Kaplan De-Nour A, Czaczkes J W
Ment Health Soc. 1978 Jan;4(1-2):85-94.
A questionnaire used to study the phenomenon of rejection of psychiatric patients by the staff was applied to the nurses of a chronic hemodialysis unit. The main findings of the present study are: (a) High emotional involvment of staff in patients. (b) The tendency to reject was much stronger when compared to the staff of the psychiatric unit. (c) The nurses' tendency to reject patients did not correlate to personality measures used in the study (ATDP and Rotter). (d) Although the amount of rejection varied between the nurses, there was a very definite team opinion about which patients are accepted and rejected. (3) Two factors seem to influence the acceptance/rejection of patients by the staff: patient's adjustment and patients' actual behaviour in the unit. It was suggested that the high involvement as well as high rejection found in the staff is one of the main sources of stress for the nurses. It was further suggested that some of the hostility is caused by frustration of nurses' expectations about patients' adjustment and behaviour.
一份用于研究工作人员排斥精神科患者现象的问卷被应用于一家慢性血液透析病房的护士。本研究的主要发现如下：(a) 工作人员对患者情感投入度高。(b) 与精神科病房的工作人员相比，排斥倾向要强得多。(c) 护士排斥患者的倾向与研究中使用的人格测量指标（ATDP和Rotter）无关。(d) 尽管护士之间的排斥程度各不相同，但对于哪些患者被接受、哪些患者被排斥，存在非常明确的团队意见。(3) 有两个因素似乎影响工作人员对患者的接受/排斥：患者的适应情况以及患者在病房的实际行为。有人提出，工作人员中存在的高投入度以及高排斥率是护士压力的主要来源之一。还进一步提出，部分敌意是由护士对患者适应情况和行为的期望受挫所致。
