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[社区健康从业者的自我状态及人际态度对抑郁症的影响]

[The impacts of a community health practitioner's ego state, and interpersonal attitude on depression].

作者信息

Lee Sook

机构信息

Department of Nursing, College of Medicine, Dankook University, San 29, Anseodong, Cheonan, Chungnam, Korea.

出版信息

Taehan Kanho Hakhoe Chi. 2006 Jun;36(3):457-67. doi: 10.4040/jkan.2006.36.3.457.

Abstract

PURPOSE

Community health practitioners (CHP) in Korea have a responsibility for delivering primary health care to remote or isolated communities. The aim of this paper is to analyze CHPs' level of depression and impacts of their Ego state and interpersonal attitude in transactional analysis on depression. This paper gives fundamental data for developing a the program for mental health promotion of CHPs.

METHOD

The subjects of this study consisted of 459 Korean CHP who were conveniently selected from the target population. The data was collected through interviews using self-administered questionnaires, including the Korean Ego gram and life position inventory and depression scale.

RESULTS

The CHP's Ego gram showed the N type with the top point of NP. The type of interpersonal attitude was I'M OK - YOU'RE OK (I+U++). The level of depression was 35.4, normal range. There was a significant difference in depression according to the duration of the career. There was a significant negative correlation among NP, A, FC ego states, interpersonal OK and depression, and a significant positive correlation between interpersonal Not-OK and depression. The NP, A, FC ego states and interpersonal Not-OK were significant predictors (47.1%) of depression.

CONCLUSION

This study showed that a program for CHPs to should include increasing the function of ego states and positive interpersonal attitude.

摘要

目的

韩国的社区卫生工作者有责任为偏远或孤立社区提供初级卫生保健。本文旨在分析社区卫生工作者的抑郁水平以及他们在交互分析中的自我状态和人际态度对抑郁的影响。本文为制定社区卫生工作者心理健康促进计划提供了基础数据。

方法

本研究的对象包括从目标人群中方便选取的459名韩国社区卫生工作者。数据通过使用自填问卷进行访谈收集,包括韩国自我图和生活定位量表以及抑郁量表。

结果

社区卫生工作者的自我图显示为N型,顶点为NP。人际态度类型为“我好 - 你好”(I+U++)。抑郁水平为35.4,处于正常范围。根据职业生涯时长,抑郁情况存在显著差异。NP、A、FC自我状态、人际“好”与抑郁之间存在显著负相关,人际“不好”与抑郁之间存在显著正相关。NP、A、FC自我状态和人际“不好”是抑郁的显著预测因素(47.1%)。

结论

本研究表明,针对社区卫生工作者的计划应包括增强自我状态功能和积极的人际态度。

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