第五章 討論
第三節 建議
照護體系中一直被忽略的宗教議題對慢性情感疾患者患者靈性健 康的重要性，因此如何協助患者提升其靈性層面的健康，進而提升生活 品質是很重要的，可在臨床上從評估中了解個案的靈性需求，提供個案 靈性需求活動的訊息，例如在疾病穩定時假日外出之機會從事其宗教活 動，另住院期間讓其可以使用宗教相關方式，例如:提供禱告或唸佛經之 空間及宗教友人來訪等。根據本研究結果需評估情感疾患者患者在宗教 活動的參與及其重要性對生活品質之影響，和絕望感及憂鬱症狀亦對多 層面之生活品質的影響，在發展精神照護上可著重在減少患者絕望感的 產生及憂鬱的程度，和患者的靈性健康有助於提升全面性的生活品質。
二、臨床教育方面
研究中發現絕望感、憂鬱及靈性議題宗對信仰及活動的
參與對雙極性情感疾患之影響，以目前醫療照護強調全人照護，即是提 供身、心、靈及社會等層面的照護，因此醫護人員需要具有靈性議題方 面及慢性精神病絕望感、憂鬱相關知識，可以應用於患者照護上，所以 建議在教育上或是在職訓練課程中加入此議題之課程，增加醫護人員的 了解及提供完整的全人照護。
三、研究方面
本研究發現宗教信仰和活動的參與、罹病時間、絕望感和憂鬱對雙 極性情感疾患生活品質的影響及預測力，建議未來可以質性研究探討宗 教議題、及疾病相關因素探討對患者的影響及使用縱貫性研究設計探討 慢性精神疾患生活品質的變化。
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四、預期試驗效果：可暸解雙極性情感疾患的宗教因應對於提升希望感與生活品 質之相關性
五、緊急狀況之處理：遇有令您感到不舒服的主題時，給予尊重其不回答的決定，
並在研究前及研究進行中可隨時要求停止，受訪過程中，若您感到任何的不適，
將立即中止(問卷或訪談)，並提供必要之協助。
六、費用：本試驗您無須負擔試驗費用。
七、賠償：若發生由計畫執行所引起之傷害時，將依法處理相關責任問題。
八、機密性：
1.一個試驗代碼將代表您的身分，此代碼不會顯示您的姓名、身分證字號、住址。
2.對於您受訪的結果及診斷，試驗主持人將持保密的態度。除了有關機關依法調 查外，試驗主持人會小心維護您的隱私。
3. 行政院衛生署與本院人體試驗倫理委員會依法調查，在不危害您隱私情況 下，得以檢視您的資料。
九、如本試驗計畫成果產生學術文獻發表、實質效益或衍生其他權益時，亦同
意無償捐贈給本院作為疾病預防、診斷及治療等公益用途。
十、權利：
受訪者或立同意書人有權在無任何理由情況下，隨時要求終止參與試驗。
受試者（或法定代理人）簽署： 日期： 年 月 日
病歷號： ※務必請受試者自行填寫日期欄位
見證人簽署 ： 日期： 年 月 日
計畫主持人簽署： 日期： 年 月 日
註：未滿廿歲之受試者或法律宣告禁治產權者，須由法定代理人簽名始生效。
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