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E87027
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精神分裂症患者病識感之質性與量性評估
Qualitative and Quantitative Evaluation of the Insight of the Schizophrenic Patients
1.鍾信心
1.Hsin-hsin Chung
1.高雄醫學大學護理學系
1.Graduate Institute of Nursing, Kaohsiung Medical University
001,002,003,004
1.高雄醫學大學護理學系
1.Graduate Institute of Nursing, Kaohsiung Medical University
002
1.行政院國家科學委員會
1.National Science Council
A.14 計畫執行期間(起):1997-08-01
A.14 計畫執行期間(訖):1998-07-31
A.16 收到日期:1999-03-03
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精神分裂症患者

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004
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C.2 聯絡日期:1999-03-03
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1.高雄醫學大學護理學系
1.Graduate Institute of Nursing, Kaohsiung Medical University
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C.7 資料公開日期:1998-08-01
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008
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001
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1.病識感
2.精神分裂症
3.精神疾病
1.Insight
2.Mental Disorder
3.Schizophrenia
為 了將本土精神分裂症患者之病識感加以量化,並了解影響病識感的相關因子,本研究編製出「精神分裂症患者病識感評估量表」,共包含「對自己出現精神症狀之覺 察程度」、「描述自己的精神症狀之能力」、「覺察疾病復發徵兆之能力」、「處理疾病復發方式之適切性」、「自認是否罹患精神疾病」、「對疾病解釋模式之適 切性」、「對於治療必要性的看法」、「自認應接受治療到何時」和「對生活改變與罹患精神疾病間關聯性的看法」等九大題,量表並擁有良好之信效度。影響病識 感之因素隨病識感的向度不同而異,症狀為最主要之影響因素,且常為活性症狀、負性症狀和一般精神病理症狀共同影響病識感之高低程度;個案本身之病史、工作 狀況和主要照顧者之社經工作狀況亦影響部份病識感之高低。深度訪談分析結果得知精神分裂症患者各向度的病識感形成過程各不相同,形成之難易程度亦有所不 同。

In order to quantify the insight of Taiwanese schizophrenic patients and clarify the possible factors related to the insight, the authors made The Scale to Rate Insight of Schizophrenics that comprises nine items, including of awareness of psychotic symptoms, ability to describe psychotic pictures, awareness of relapse symptoms, appropriateness of managing the relapse, awareness of having schizophrenia, the appropriateness of explaining the etiology of illness, belief of the necessity of treatment, how long patient should receive treatment and awareness of the relationship between life change and having schizophrenia. This scale was structured interview, and the analyses of results revealed excellent reliability and validity. Psychotic symptoms, including of positive symptoms, negative symptoms and general psychopathology, were the major factors influencing the insight of patients. Duration of illness, whether patient had work or not and the working condition of their caregiver were also influenced the insight. Analysis of in-depth interview revealed formations of various insights were through different processes.

D.16 完成檢誤日期:1999-08-20
D.17 預定釋出日期:1999-10-06
D.18 初次釋出日期:1999-10-15
D.19_1 最新版釋出日期:1999-10-15
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10.6141/TW-SRDA-E87027-1
http://efenci.srda.sinica.edu.tw/webview/index.jsp?object=http://efenci.srda.sinica.edu.tw:80/obj/fStudy/E87027
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