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E93032
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011
突發性災難後之精神心理復健:以SARS為例
The Mental Rehabilitation after the Disaster of Sudden Happen: Case of SARS
1.龍佛衛
1.For-wey Lung
1.國軍高雄總醫院精神科
1.Kaohsiung Armed Forces General Hospital
001,002,003,004
1.國軍高雄總醫院精神科
1.Kaohsiung Armed Forces General Hospital
005
1.行政院國家科學委員會
1.National Science Council
A.14 計畫執行期間(起):2004-08-01
A.14 計畫執行期間(訖):2005-07-31
2003-07-012004-03-312004-07-012005-03-31
A.16 收到日期:2005-11-02
4
台灣南部某教授醫院之工作人員於sars高峰間曾接觸或照顧疑似案例者

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127


127
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01
C.2 聯絡日期:2005-11-04
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1.國軍高雄總醫院精神科
1.Kaohsiung Armed Forces General Hospital
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C.7 資料公開日期:2007-08-01
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008
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001
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1.生物性災難
2.依附關係
3.神經質人格
4.嚴重急性呼吸道症候群
1.Attachment
2.Bio-disaster
3.Neuroticism
4.Severe Acute Respiratory Syndrome
本研究旨在以嚴重急性呼吸道症候群(Severe Acute Respiratory Syndrome, SARS)為例,探討生物性災難對於醫療照護人員的影響,找出影響心理健康的危險及持續因子。方法:研究對象為台灣南部某教學醫院、曾於SARS 高峰期間接觸或照護疑似案例之135 名工作人員。所有個案均需完成華人健康問卷、艾氏人格問卷與雙親教養態度量表,並於一年後進行追蹤,再次接受華人健康問卷之評量。 初次評量呈現身心不適症狀者有22 位(17.3%),無明顯身心症狀者105 位(82.7%),一年後身心症狀持續的人數降為19 位。結構模式分析結果顯示個案若知覺母親在其成長過程中給予較多的關懷,可降低遭遇壓力事件後的身心不適情況,而過度的保護則可能造成神經質人格傾向,並 間接影響災後的心理調適狀況。神經質傾向與母親過度的保護可能是不適症狀持續而未能緩解的影響因子。 神經質人格特質以及母親的教養態度對SARS 照護人員的心理健康有負面的影響,且為造成症狀持續的影響因素。本研究結果可提供作為災後心理復健計畫之個案評估及介入處遇的參考。

 The aim of this study took the Severe Acute Respiratory Syndrome as the example to explore the impact of bio-disaster on healthcare workers in Taiwan. The possible predisposing and perpetuating factors in developing mental symptoms were investigated. Participants consisted of 135 healthcare workers who had contacted with or took care of patients who were probable or suspected as the cases of Severe Acute Respiratory Syndrome, during the SARS outbreak, at a teaching hospital in southern Taiwan. All participants were required to complete Chinese Health Questionnaire, Eysenck Personality Questionnaire and Parental Bonding Instrument. In addition, they were required to retake the Chinese Health Questionnaire after one year. The initial result showed that twenty-two participants (17.3%) developed significant mental symptoms, and 105 participants (82.7%) did not show any obvious symptoms. After one year, the number of participants who had the sustained mental symptoms decreased into 19 from 22. The result of structural equation modeling showed that if participants perceived greater care from mother during participants’ growing; hence, it would reduce the impact on participant’s mental health when they suffered the stress from SARS. On the other hand, maternal overprotection could result in neuroticism, as the result, it would influence mental adjustment indirectly after the disaster. The tendency of neuroticism and maternal overprotection might be the factors in showing sustained mental symptoms. Both neuroticism and maternal attachment influenced the mental health of healthcare workers during the SARS epidemic; moreover, they were the factors to cause the sustained symptoms. The results can be a helpful reference for intervention and prevention programs for healthcare workers facing disasters in the future.

D.16 完成檢誤日期:2006-09-15
D.17 預定釋出日期:2007-08-01
D.18 初次釋出日期:2007-08-01
D.19_1 最新版釋出日期:2007-08-01
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10.6141/TW-SRDA-E93032-1
http://efenci.srda.sinica.edu.tw/webview/index.jsp?object=http://efenci.srda.sinica.edu.tw:80/obj/fStudy/E93032
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