Ma W F, Shih F J
School of Nursing, National Taipei College of Nursing, Taiwan, Republic of China.
Kaohsiung J Med Sci. 1999 Jun;15(6):372-81.
The purpose of this qualitative study was to explore the subjective perceptions of the impact of caring with the hospitalized patients with borderline personality disorder (BPD) on psychiatric nurses. A purposive sample of psychiatric nurses with experiences of caring with at least one hospitalized BPD patient was obtained at one leading psychiatric hospital in northern Taiwan. A semi-structured interview guide and audio-taped recording skill was employed, and data were analyzed by qualitative content analysis. Thirteen female nurses participated in this project. Eighty percent of them were aged between 26-35 (mean +/- SD = 31.77 +/- 4.92). Thirty-eight percent of nurses were registered professional nurses; 54% worked as psychiatric nurses for 5-7 years; and 69% ever took care of 3-4 subjects with BPD. Several impacts of the caring experiences on nurses were identified. They are as follows: (1) becoming more knowledgeable about the BPD patients' characteristics and the related nursing care; (2) having positive or negative motivation of nursing profession; (3) changing nurses' attitudes of interpersonal relationship; (4) valuing nurses' personal belongings; and (5) enhancing nurses' understanding and facilitating their personal growth. The result of this study may empower psychiatric nurses to better understand the BPD patients, and to increase nurses' motivation of caring them. It may also enhance the quality care for these patients and the nurses' sense of satisfaction.
这项定性研究的目的是探讨照顾边缘型人格障碍（BPD）住院患者对精神科护士的主观影响。在台湾北部一家领先的精神病医院选取了有照顾至少一名BPD住院患者经验的精神科护士作为目的抽样样本。采用了半结构化访谈指南和录音技术，并通过定性内容分析对数据进行分析。13名女护士参与了该项目。其中80%的年龄在26 - 35岁之间（平均±标准差 = 31.77 ± 4.92）。38%的护士是注册专业护士；54%从事精神科护士工作5 - 7年；69%曾照顾过3 - 4名BPD患者。确定了照顾经历对护士的若干影响。如下：（1）对BPD患者的特征和相关护理有更多了解；（2）对护理职业有积极或消极的动力；（3）改变护士的人际关系态度；（4）重视护士的个人物品；（5）增强护士的理解并促进其个人成长。本研究结果可能使精神科护士更好地理解BPD患者，并提高护士照顾他们的动力。它还可能提高对这些患者的护理质量和护士的满意度。
