Hsiao Chiu-Yueh, Lu Huei-Lan, Tsai Yun-Fang
School of Nursing, College of Medicine, Chung Shan Medical University, Taichung, Taiwan.
Department of Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan.
Int J Ment Health Nurs. 2015 Jun;24(3):272-80. doi: 10.1111/inm.12129. Epub 2015 May 11.
This study aimed to investigate the factors influencing mental health nurses' attitudes towards people with mental illness. A descriptive correlation design was used. A sample of 180 Taiwanese mental health nurses was recruited from mental health-care settings. Data were analyzed with descriptive statistics, Pearson's product-moment correlation, Student's t-test, one-way anova, and a hierarchical multiple regression analysis. Negative attitudes were found among mental health nurses, especially with respect to individuals with substance abuse compared with those with schizophrenia and major depression. Mental health nurses who were older, had more clinical experiences in mental health care, and demonstrated greater empathy expressed more positive attitudes towards people with mental illness. Mental health nurses working at acute psychiatric units demonstrated more negative attitudes towards mental illness compared with those working in psychiatric rehabilitation units and outpatient clinics or community psychiatric rehabilitation centres. Particularly, length of mental health nursing practice and empathy significantly accounted for mental health nurses' attitudes towards mental illness. Understanding nurses' attitudes and their correlates towards people with mental illness is critical to deliver effective mental health nursing care.
本研究旨在调查影响精神科护士对精神疾病患者态度的因素。采用描述性相关设计。从精神卫生保健机构招募了180名台湾精神科护士作为样本。数据采用描述性统计、皮尔逊积差相关、学生t检验、单因素方差分析和分层多元回归分析进行分析。发现精神科护士存在消极态度,尤其是与患有精神分裂症和重度抑郁症的患者相比,对药物滥用患者的态度更为消极。年龄较大、在精神卫生保健方面有更多临床经验且表现出更强同理心的精神科护士对精神疾病患者表达出更积极的态度。与在精神科康复病房、门诊诊所或社区精神科康复中心工作的护士相比,在急性精神科病房工作的精神科护士对精神疾病表现出更多消极态度。特别是,精神科护理实践的时长和同理心显著影响精神科护士对精神疾病的态度。了解护士对精神疾病患者的态度及其相关因素对于提供有效的精神卫生护理至关重要。