戴玉慈臺灣大學:護理學研究所江品儀Chiang, Pin-YiPin-YiChiang2010-05-052018-07-072010-05-052018-07-072008U0001-3001200823183000http://ntur.lib.ntu.edu.tw//handle/246246/180333本研究目的在探討2003年因從事臨床醫療及護理工作而感染嚴重急性呼吸道症候群（severe acute respiratory syndrome；SARS）的醫護人員之復原歷程。運用質性研究法，採立意取樣，以四位執行嚴重急性呼吸道症候群而感染之醫護人員為研究對象，以深度訪談及參與性觀察進行資料收集。結果發現感染SARS醫護人員的復原歷程分期為：警戒期、協調期、整合期，四位受訪者在整合期之後均能積極面對生活的挑戰。其中影響感染SARS醫護人員復原歷程之因素有「疾病本身的影響」、「感染SARS期間經歷的相關事件」、「個人特質」、「人生發展階段需求」、「染煞前後的支援系統」、「遭逢SARS事件後面對事物的方式」，而有助於個人面對感染後新生活之復原因子有：個人正向特質、人生發展階段的整合、正向的態度以及適切的支援系統。The purpose of this qualitative study was to investigate the resilience process of the health care workers who acquired SARS during their work in 2003.his study was a qualitative research and data were generated from a purposive sample of the health care workers who acquired SARS during their work. In- depth interviews were conducted and complemented by in vivo observations. The study interviewed 4 health care workers who acquired SARS with a semi- instructed questionnaire design. The result indicated a three- stage of the resilience process by the health care workers who acquired SARS: lookout phase, coordination phase and integration phase. After the integration phase, all of the four interviewees face their new life constructively. The resilience process of health care workers were influenced by the severity of SARS infected and the complications, related events during SARS outbreak, individual attributes, the needs during one’s developmental stage, supportive system before and after SARS, the attitude before and after SARS. There were some facilitators during the resilience process, including positive individual attributes, the integration of one’s developmental stage, positive attitude toward things and feasible supportive system.第一章 緒論 ………………………………………………1一節 研究背景緣起與動機 …………………………………1二節 研究目的…………………………………………………2三節 名詞界定…………………………………………………3二章 文獻探討………………………………………………4一節 嚴重急性呼吸道傳染症候群 …………………………4二節 SARS對台灣醫療體系的衝擊………………………………7三節 復原歷程概念……………………………………………13三章 研究方法 ...………………………………………18一節 研究對象與研究場所…………………………………….18二節 研究工具………………………………………………….22三節 訪談過程設計…………………………………………….22四節 資料收集過程與轉錄分析……………………………….23五節 資料分析嚴謹度………………………………………….24六節 研究倫理考量…………………………………………….25四章 研究結果………………………………………….26一節 受訪者感染SARS歷程簡介 …………………………26二節 訪談資料分析結果 …………………………………29五章 討論……………………………………………….54一節 感染SARS醫護人員復原歷程之描述……………………54二節 影響復原歷程的因素………………………………………61六章 結論與建議………………………………………………71第一節 結論 …………………………………………………………71二節 建議…………………………………………………………72三章 研究之限制…………………………………………………74考文獻 .…………………………………………………………75錄 訪談大綱、訪談邀請及同意書…………………………80application/pdf784108 bytesapplication/pdfen-US嚴重急性呼吸道症候群醫護人員復原歷程severe acute respiratory syndromehealth care workerresilience processhttp://ntur.lib.ntu.edu.tw/bitstream/246246/180333/1/ntu-97-R92426009-1.pdf