by adolescents with mental illness during hospitalization will affect the prognosis of the mental illness. However, the research on the medical utilization and nursing care for adolescent patients with acute psychiatric hospitalization is insufficient and need further investigation on longitudinal data. Objective: The purpose of this study was to use a 13-year longitudinal data to investigate the adolescent patients with acute psychiatric hospitalization, including pre-hospital medical utilization, health problems, nursing interventions, and nursing evaluation during hospitalization. Methods: The Integrated Medical Database, National Taiwan University Hospital was used to expolore the adolescent psychiatric patients hospitalized in the acute ward of the psychiatric department from January 1, 2007 to December 31, 2019. The demographic characteristics and hospitalization profile of adolescent patients, including disease diagnosis and comorbid conditions, health problems and nursing care assessment, were analyzed. Using multivariate logistic regression to discover the associated factors for readmission and emergency department visits within one year after the discharge. Results: The study sample consisted of 1024 patients (436 males and 588 females). The averaged length of inpatient stay were 26.46 days. The readmission rate within one year after discharge was 22.07%, and the visits to emergency department was 25.78%. The factors associated with readmission within one year after discharge included frequent outpatient department and emergency department visits, as well as the health problems of family inefficient coping. The factors associated with emergency department visits within one year after discharge included more outpatient department visits after discharge, having health problems of Risk for Self Harm or Violence, having health problems with Disturbed Thought Processes, living alone, and with the issue of medication adherence needing for follow-ups. Conclusions: The retrospective cohort study over the past 13 years found that the basic demographic characteristics, diagnosis, health problems during hospitalization, placements after discharge, and family support resources of acutely hospitalized adolescents with mental illness were significantly related to readmission and to emergency department within one year after discharge. The results of this study can be used as the reference for the treatment and care plan of acute psychiatric inpatients, and provide the care reference for medical personnel in their care. It is suggested that future research can include drugs and other special treatment frequency into analysis, and continue to explore the application of health care and nursing interventions, as well as the continuity of patient care from acute admission to discharge preparations and placements. | en |
| dc.description.provenance | Made available in DSpace on 2023-03-19T22:58:59Z (GMT). No. of bitstreams: 1 U0001-2407202219245100.pdf: 1714097 bytes, checksum: 5c27d97c01ce5715352155d9c79b91f1 (MD5) Previous issue date: 2022 | en |
| dc.description.tableofcontents | 目錄 論文口試委員審定書 i 致謝 ii 中文摘要 iii 英文摘要 v 目錄 vii 圖目錄 ix 表目錄 x 第一章 緒論 1 第一節 研究背景與動機 1 第二節 研究目的 3 第二章 文獻查證 4 第一節 青少年精神疾病之概況 4 第二節 青少年精神疾患之醫療利用情形 9 第三節 青少年精神疾病之護理照護評估 13 第四節 文獻查證小結 21 第三章 研究方法 22 第一節 研究設計與架構 22 第二節 資料來源及研究族群 24 第三節 研究問題 26 第四節 研究假說 26 第五節 研究變項操作型定義 27 第六節 資料處理與分析 31 第四章 研究結果 33 第一節 急性精神科住院青少年之基本特性及疾病診斷 33 第二節 急性精神科住院青少年之預後 38 第三節 急性精神科住院青少年病患初次住院前後之醫療利用情形 40 第四節 急性精神科住院青少年病患住院期間之護理照護概況 42 第五節 病患基本特性、疾病診斷、醫療史、護理照護與預後之相關性 56 第六節 性別在診斷、醫療利用、健康問題與睡眠情形之差異 67 第七節 健康問題與背景特徵、醫療利用及睡眠情形之單變項分析 71 第八節 青少年急性精神科住院一年內再入院及一年內急診之相關因子 73 第五章 討論 75 第一節 急性精神科住院青少年之特性及醫療利用和住院照護 75 第二節 出院後一年內再住院之相關因子 81 第三節 出院後一年內急診之相關因子 85 第六章 結論與建議 88 第七章 參考資料 91 圖目錄 圖 1研究架構 23 圖 2研究流程 31 圖 3 急性住院之青少年患者年齡分布情形-直方圖 34 圖 4急性住院之青少年患者年齡分布-盒鬚圖 34 表目錄 表 1.精神疾病患者再入院之相關因素文獻彙整 14 表 2. 青少年精神疾病患者出院後急診之相關因素文獻彙整 20 表 3.研究族群診斷代碼（ICD-9及ICD-10）對照表 24 表 4.操作型定義-依變項 27 表 5. 自變項操作型定義 28 表 6. 控制變項操作型定義- 30 表 7.病患基本特性及診斷 （N=1024） 36 表 8.精神疾病診斷之ICD-9及ICD-10對應代碼 37 表 9.病患初次住院後一年內再入院及急診之情形（N=1024） 39 表 10.病患住院前一年及出院後一年之醫療利用情形 （N=1024） 41 表 11.患者初次住院護健康問題之描述性統計 （N=705） 43 表 12 個人因應能力失調及情感表達障礙之健康問題及其護理措施執行情形 45 表 13.睡眠型態紊亂之健康問題及其護理措施執行情形 46 表 14.家庭因應能力失調及思考過程紊亂之健康問題及其護理措施執行情形 47 表 15.潛在危險性自我傷害之健康問題及其護理措施執行情形 48 表 16.知覺及感覺障礙/改變之健康問題及其護理措施執行情形 50 表 17.疼痛之健康問題及其護理措施執行情形 51 表 18.潛在危險性暴力之健康問題及其護理措施執行情形 52 表 19不遵從之健康問題及其護理措施執行情形 53 表 20.患者住院期間之睡眠時數及護理相關評估 （N=780） 55 表 21. 患者基本特性、疾病診斷與一年內再入院之相關性（N=1024） 58 表 22.患者醫療利用情形與一年內再入院之相關性（N=1024） 59 表 23.患者住院期間之健康問題與一年內再入院之相關性 （N=705） 60 表 24.患者住院期間之睡眠情形與一年內再入院之相關性（N=780） 61 表 25.患者住院期間之護理評估與一年內再入院之相關性（N=622） 61 表 26.患者基本特性與一年內急診之單變項分析（N=1024） 63 表 27.患者初次住院前及出院後醫療利用情形與再急診之單變項分析（N=1024） 64 表 28.患者住院期間之健康問題與一年內急診之單變項分析（N=705） 65 表 29.患者初次住院期間之睡眠情形與一年內急診之單變項分析（N=780） 66 表 30.患者初次住院期間之護理評估與一年內急診之單變項分析（N=622） 66 表 31.性別與基本特性、醫療利用之相關性 68 表 32.性別與診斷及共病情形之相關性 69 表 33.性別與健康問題、睡眠情形之相關性 70 表 34.知覺感覺障礙與基本特性、醫療利用及睡眠情形之單變項分析 72 表 35.思考過程紊亂基本特性、醫療利用及睡眠情形之單變項分析 72 表 36.急性精神科住院青少年一年內再入院之多變項分析 73 表 37.急性精神科住院青少年一年內急診之多變項分析 74 | |
| dc.language.iso | zh-TW | |
| dc.subject | 護理評估 | zh_TW |
| dc.subject | 青少年 | zh_TW |
| dc.subject | 精神疾病 | zh_TW |
| dc.subject | 預後 | zh_TW |
| dc.subject | 相關因素 | zh_TW |
| dc.subject | 醫療利用 | zh_TW |
| dc.subject | medical utilization | en |
| dc.subject | nursing assessment | en |
| dc.subject | adolescents | en |
| dc.subject | mental illness | en |
| dc.subject | prognosis | en |
| dc.subject | associated factors | en |
| dc.title | 急性精神科住院之青少年病患醫療利用及護理照護之相關性探討 | zh_TW |
| dc.title | The Relationships between Medical Utilization and Nursing Care among Adolescents in Acute Psychiatric Hospitalization | en |
| dc.type | Thesis | |
| dc.date.schoolyear | 110-2 | |
| dc.description.degree | 碩士 | |
| dc.contributor.oralexamcommittee | 商志雍(CHI-YUNG SHANG),陳立昇(Li-Sheng Chen) | |
| dc.subject.keyword | 青少年,精神疾病,預後,相關因素,醫療利用,護理評估, | zh_TW |
| dc.subject.keyword | adolescents,mental illness,prognosis,associated factors,medical utilization,nursing assessment, | en |
| dc.relation.page | 97 | |
| dc.identifier.doi | 10.6342/NTU202201672 | |
| dc.rights.note | 同意授權(限校園內公開) | |
| dc.date.accepted | 2022-07-26 | |
| dc.contributor.author-college | 醫學院 | zh_TW |
| dc.contributor.author-dept | 護理學研究所 | zh_TW |
| dc.date.embargo-lift | 2027-06-13 | - |
| 顯示於系所單位： | 護理學系所 | |
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