Page C, Ricard N
Can J Nurs Res. 1995 Fall;27(3):87-109.
Nurses' knowledge of the help they can offer women being treated for depression are primarily based on models borrowed from other disciplines rather than on those from nursing itself. Using Orem's nursing model (1991), this comparative, descriptive study (a) described the requisites for self-care, according the value ascribed to them by women being treated for depression; (b) compared these to those of women not being treated for an emotional problem; and (c) identified the types of assistance that would fulfil the self-care requisites perceived by women being treated for depression. The results indicated that, compared to women not being treated (n = 30), those being treated (n = 30) ascribed significantly higher values to self-help requisites related to assertiveness, mood, and self-esteem. In contrast, women in the comparison group attributed more importance to various means of improving their interpersonal relations. Women being treated for a depressive episode felt they needed assistance in areas mainly related to self-esteem, mood, and knowledge of depression to fulfil their self-care requisites. Only rarely did they consider the nurse or social network to be valuable sources of help. The implications of these results for nursing interventions is discussed. Recommendations are made on directions for further research.
护士对于她们能为正在接受抑郁症治疗的女性提供何种帮助的认知，主要基于从其他学科借鉴的模式，而非来自护理学本身的模式。运用奥瑞姆护理模式（1991年），这项比较性描述性研究：（a）根据正在接受抑郁症治疗的女性赋予自我护理要求的价值，描述了自我护理的必要条件；（b）将这些条件与未接受情感问题治疗的女性的条件进行比较；（c）确定了能够满足正在接受抑郁症治疗的女性所认为的自我护理必要条件的帮助类型。结果表明，与未接受治疗的女性（n = 30）相比，正在接受治疗的女性（n = 30）对与自信、情绪和自尊相关的自助要求赋予了显著更高的价值。相比之下，对照组的女性更重视改善人际关系的各种方式。正在接受抑郁发作治疗的女性认为，她们需要在主要与自尊、情绪以及抑郁症知识相关的领域获得帮助，以满足她们的自我护理必要条件。她们很少将护士或社交网络视为有价值的帮助来源。文中讨论了这些结果对护理干预的影响。针对进一步研究的方向提出了建议。
