The Related Factors of Emotional Disturbance among The Burned Patients

Autor: Chi-Ping Chang, 張紀萍
Rok vydání: 2000
Druh dokumentu: 學位論文 ; thesis
Popis: 88
The purpose of this study was to explore the related factors of emotional disturbance among burned patients.The present study is a descriptive longitudinal study using purposive sampling, following 96 subjects from an Eastern Taiwan medical center for five years. Instruments used included the "Anxiety Index of the SCL-90, Beck Depression Inventory, Social Support Inventory, Self-Concept Inventory, and the Individual Basic Data Inventory. Data collection was undertaken from January through to early April, 2000. SPSS 8.0 for Windows was used for data analysis. Results showed a mean anxiety scale value of 2.55 for the 96 subjects, indicating mild anxiety. Within the inventory, the item with the highest score was "I get nervous or excited more easily than before". The lowest score was given to "I tremble suddenly". The average depression index score was 13.38, indicating mild depression. The highest score was for the item "feeling stubborn about the condition" and the lowest score was for "loss of weight". The average score was 1.22 for the self-concept measure, showing an acceptable self-image amongst burn victims. The highest score was given for "I imagine everything is wonderful", and the lowest was for "I feel that most people don''t want to be my friend". The average score for the social support scale was 2.36, indicating an acceptable level of satisfaction with social support. The highest level of social support reported was for emotional support, with an average of 2.52 points; the lowest scores reported were for practical support, with an average of 2.12 points. The item on this scale with the highest rating was "people are concerned about your health", and the lowest rating was "when you need help, someone will help you or lend you money". Emotional disturbance and self-concept were found to have a positive correlation, and a negative correlation was seen between these factors and social support. Social support and self-concept were negatively correlated. Basic data variables including economic difficulties, history of chronic illness, number of day hospitalized, major injury, type of injuries, self-concept and social support are major predictors of anxiety status, explaining 33.5%of variance in the anxiety。 Economic difficulties, history of chronic illness, number of day hospitalized, major injury, type of injuries, self-concept and social support are major predictors of depression, explaining 33.5%of variance in the anxiety status。Socaial support has only an indirect effects on emotion disturbance through its relationship with self- concept。 Nursing professionals assisting burn victims with emotional disturbance and other issues should find these results useful as a guide to care provision in the future, with the goal of reducing the problems of psychological adjustment by increasing the quality and appropriateness of care and by increasing patient adaptability.
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