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精神科護理人員人格堅毅性、因應策略與職業疲潰相關性之探討

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ჟৠࡊ᜕நˠࣶˠॾિላّăЯᑕඉர

ᄃᖚຽিሚ࠹ᙯّ̝ଣ੅

ᔁָटāᔁᛟᆇ

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āౘჅᔷ

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āᏂ㞞ҳ

***

āՂāᏴ

**** ၡāࢋĈˠॾિላّߏ޽дઉ૵͞ࢬ׍ѣቤ኏ᑅ˧үϡ۞ ˠॾপኳĂдઉ૵۞ᅳા̚૱జሤ̷ଣ੅Ăώࡁ տдଣ੅ჟৠࡊ᜕நˠࣶˠॾિላّăЯᑕඉர ׶ᖚຽিሚ۞࠹ᙯّĂͽᒢྋჟৠࡊ᜕நˠࣶ۞ ˠॾિላّĂ൴೭ѣड़۞ЯᑕඉரĂ࿰֨ᖚຽি ሚĂซ҃೩᜕̿ந໰ᜪ۞ݡኳĄώࡁտଳ̶ᆸᐌ ፟٩ᇹڱĂ၆෪ࠎέΔξડાᗁੰͽ˯۞ჟৠࡊ ঽ᜕ٗநˠࣶࢍ147ЩĂͽયסአߤڱࠎ͹Ăͽ ඕၹّયסќะྤफ़Ąયס̰टӣᇹώૄώᛳّ ณܑăˠॾિላّณܑăЯᑕඉரณܑ̈́ᖚຽি ሚณܑĄඕڍពϯĈĞ˘ğࡁտ၆෪кᇴጾѣ੼඀ ޘ۞ˠॾિላّĞM = 157.84̶ĂSD = 18.42ğĂ Ğ˟ğჟৠࡊ᜕நˠࣶˠॾિላّᄃЯᑕඉரݭၗ ̚۞ࢬ၆યᗟăሄ៍ёă͚޺ّăҋޯّЯᑕඉ ரѣ௚ࢍϒ࠹ᙯĂĞˬğˠॾિላّᄃᖚຽিሚ̚ Ķଐჰਈაăͻˠّ̼ķ׍ѣ௚ࢍ࢑࠹ᙯĂ҃ᄃᖚ ຽিሚ̚Ķ࣎ˠјಶຏķ׍ѣ௚ࢍϒ࠹ᙯĂĞαğჟ ৠࡊ᜕நˠࣶЯᑕඉரݭၗ̚Ķ੟ᔖёЯᑕඉரķ ᄃᖚຽিሚ̚Ķଐჰਈაķ׍ѣ௚ࢍϒ࠹ᙯĄ᜕҃ நˠࣶЯᑕඉரˬ჌ݭၗ̚Ķ ࢬ၆યᗟăሄ៍ ёăҋޯّЯᑕඉர ķᄃᖚຽিሚ̚Ķ࣎ˠјಶ ຏķϺ׍ѣ௚ࢍϒ࠹ᙯĄͽ˯ඕڍΞᑕϡٺჟৠ ࡊ᜕நᅳાĂѣӄٺᒢྋ᜕நˠࣶˠॾિላّপ ኳăЯᑕඉரᄃᖚຽিሚ۞࠹ᙯّĂΞүࠎᓜԖ ᜕ந၁ચ᜕̈́நҖ߆̍ү̝ણ҂Ą ᙯᔣෟĈˠॾિላّăЯᑕඉரăᖚຽিሚăჟৠࡊ᜕ந ˠࣶĄ

݈āā֏

ֶፂჟৠ়ঽ۞߹ҖঽጯአߤĂέ៉гડᅮࢋତ צ᎕ໂڼᒚ۞ჟৠঽଈࡗҫᓁˠ˾˼̶̝ˬĂ׎̚ˬ ̶̝˘ࠎᅮࢋБ͟ҝੰڼᒚ۰ĞᑛĂ1998ğĂপҾߏд Бϔઉ૵ܲᐍטޘ၁߉ޢĂჟৠঽԖј˞˘ԖᙱՐ۞ ېၗĂਕᐹАҝੰ۰кࠎާّഇଈ۰ĂϤٺ়ঽЯ ৵ĂঽଈдҝੰॡӔனᇷ˧ă፬જăԽᑝ˜Ҍٺҋ୭ Җࠎ۞ன෪Ăд໰ᜪ˯၆ٺᗁ᜕ˠࣶ̈́ፋ࣎ᗁᒚဥฤ ߏໂ̂۞ᑅ˧̈́҂រĄঽˠҝੰഇม᜕̀ࠎࢬ၆ঽˠ ۞ௐ˘ቢĂдჟৠࡊڼᒚّᒖဩٙٚ̚צ۞ᑅ˧࢑ఈ ໂ̂Ăٙͽჟৠࡊ᜕ந̍үߏ·႕੼ᑅ˧۞̍үĄॲ ፂ઼࡚ᖚຽщБᄃઉ૵௡ᖐ۞አߤ൴னĂд˘Ѻˬ˩ к჌૱֍۞ᖚຽ̚Ăᄃᗁੰઉ૵ѣᙯ۞ᖚຽ׍੼ޘ̍ үᑅ˧Ă͍׎ߏ᜕ந̍үĞCalhoun & Calhoun,1983ğĄ ၆ٺ᜕ந̍ү͔ٙ੓۞ᑅ˧ଣ੅̏ѣˬ˩ዶѐĂд૞ ࡊ᜕̼ந۞ᔌ๕˭ĂЧࡊ᜕நˠࣶצ׎̍үᒖဩ۞প ኳᇆᜩ҃ѣ̙ٙТĄϫ઼᜕݈̰நˠࣶ۞࠹ᙯࡁտͽ ଣ ੅ ࣎ វ ࢬ ᓜ ᑅ ˧ ଐ ဩ ॡ ׎ ̍ ү ᑅ ˧ ຏ צ ۞ ا к ĞͨăՂĂ1992ćՂĂ1989ğĂPatrickĞ1984ğ޽΍ઉ૵ ໰ᜪˠࣶࢬ၆޺ᜈ۞̍үᑅ˧Ăߏԛјᖚຽিሚ۞੼ ПᐍཏĄ҃Kobasa೩΍ˠॾિላّ۞ໄهĂιߏ˘჌ ˠॾপኳĂΞٯԩࢬᓜϠ߿ᑅ˧ְІॡĂԛјѣӀ۞ ྤ໚Ăቤ኏ᑅ˧ĂͷགྷϤᄮۢෞᆊ̈́Яᑕඉர۞࿅඀ ྿זઉ૵ېၗĞClark, 2002; Kobasa, 1979ğĂҭ၆ઉ ૵໰ᜪ۞೩ֻ۰҃֏Ăˠॾિላّߏ၆;࢑ࢬᑅ˧ү ϡ۞ࢦࢋ֨᎔ྤ໚ĞHarrission, Loiselle, Duquette, &

Scmenic, 2002ğĄ ᜕நˠࣶ۞ڇચ၆෪ͽঽଈࠎ͹Ăд׎ڇચ࿅඀ ᜕̚நˠࣶ૱జࢋՐܲ޺։р۞ၗޘᄃଐჰĄ΁ࣇᔵ ઊਕ֍זჟৠঽଈ۞૵ೇĂຏצזಈॆ۞ঈڤĂҭ඗ ̂кᇴ۞ଐڶߏౖҡঽଈ̈́छᛳࢬ၆়ঽၙّ̼ࠤҌ ೋ̼۞࿅඀Ă׎̍үଐჰٽצᇆᜩĄͽඊ۰̍үགྷរ ̚ĂপҾߏঽଈ˘όЯাېᇆᜩ҃ѣԽᑝٕҋ୭Җࠎ ॡĂ᜕நˠࣶ૱ҋయ̙̏ĂኛአಏҜٕᗓᖚĄͨ̈́Ղ Ğ1992ğഅ޽΍ჟৠࡊ᜕நˠࣶЯᑕᑅ˧кଳଐჰጱ ШĂྵֹ͌ϡયᗟྋՙڱĂ҃ࡁտ˵൴னଐჰጱШЯ ઼ϲέ៉̂ጯ̳В኎Ϡጯੰ኎Ϡ߆ඉᄃგநጯࡁտٙ౾࣏̀ᏴˠĂ ᄂΔᗁጯ̂ጯ᜕நጯրᓾरāᄂΔᗁጯ̂ጯܢనᗁੰ᜕ந༛ጱܜࣘ ᜕நጯրᓾर*āέΔξϲᒚዳੰ᜕நࡊ͹Ї**āᄂΔᗁጯ̂ጯ᜕ந ጯրᓾर***ā̋̚ᗁጯ̂ጯ᜕நጯրି଱ࣘ͹Їăࡁտٙٙܜ**** צ͛͟ഇĈ91 ѐ 9 ͡ 12 ͟āāତצΏྶĈ93 ѐ 3 ͡ 15 ͟ ఼ੈү۰гӬĈՂāᏴāāέ̚ξݑડޙ઼Δྮ˘߱ 110 ཱི ࿪āāྖĈĞ04ğ24732200 ů 1730

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ᑕڱᄃᖚຽিሚјϒ࠹ᙯĞBoyle, Grap, Younger, & Thornby, 1991ğĄCronin-Stubbs̈́RooksĞ1985ğ۞ࡁտ ˵޽΍ჟৠࡊᅳા۞᜕நˠࣶྵ̰γࡊăΐ᜕ঽٗ۞ ᜕நˠࣶٽѣᖚຽিሚ۞ன෪யϠĂѩன෪ࣃ଀ࢦ ෛĄЯѩჟৠࡊ᜕நˠࣶ׎ˠॾિላّপኳࠎңĉ༊ ׎дࢬ၆ჟৠঽଈ۞᜕ந࿅඀׎Яᑕඉரࠎңĉ఺ߏ ࡁտ۰ຏᎸ኷۞Ă߇ώࡁտϫ۞ĈĞ˘ğᒢྋჟৠࡊ᜕ந ˠࣶ۞ˠॾિላّăଳפ۞Яᑕඉர̈́ᖚຽিሚޘć Ğ˟ğᒢྋჟৠࡊ᜕நˠࣶˠॾિላّ׶Яᑕඉர۞ᙯ ܼćĞˬğᒢྋჟৠࡊ᜕நˠࣶˠॾિላّ׶ᖚຽিሚ۞ ᙯܼćĞαğᒢྋჟৠࡊ᜕நˠࣶЯᑕඉர׶ᖚຽিሚ۞ ᙯܼĄ ͛ᚥߤᙋ ࠎଣՐჟৠࡊ᜕நˠࣶ۞ˠॾિላّăЯᑕඉர ̈́ᖚຽিሚޘ۞࠹ᙯّĂώ༼͛ᚥ૟Ϥˠॾિላّă ᜕நˠࣶ۞Яᑕඉரăᖚຽিሚඈˬ͞ࢬઇଣ੅Ą Ğ˘ğˠॾિላّ ܕ˟˩ѐĂҖࠎࡊጯछ׶ઉ૵໰ᜪ૞ຽ۰Ӯ࡭˧ ٺ൴णˠॾિላّ۞ໄهࡁտĞLambert & Lambert,

1993; Pengilly & Dowd, 2000ğĂ౵ѝߏᄮ͕ۢநጯछ

KobasaϤхдጯ۞៍ᕇĂᄮࠎՏ࣎ˠѣ̙Т۞ˠॾඕ ၹĂགྷ੼ޘᑅ˧ޢĂѣˠົჯ޺ઉ૵Ăѣˠ݋யϠ় ঽĂ఺჌পঅˠॾপኳჍࠎĺˠॾિላّĻĞKobasa, 1979ğĄ΁၆Җ߆ˠࣶซҖአߤĂඕڍ൴னдགྷ።੼ ᑅ˧Ăҭ়ঽ൴ϠதྵҲ̝ˠࣶĂͧགྷ።ྵ੼ᑅ˧҃ ়ঽ൴Ϡதྵ੼۰Ăѣྵ੼۞ˠॾિላّĂѩඕڍ͚ ޺ˠॾિላّ׍ѣ၆ᑅ˧ęઉ૵ᙯܼ۞አ༼үϡĄ ΁೩΍ˠॾિላّߏϤˬ࣎Ѩໄهٙ௡јĂ̶Ҿࠎ ଠטຏĞcontrolğă߄ጼّĞchallengeğă׶Ըˢّ ĞcommitmentğĂଠטّ޽࣎ˠਕ၆ᑅ˧໚ઇአፋॡ۞ Ӆ˧Ăͷਕֹܳ࣎ˠјܜĂߏ˘჌࣎វώ֗׍ѣ͹ङ ۞ຏצć߄ጼّ޽૟Ϡ߿ְІ۞൴Ϡෛࠎו፬Ăߏ ˘ѣৈăᑒӄјܜ۞፟ົĂ҃ܧރ਎ćԸˢّ޽၁ ᅫ͹જ۞ણᄃĂ҃ܧజજ̙ણᄃĂ࣎វਕѣड़ҹڇ ᑅ˧໚ٙౄј۞χᑝĂਕ૟Ϡ߿ְІჯ޺д˘჌̰ д۞πᏊېၗćˠॾિላّߏ˘჌၆ԩᑅ˧ᔖҺய Ϡ࢑ࢬड़ڍ۞࣎ˠ̰дপኳĂѣӄٺ၆ઉ૵ᑅ˧໚ ̝ϒШͅᑕĂਕѣड़۞ࢬ၆યᗟྋՙ۞ਕ˧Ă҃ܧ ຏז൑ӄă৿ͻҋܫ׶ፆଠ΁ˠ۞পّĞP o l l o c k , 1989; Soderstorm, Dolbier, Leiferman, & Steinbardt,

2000ğĂϺѣࡁտ޽΍໰ᜪ۰ˠॾિላّᄃЯᑕඉர ѣᙯĂˠॾિላّઐ੼۰Ăѣӄٺ၆ჟৠঽଈ۞ତ ৼĂ၆ঽଈঽ඀̝ซणѣϒࢬᇆᜩĞRodney, 2002; Tarolli-Jager, 1994ğĄซ˘Վ۞ࡁտĂ݋͚޺ˠॾિላ ّ׶׎΁តีĂтĺᑅ˧ĻăĺЯᑕඉரĻඈд͕֗ઉ૵ ᙯܼ̚׍ѣ࿰ീүϡ̈́ᇆᜩĄS i m o n i ׶P a t e r s o n Ğ1997ğ޽΍ˠॾિላّ଀̶ྵ੼۰Ăࢬ၆ᑅ˧ॡĂ ྵ૱ֹϡ͹જǕۡତ̝ЯᑕඉரĞԼតᑅ˧໚ăࢬ၆ ᑅ˧໚ăವԱયᗟΞਕ۞ྋՙ͞ڱğĂͷ׎ᖚຽিሚ ଀̶ྵҲĄ҃ٺF l o r i a n ăM i k u l i n c e r ׶T a u b m a n Ğ1995ğ޽΍ˠॾિላّপኳ۞ԸˢຏΞᖣϤࢫҲ၆ރ ਎۞ෞᆊĂ׶ֹϡͽଐჰࠎጱШ۞ЯᑕඉரĂԼච͕ நઉ૵Ăͷਕᆧૻௐ˟ᆸѨ۞ෞᆊć҃ଠטຏ˵ਕԼ ච͕நઉ૵ĂߏᖣϤࢫҲ၆ރ਎۞ෞᆊĂᆧૻௐ˟ᆸ Ѩ۞ෞᆊĂ׶ֹϡͽયᗟࠎጱШ׶ವՐۤົ͚޺۞Я ᑕඉரĂ྿זઉ૵Ă҃ˠॾિላّপኳϺ׶᜕ந̍ү ۞Ըˢّᄃ঻ЇຍᙸѣᙯĞTierney & Lavelle, 1997ğĄ ˠॾિላّᄃˠ˾ጯតี̝࠹ᙯّϏѣ˘࡭ّ۞ඕ ኢĂNicholasĞ1993ğࡁտ޽΍ˠॾિላّ׶੼ќˢѣ ௚ࢍ˯ϒ࠹ᙯćSchimied׶LawlerĞ1986ğࡁտពϯ̃ ّˠॾિላّົᐌѐ᛬҃ԼតĂѐ᛬෸̂ˠॾિላّ ෸ҲĂ׎ྋᛖΞਕЯѐࡔ෸ҁ৿ͻϒШૻ̼үϡĂౄ јˠॾિላّഴऴĄ Ğ˟ğ᜕நˠࣶ۞Яᑕඉர Lazarus׶FolkmanĞ1984ğ޽ĺЯᑕĻߏ࣎វ޺ᜈّ гԼតᄮۢ̈́ҖࠎĂͽ఍ந࣎វ၆ְІෞᆊ̈́෹࿅࣎ វྤ໚۞পؠېڶĄЯᑕҖࠎߏ˘જၗ࿅඀ĂϺߏ˘ ჌ᑅ˧ͅᑕ۞አ༼Я̄ĞmediatorğĂ˜ֶෞҤăે ҖăГෞҤăГેҖඈՎូ̙ᕝ࣒ϒĄ˫೩΍ˣᙷЯ ᑕඉரĂΒ߁ԩۋăࢍ൪ّྋՙયᗟăழᗓă੟ᔖă ҋԧଠטăವՐۤົ͚޺ăତצయЇ̈́ϒШГෞҤĄ J a l o w i e c૟ЯᑕҖࠎݭၗડ̶ࠎયᗟפШᄃଐჰפ ШĂѩ˟۰ЯᑕҖࠎൺഇड़ϡΞഴᅅপؠଐဩ۞ࢋՐ ̈́ଐჰͅᑕ̝አ༼Ăܜഇड़ϡ݋ΞԼච࣎ˠઉ૵ېڶ ̈́೩͕̿நۤົΑਕĞJalowiec & Powers, 1981ğĄ

Lawrence׶LawrenceĞ1988ğдଣ੅᜕நˠࣶ׶̍үѣ ᙯ۞ᑅ˧ॡĂ೩΍ЯᑕҖࠎົѣα࣎ล߱۞አዋ࿅ ඀ĂΒ߁፾ϲഇăֶᏥഇă࠹ֶ̢Ꮵഇ̈́ҋԧֶᏥ ഇĄHarrissionඈˠĞ2002ğ޽΍᜕நˠࣶѣྵ੼۞ˠॾ િላّăۤົ͚޺׶ֹϡϒࢬ۞ЯᑕඉரĂྵ͌ຏצ זᖚຽᑅ˧׶ᖚຽিሚĄ Ğˬğ᜕நˠࣶ۞ᖚຽিሚ ᖚຽিሚĞburnoutğĞϺჍᖚຽࢽަٕᖚຽਈაğĂ 1974ѐ઼࡚͕ந̶ژጯ۰FreudenbergerࢵѨ͔ϡѩЩ ෟĂೡࢗ૞ຽˠࣶд̍ү˯Ϥ̍үଐဩ͔ٙ੓۞ਈა

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ன෪Ă׎ᄮࠎিሚߏϠநăଐჰă͕ം۞ਈაېၗĂ ιΒ߁ঐໂ۞ҋԧໄهă̍үၗޘăͽ̈́ಉε၆ڇચ ၆෪۞ຏଐ׶ᙯᘃĞ͔ҋPine & Maslach, 1978ğĄ

MaslachĞ1982ğ݋ᄮࠎᖚຽিሚߏଐჰਈაă৿ͻˠ

ّ̼ăҲјಶຏ̝া࣏ཏĂٽ൴ϠдͽĺˠĻࠎ၆෪۞ ڇચ̍ү۰֗˯Ăд׎൴ण۞።඀Β߁ˬล߱Ĉଐჰ ਈაĞemotional

exhaustionğă৿ͻˠّ̼Ğdeper-s o n a l i z a t i o nğͽ̈́၆࣎ˠ̈́࣎ˠјಶ۞࢑Шͅᑕ

Ğreduced personal accomplishmentğĄMaslacḧ́Jackson Ğ1986ğ֭ͽѩనࢍീณ̍׍ͽෞณᖚຽিሚĂјࠎ੺ ͩᖚຽিሚณܑĞMaslach Burnout InventoryĂ MBIğĄ ధĞ1996ğણ҂Patrick۞ߛၹᕩৼ΍ᖚຽিሚٙயϠ ۞াېΒ߁ĈĞ1ğϠநাېĈົͅߍ΍Ϡநਕณਈა ۞াېĄĞ2ğᄮۢাېĈͅߍ΍͕ംਈა۞াېĄĞ3ğ ଐჰাېĈͅߍ΍ଐჰਈა۞ېၗĂӣЧ჌৾ᕘă Ϭ࠼ଐჰĄĞ4ğҖࠎাېĈͅߍ΍ҖࠎԼត۞াېĄ ҭߏѣ˯ࢗাې̙֭΃ܑѣᖚຽিሚâਠֽᄲΞ ֶাېีϫ۞кဿăኑᗔᄃӎ̈́׎ᚑࢦֽّҿᕝᖚ ຽিሚ඀ޘ۞੼ҲĄᖚຽিሚߏܜഇͽĺˠĻࠎ̍ү ၆෪ĂᅮࢋଐჰԸˢĞemotional demandingğ۞૞ຽ ̚૱֍۞˘჌া࣏ཏĂ҃ଐჰԸˢϒߏ᜕ந̍ү۞ ώኳĞPines & Kanner, 1982ğĂЯѩĂధкጯ۰޽΍ ᜕ந̍үߏໂٽጱ࡭িሚ۞૞ຽĂ҃ధк᜕ந̍ү ᑅ˧໚ߏౄјিሚ൴Ϡ۞ࢦࢋЯ৵ĞPatrick,1984;

Pick & Leiter, 1991ğĄSullivanĞ1993ğ޽΍ঽଈ໰ᜪ̍

үߏჟৠࡊ᜕நˠࣶ౵̂۞ᑅ˧໚ĂϤٺჟৠࡊঽଈ ۞߿ّাېĂࢬ၆Խᑝă৔ᗼăᇷ˧Җࠎٕ޺ᜈّҋ ୭ Җ ࠎ ۞ ঽ ଈ Ă ߏ ჟ ৠ ࡊ ᜕ ந ˠ ࣶ ૱ ֍ ᑅ ˧ ְ І ĞͨăՂĂ1992ğĄֶፂMaslacḧ́JacksonĞ1986ğ۞ ࡁտĂّҾᄃᖚຽিሚ۞ᙯܼĂдĺଐჰਈაĻ۞଀ ̶͞ࢬẴّ੼ٺշّĂдĺͻˠّ̼Ļ͞ࢬĂշّ ੼ٺّ̃Ă҃дĺ࣎ˠјಶຏĻ˯շّ੼ٺّ̃Ą˫ ޽΍̍ү݈ೀѐߏԛјᖚຽিሚ۞ᙯᔣഇĂЯࠎд ซˢᖚຽᅳા݈ೀѐâ͞ࢬࢋ૟ٙጯᑕϡז၁ᅫ ଐဩĂ൑ڱ଀͕ึ͘ĂΩ˘͞ࢬ݋ߏЯࠎإϏሢଉ ̍үĂ·႕நຐᄃٱ࢑Ă၆ҋ̎ࢎؠ࿅੼۞ϫᇾͪ ໤҃൑ڱ྿јĄMcCarthyĞ1985ğͽჟৠࡊˠࣶࠎࡁ տ၆෪޽΍ѐ᛬3 0 ໐ͽ˭Ăᖚຽিሚ඀ޘྵ̂Ą KaneĞ1993ğ޽΍ّ̃ͧշّՀٽຏזᖚຽিሚĂЯ ࠎᖚຽ૎̃ᅮ࢑ፉछल׶ᖚຽᗕࢦ۞̍үĂྵٽЯ ֎Ғ኏ࡎ̈́࿅ޘ࢑ఈ҃ࡴ೗ĂЯ൑ڱࣘᜪ̍үݡኳ ׶छˠᏐ૜ᙯܼ҃யϠཋೋຏĂٽѣᖚຽিሚ۞ଐ ԛĄ Щෟࠧؠ Ğ˘ğˠॾિላّĈˠॾિላّߏ˘჌Ξͽ၆ԩᑅ˧۞ ྤ໚ĂͽᔖҺயϠ࢑ࢬड़ڍ۞࣎ˠপኳĄ׎Β߁ˬ࣎ পّĈĞ1ğଠטĈ࣎វώ֗׍౯͹ङᄃଠטᑅ˧໚۞ຏ צᄃҋܫ͕ĄĞ2ğ߄ጼĈ࣎វ૟ᑅ˧໚ྋᛖࠎ˘჌ѣ ৈăᑒӄјܜ۞፟ົĂ҃ܧ˘჌χᑝĄĞ3ğԸˢĈ࣎វ ѣજ፟ͽѣड़͞ڱΝҹڇᑅ˧໚ٙౄј۞χᑝĂ׎΃ ܑ˘჌၆ᑅ˧໚ዋ༊͹જͷણᄃ۞඀ޘĄ Ğ˟ğЯᑕඉரĈ࣎វдࢬ၆ᑅ˧࿅඀̚Ăٙྻϡ۞አ ዋ͞ёΒ߁ˣ჌ĈĞ1ğࢬ၆યᗟ۞Яᑕݭၗܼଳϡ͹જ ྋՙયᗟ۞Җࠎ͞ёĄĞ2ğ੟ᔖё۞Яᑕݭၗܼଳϡᔖ Һࢬ၆યᗟ۞Җࠎ͞ёĄĞ3ğሄ៍ኢ۞Яᑕݭၗܼଳϡ ϒШຐڱ۞Җࠎ͞ёĄĞ4ğ૛׻ኢ۞Яᑕݭၗܼଳϡೌ ៍ຐڱ۞Җࠎ͞ёĄĞ5ğଐჰّ۞ЯᑕݭၗܼଳϡԴྋ ଐჰ۞͞ёĄĞ6ğቤྋё۞Яᑕݭၗܼଳϡֹຏᛇྵන ڇ۞͞ёĄĞ7ğ͚޺ّ۞ЯᑕݭၗܼଳϡವՐ͚޺ր௚ ۞Җࠎ͞ёĄĞ8ğҋޯّ۞ЯᑕݭၗܼଳϡܫᏥҋ̎۞ ͞ёĄ ĞˬğᖚຽিሚĈ޽࣎វЯࠎܜഇ̍үᑅ˧൑ڱѣड़Я ᑕٙயϠ̝ଐჰਈაăͻˠّ̼̈́Ҳјಶຏඈ࢑Шা ېĄĞ1ğଐჰਈაĈ޽ӄˠ૞ຽ۞̍ү۰Я̍ү҃хд ଐჰ࿅ޘᕖૺ̈́ਈა۞ຏצĄĞ2ğͻˠّ̼Ĉ޽ӄˠ૞ ຽ۰၆΁ٙڇચ၆෪۞ҽ႐ă൑ˠّͅᑕĄĞ3ğ࣎ˠј ಶຏĈ޽ӄˠ૞ຽ۰д̍ү̝̚౼Ї೚ԣ̈́̍ү๪႕ ۞ຏצĄ

͞āāڱ

˘ăࡁտ၆෪ ώࡁտࠎፖᕝёೡّࢗ̈́࠹ᙯّࡁտĞcross-sec-tional descriptive and correlaώࡁտࠎፖᕝёೡّࢗ̈́࠹ᙯّࡁտĞcross-sec-tional survey researchğĂ ࡁտ၆෪ࠎέΔξડાᗁੰͽ˯ᆸ৺۞̣ٙᗁੰ̝ჟ ৠࡊঽ᜕ٗநˠࣶĂଳ̶ᆸᐌ፟٩ᇹ͞ڱĂ૟ᗁੰෛ ࠎ˘፾ϲᆸĞϓវğĂГͽĶะՁᐌ፟٩ᇹڱķ٩΍15࣎ ᇹώಏҜĂజ٩ᏴᇹώಏҜ̰̝Бొ᜕நˠࣶӮᏴࠎ ࡁտᇹώĂૄώ୧Іࠎᅳѣ᜕ந૞ຽᙋ३Ăϫ݈ଂְ ჟৠࡊ᜕ந̍үҌ̱͌࣎͡ͽ˯ĂͷϏፉЇҖ߆ٕି ֈᖚચ᜕̝நˠࣶĞΒ߁ϒăઘ᜕நܜă᜕நҁरğĄ ˟ăࡁտ̍׍ Β߁ˠॾિላّณܑăЯᑕඉரณܑăᖚຽিሚ ณܑ̈́ૄώᛳّྤफ़Ă̰ट˜ॲፂ࠹ᙯ͛ᚥ̈́ࡁտ۰ Ꮈ኷ٙטؠĄ᜕நˠࣶૄώᛳّྤफ़Β߁ѐ᛬ăّ

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Ҿă૓ބېڶăିֈ඀ޘăڇચѐྤă؟ିܫЈඈĄ

Ğ˘ğˠॾિላّณܑĈώณܑͽPollockĞ1989ğٙ൴ण

۞ઉ૵࠹ᙯિላّณܑĞHealth Related Hardiness

Scale, HRHSğࠎֶፂĂͽ၁ᅫٕሕдጾѣઉ૵યᗟॡ ۞ͅᑕଣ੅Ăଂ1986ѐฟؕд઼࡚ѣ෹࿅150ีࡁտ ጯ۰ֹϡ࿅ྍณܑĂͷณܑ˵അజᔹ઼ă઼̚ăέ ៉ă঍઼ăҘ঱Ͱඈ઼ጯ۰ٙᖙᛌĞPollock, 1999ğĄ ࣧณܑ̰टࢍ34ᗟĂ׎̚14ᗟീଠטّć7ᗟീԸˢ ّćΩ13ᗟീ߄ጼّĄณܑଳ̱ᕇࢍ̶ڱĂѣϒă࢑ Ш׌჌ୃࢗ͞ёĂϒШᄬή۞ࢍ̶ࠎ1ů6̶ĂֶԔࠎ Ķܧ૱̙Тຍă̙Тຍăѣᕇ̙ТຍăѣᕇТຍăТ ຍă̈́ܧ૱Тຍķć࢑Шᄬή݋ͅШࢍ̶Ą଀̶෸੼ ܑˠॾિላّ෸ځពć̝ͅ݋ˠॾિላّ෸͌Ăᓁ̶ ࠎ34ů204̶Ąࣧณܑड़ޘᑭؠĈĞ1ğ̰टड़ޘĈଳ૞ छड़ޘᑭؠĂᖣϤྙય᜕நିर̈́౾̀঱ጯϠඈ૞छ ߤ८ĂΞ྿0.85۞˘࡭ّड़ޘĞJennings & Staggers, 1994ğĄĞ2ğड़ᇾड़ޘĈТॡ૟Pollock̝ᄃઉ૵࠹ᙯ ۞ˠॾિላّณܑ׶Kobasa̝ˠॾિላّณܑĂග ̟50Ҝઉ૵јˠീྏĂඕڍពϯ˟ณܑม׍̚ޘ࠹ ᙯĞr = .54ğĂѩඕڍ͚޺HRHSീณ۞ˠॾિላّপ ኳĄĞ3ğᔁăችăᏂ׶ౘĞ2001ğ၆ۤડჟৠ̶ෘঽଈ͹ ࢋ໰ᜪ۰۞ࡁտĂѩયס૞छ̰टड़ޘ଀̶ࠎ4.2Ąࣧ ณܑܫޘ͞ࢬĈĞ1ğ̰д˘࡭ّܫޘĈઉ૵࠹ᙯˠॾિ ላّณܑགྷPollock࣒Լޢ۞Cronbach’s ɗࣃϤ0.80೩ ੼Ҍ0.83ĞPollock & Duffy, 1990ğĄĞ2ğГീܫޘ̝ᑭؠĈ ઉ૵࠹ᙯˠॾિላّณܑม࿣׌ฉ̝Гീܫޘܼᇴࠎ 0.92Ăม࿣ˬฉ۞Гീܫޘ݋ࠎ0.83ĞPollock & Duffy, 1990ğĄĞ3ğᔁඈˠĞ2001ğ၆ۤડჟৠ̶ෘঽଈ͹ࢋ໰ᜪ ۰۞ࡁտඕڍĂѩયסCronbach’s ɗࣃĂଠטณܑࠎ 0.89ĂԸˢณܑࠎ0.84Ă߄ጼณܑࠎ0.90Ąٺώࡁտ၆ ෪ٙീ଀ᓁณܑ̝πӮCronbach’s ɗࣃࠎ0.94Ą Ğ˟ğЯᑕඉரณܑĈJ a l o w i e c ăM u r p h y ׶P o w e r Ğ1984ğٺ1977ѐӈֶፂLararus̝Яᑕໄهߛၹ൴ण΍ ЯᑕณܑĞJalowiec Coping ScaleĂJCSğĂ֭ٺ1987ѐ ࣒ࢎĂҺੵયᗟפШᄃଐჰפШ˟̶ڱ࿅ٺᖎர̝৿ ᕇĂֶፂ͹คཏะ̶ژĞthematic clustering analysisğ ͞ёĂ૟ЯᑕҖࠎ̶ࠎˣ჌ЯᑕඉரݭၗĂณܑВ60 ᗟĂΒ߁ࢬ၆યᗟ۞10ᗟĂ੟ᔖё۞13ᗟĂሄ៍ё۞ 9ᗟĂ૛׻ኢё۞4ᗟĂଐჰّ۞5ᗟĂቤྋё۞7ᗟĂ ͚޺ّ۞5ᗟ̈́ҋޯّ۞7ᗟĄͽαᕇࢍ̶͞ёֽࢍ̶ ĶଂϏֹϡăޝֹ͌ϡăѣॡֹϡăགྷ૱ֹϡķα࣎ඈ ৺Ă̶Ҿࢍࠎ0ů3̶Ąצྏ۰଀̶෸੼Ăܑϯ෸૱ֹ ϡྍ჌ЯᑕඉரĄ׎జᇃھᑕϡٺ̙Тጯܝ̝࠹ᙯࡁ տĂ֭̏ᖼᛌј18჌̙Тᄬ֏ซҖ࿅ࡁտĂϡٺീณ ࣎វࢬᓜϠ߿ᑅ˧ٕ̍үᑅ˧ඈӧᕘॡٙଳϡ̝Яᑕ ඉரĂ၁̏ಧؠ̍׍ώ̝֗ܫăड़ޘૄᖂĄJalowiec ტЪֹϡ׎ณܑĞJalowiec, 1987ğٙઇࡁտඕڍពϯĂ ̰टड़ޘ޽ᇴࠎ0.85ćϤ᜕நࡁտ૞छֶፂ׎ˣᙷЯ ᑕඉரݭၗ۞̶ᙷᙒТଐԛĂπӮᙒТதࠎ75%Ăд Тኳّܫޘ͞ࢬĂ׎ᓁณܑ̝πӮCronbach’s ɗࣃࠎ 0.86Ąٺώࡁտ၆෪ٙീ଀ᓁณܑ̝πӮCronbach’s ɗࣃࠎ0.82Ą ĞˬğᖚຽিሚณܑĈѩณܑࠎM a s l a c h ̈́J a c k s o n Ğ1986ğٙనࢍĂ߉ീ၆෪ͽӄˠ૞ຽࠎ͹Ăᗟϫͽୃ ࢗĺ࣎ˠຏצ൴ϠѨᇴĻ۞͞ёበᆷĂࢍ22ᗟĂΒ߁ଐ ჰਈაă৿ͻˠّ̈́࣎ˠјಶຏˬ̶࣎ณܑĄଳ˛ᕇ ࢍ̶ڱĂϤĺଂֽ՟ѣĻăĺՏѐΪѣ˟ăˬѨĻăĺՏ ͡˘ѨĻăĺՏ͡˟ăˬѨĻăĺՏฉ˘ѨĻăĺՏฉ˟ă ˬѨĻăĺՏ͇ౌѣĻĂֶԔග0ů6̶Ą׍ྵ੼ᖚຽি ሚ۰дଐჰਈა̈́ͻˠّ̼׌̶࣎ณܑ۞଀̶ྵ੼Ă д࣎ˠјಶຏ۞଀̶ྵҲć̝ͅĂিሚຏצྵҲ۰д ݈׌̶࣎ณܑ۞଀̶ྵ੼Ă҃ޢ˘̶࣎ณܑ۞଀̶ྵ ҲĄѩณܑ׍ѣΞତצ۞̰д˘࡭ّ̈́ᘦؠޘĂధ Ğ1996ğͽჟৠࡊާّঽ᜕ٗநˠࣶࠎ၆෪Ăଐჰਈ აă৿ͻˠّ̈́࣎ˠјಶຏˬ̶࣎ณܑдCronbach’s ɗࣃ͞ࢬ̶Ҿࠎ0.88Ă0.78Ă0.76Ąٺώࡁտ၆෪ٙ ീ଀ᓁณܑ̝πӮCronbach’s ɗࣃࠎ0.87Ą ˬăࡁտՎូ ࡁտՎូ̶αล߱Ĉࡁտ̍׍నࢍă࿰ྏăϒё ࡁտ̈́ྤफ़ፋநᄃಡӘᇤᆷล߱Ąௐ˘ล߱Ĉࡁտ̍ ׍నࢍĂࡁտ۰ͽ३ܫ̈́෸߶࿪ྖ۞͞ёĂᇈՐPol-lockТຍֹϡĺઉ૵࠹ᙯˠॾિላّณܑĻĂགྷᖬבТຍ ޢĂϤࡁտ۰૟ࣧؕયסᖙᛌ֭ኛࡻ͛ҁरᄃ᜕ந૞ छםӄ࣒ࢎĄ֭ซҖ૞छ̰टड़ޘᑭؠĂ௚ፋЧ૞छ ຍ֍ĂԆј࿰ྏયסĄௐ˟ล߱Ĉ࿰ྏĂѩล߱ٺჟ ৠࡊঽٗќ९15Щ᜕நˠࣶซҖ࿰ྏĂ૟߉ീඕڍઇ ࠎયס࣒Լֶ̝ፂĂᑭؠࡁտ̍׍۞ܫăड़ޘĂԆј ώࡁտϒёયסĄ֭൴͛Ҍ୬ќ९̝ᗁੰ᜕நొפ׎ ТຍĄௐˬล߱ĈϒёࡁտĂࡁտ۰ͽᐌ፟٩ᇹ͞ڱ ٩΍୬ќ९۞ঽٗĂ֭Ꮠ࢒ྍঽٗซҖࡁտᄲځĂᇈ ଀ࡁտ၆෪ТຍޢซҖયסአߤĂՏЊયס࿰Ҥࡗᅮ 20ů30̶ᛗԆјĄௐαล߱Ĉྤफ़ፋந̈́ᇤᆷಡӘĄ αăྤफ़ፋநᄃ̶ژ ώࡁտќะྤफ़ޙᑫޢĂ૟ͽSPSS/PC 8.0इ྅హវ ઇೡࢗ̈́ଯኢّ௚ࢍ̶ژĂଳ t ᑭؠăតளᇴ̶ژă

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ϩႬ഑᎕म࠹ᙯඈ௚ࢍ͞ڱซҖଯኢ̶ّژĂనؠɗ ࣃ0.05ࠎព඾ͪ໤Ą

ඕāāڍ

˘ăჟৠࡊ᜕நˠࣶૄώྤफ़ăˠॾિላّ̈́Яᑕ ඉர ̶ᆸᐌ፟٩ᇹ160Ҝࡁտ၆෪Ă၁ᅫТຍ๱ᆷય ס۰153ҜĂ൑ड़યס6ЊĂѣड़યס147ЊĂણᄃத 96%Ąώࡁտ၆෪ͽާّঽٗࠎ͹Ğ72.8%ğĂѐ᛬̶ Ҷд21ů51໐มĂͽ21ů30໐౵кĞ64.6%ğĂ׎Ѩ31 ů40໐Ğ29.9%ğĄͽّ̃اкĞ94.6%ğĂͷϏ૓اк Ğ64.6%ğĂିֈ඀ޘͽ̂૞ࠎ͹Ğ49.7%ğĂᖚჍͽ᜕̀ اкĞ74.9%ğĂ؟ିܫЈͽϔมܫЈࠎ͹Ğ25.2%ğĄჟ ৠࡊ᜕ந̍үѐྤ౵ൺ8࣎͡Ă౵ܜ28ѐ3࣎͡ĂπӮ 66.01࣎͡Ăͽڇચ5ѐ̰۞ˠࣶاкĞ55.8%ğĄˠॾ િላّ଀̶౵੼۞݈˟ีࠎĶԧᄮࠎ၆ԧ҃֏Ăઉ ૵ͧੑಱՀࢦࢋķĞM = 5.33ĂSD = 0.90ğ̈́Ķԧᛇ଀ࠎ ჯ᜕ઉ૵҃አፋ฼ࢴٕྻજ̙ߏ൑௭۞ҖࠎķĞM = 5.26ĂSD = 0.95ğĄ଀̶౵Ҳ۞݈˟ีࠎĶԧ࠹ܫҋ̎ࢋ кઉ૵ಶਕѣкઉ૵ķĞM = 3.77ĂSD = 1.07ğ̈́Ķԧ೩̙ ੓ݏֽ᎕ໂჯ޺։р۞ઉ૵ķĞM = 3.92ĂSD = 1.19ğĄ ̂кᇴ׍౯੼ޘˠॾિላّĂͽଠטຏăԸˢّ̈́ ߄ጼຏˬᆸࢬֽ࠻Ăჟৠࡊ᜕நˠࣶ̝ଠטຏ̈́Ը ˢّ۞πӮࣃ࠰੼ٺ̚ҜᇴĄܑϯ᜕நˠࣶࢬ၆၁ ᅫٕሕдઉ૵࠹ᙯ۞ᑅ˧໚ॡĂ׍ѣଠטᄃ͹ङᑅ ˧໚۞ܫ͕Ăͽ̈́ྵਕԸˢٺઉ૵࠹ᙯ۞߿જͽᑕ ;ᑅ˧໚Ą ώࡁտ၆෪۞Яᑕඉர଀̶౵੼۞݈ˬ ีࠎĶົҋ̎˘࣎ˠԯְଐррຐ˘ຐķĞM = 2.47Ă SD = 0.55ğăĶഇޞְଐົు႙рᖼķĞM = 2.46ĂSD = 0.59ğ̈́Ķ૟યᗟྫྷछˠٕڈ̓ኘ˘ኘķĞM = 2.44ĂSD = 0.68ğĄ౵Ҳ۞݈ˬีࠎĶЫֱᗉᐖ጗ٕщ্ᘽֽഴᅅᑅ ˧ķĞM = 0.41ĂSD = 0.65ğăĶಅړ੧ឰҋ̎ຏᛇр˘ ᕇķĞM = 0.44ĂSD = 0.69ğ̈́Ķઇ˘ֱπॡ̙ົΝઇ۞Ă ͧྵЇّٕПᐍ۞ְķĞM = 0.90ĂSD = 0.75ğĄͷ᜕ந ˠࣶдЯᑕඉரͽĺࢬ၆યᗟĻ۞Яᑕ͞ёπӮࣃ଀̶ ౵੼ĞM = 22.63ĂSD = 4.89ğĂͽĺ૛׻ኢĻ۞Яᑕ͞ё πӮࣃ଀̶౵ҲĞM = 6.72ĂSD = 1.64ğĄΩಶᖚຽিሚ ඕڍពϯჟৠࡊ᜕நˠࣶଂ᜕ְந̍үॡՏ͡ѣ˟ă ˬѨଐჰਈაĞՏᗟπӮ଀̶2.28ğćՏ͡ѣ˘Ѩ৿ͻ ˠّ̼۞ຏצĞՏᗟπӮ଀̶1.38ğćՏฉѣ˘Ѩ࣎ˠ ᛇ଀ѣјಶຏĞՏᗟπӮ଀̶4.33ğĄֶፂMBI૱ሀ଀ ۢώࡁտ၆෪ᖚຽিሚҲޘă̚ޘăࢦޘˠᇴּͧඕ ڍពϯჟৠࡊ᜕நˠࣶΗᇴͽ˯ѣ̚ăࢦޘଐჰਈა ׶৿ͻˠّ̼۞ຏצĂͷΗᇴͽ˯ѣҲޘ۞࣎ˠјಶ ຏĞܑ˘ğĄ ˟ăჟৠࡊ᜕நˠࣶˠॾિላّăЯᑕඉரăᖚຽি ሚдૄώᛳّ͞ࢬ̝मள ώࡁտ၆෪ˠॾિላّд̙Тૄώᛳّ֭൑௚ ࢍ˯ព඾मளĄ൒҃Ăώࡁտ၆෪̝ĶҋޯّķЯᑕ ඉரдૄώᛳّ̚۞Ķѐ᛬ķ׍ѣ௚ࢍ˯ព඾मளĞFࣃ ࠎ0.04Ăp < .05ğĂͷᖚຽিሚдૄώᛳّ̚۞Ķѐ ᛬ķăĶჟৠࡊ̍үѐྤķ׍ѣ௚ࢍ˯ព඾मளĂѐ᛬ дˬ˩໐ͽ˭۰ᖚຽিሚ඀ޘព඾̂ٺѐ᛬дˬ˩໐ ͽ˯۰Ăѐྤд̣ѐͽ˭۰ᖚຽিሚ඀ޘព඾̂ٺ̍ үѐྤ̣ѐͽ˯۰Ą ˬăჟৠࡊ᜕நˠࣶˠॾિላّᄃЯᑕඉர̝࠹ᙯّ ˠॾિላّᄃЯᑕඉரݭၗ̚Ķࢬ၆યᗟăሄ៍ ёă͚޺ّăҋޯّЯᑕඉரķ׍ѣ௚ࢍ˯ϒ࠹ᙯĞܑ ˟ğĂӈˠॾિላّ଀̶෸੼Ă෸ਕͽࢬ၆યᗟ۞ă ሄ៍۞ă͚޺ّ۞ăҋޯّ۞ЯᑕඉரֽྋՙયᗟĄ αăჟৠࡊ᜕நˠࣶˠॾિላّᄃᖚຽিሚ̝࠹ᙯّ ᜕நˠࣶˠॾિላّᄃᖚຽিሚ̚Ķଐჰਈაă ͻˠّ̼ķ׍ѣ௚ࢍ˯۞࢑࠹ᙯĂ҃ᄃᖚຽিሚ̚Ķ࣎ ˠјಶຏķ׍ѣ௚ࢍ˯ϒ࠹ᙯĞܑˬğĂӈˠॾિላّ ଀̶෸੼Ă׎ᖚຽিሚ۞ଐჰਈაăͻˠّ̼ຏצ෸ ͌Ăͷ࣎ˠјಶຏ෸੼Ą ̣ăჟৠࡊ᜕நˠࣶЯᑕඉரᄃᖚຽিሚ̝࠹ᙯّ ჟৠࡊ᜕நˠࣶЯᑕඉரݭၗ̚Ķ੟ᔖёЯᑕඉ ரķᄃᖚຽিሚ̚Ķଐჰਈაķ׍ѣ௚ࢍ˯۞ϒ࠹ᙯĂ ܑ˘āჟৠࡊ᜕நˠࣶᖚຽিሚ̝ೡࢗ ĞN = 147ğ Ҳāޘ ̚āޘ ࢦāޘ ีāϫ ˠāᇴ Ѻ̶ͧ ˠāᇴ Ѻ̶ͧ ˠāᇴ Ѻ̶ͧ ଐჰਈა 34 23.1 48 32.7 65 44.2 ͻˠّ̼ 56 38.1 33 22.4 58 39.5 ࣎ˠјಶຏ 84 57.1 35 23.8 28 19.0

(6)

ӈ᜕நˠࣶͽ੟ᔖёЯᑕયᗟॡĂ׎ଐჰਈაຏצ෸ ੼Ą᜕҃நˠࣶЯᑕඉரݭၗ̚Ķࢬ၆યᗟăሄ៍ ёăҋޯّķᄃᖚຽিሚ̚Ķ࣎ˠјಶຏķϺ׍ѣ௚ࢍ ˯ϒ࠹ᙯĞܑαğĂӈ᜕நˠࣶͽࢬ၆યᗟăሄ៍ёă ҋޯّЯᑕඉரྋՙયᗟॡĂ׎࣎ˠјಶຏ଀̶෸ ੼Ăྵ̙ٽயϠᖚຽিሚĄ

੅āāኢ

ώ༼૟Ϥ᜕நˠࣶૄώᛳّăˠॾિላّăЯᑕ ඉரă̈́ᖚຽিሚඈˬ͞ࢬઇ੅ኢĄ ˘ăჟৠࡊ᜕நˠࣶૄώᛳّ̝ೡࢗ ώࡁտ၆෪̍үّኳͽާّঽٗࠎкĂͷ᜕ந ˠࣶੵ8ҜߏշّγĂ׎΁࠰ࠎّ̃Ăѐ᛬̶Ҷͽ21 ů3 0 ໐ҫкᇴĂϏ૓۰اкĂᄃధĞ1 9 9 6ğࡁտ࠹ ТĂͅߍ΍ϫ݈ჟৠࡊ᜕நˠࣶкᛳѐᅅͷϏ૓۞ ّ̃̍ү୉ཏĂିֈ඀ޘ݋ྵͨ̈́ՂĞ1 9 9 2ğ̝̂ ૞ă̂ጯலຽ۰ּͧᆧкĂពϯ᜕நିֈጯ።೼࿆ ೩̿ன෪Ąჟৠࡊ᜕ந̍үѐྤπӮ66.01࣎͡Ă ̍ү̣ѐ̰ҫкᇴĞ55.8%ğĂϺѣ44.2%۞᜕நˠࣶ ̍үѐྤߏ5ѐͽ˯Ă౵ܜ̍үѐྤࠎ28ѐĂ׎̚ѣ 33Ҝ᜕நˠࣶ̍үѐྤߏд˟ѐ̰ĂᄃధĞ1996ğ࠹ ྵ̍үѐྤᆧΐధкĂٕధߏЯࠎώࡁտќ९ಏҜ кࠎ̳छ፟ၹĂͷঽّٗኳΒӣާّăၙّă͟ม ঻ੰඈĂͷܕѐ᜕ֽநˠ˧྿࿸׶ېၗĂ᜕நˠࣶ ۞੼ளજதϺᔌቤྋѣᙯĄࡁտពϯ᜕நरĞ25.2%ğ ּͧҲٺ᜕̀Ğ74.8%ğĂ˜Я̳ϲ፟ၹѣࢨט᜕நर ּ̝ͧĂЯѩӈֹ̏׍᜕நरે໰Ă̪Ϗਕҫ᜕ந र̝ᖚ৿Ą ˟ăჟৠࡊ᜕நˠࣶˠॾિላّ̝ෞณඕڍ Ϥࡁտඕڍពϯ᜕நˠࣶ׍ѣ̚ޘ඀ޘͽ˯̝ˠ ॾિላّĂ̪ѣјܜ̝۩มĄ᜕நˠࣶ̂к࠹ܫҋ̎ ۞Җࠎਕՙؠઉ૵ېڶĂͷႽΞਕឰҋ̎ઉ૵Ă҃૟ ࢬ၆ᑅ˧໚༊јߏѣӄৈјܜ۞፟ົ̈́˘჌߄ጼĂᄃ ܑαāჟৠࡊ᜕நˠࣶЯᑕඉரᄃᖚຽিሚ̝࠹ᙯ̶ژ ĞN = 147ğ ჟৠࡊ᜕நˠࣶЯᑕඉரĞrࣃğ ีāϫ ࢬ၆યᗟ ੟ᔖё ሄ៍ё ૛׻ኢё ଐჰّ ቤྋё ͚޺ّ ҋޯّ ଐჰਈა -.115 .225* -.127 .099 .141 .136 -.091 -.053 ͻˠّ̼ -.031 .145 -.100 .007 .102 .087 .018 -.028 ࣎ˠјಶຏ .363*** -.030 .255** .052 -.108 .079 .149 .231** *p< .05ć**p< .01ć***p< .001 ܑˬāჟৠࡊ᜕நˠࣶˠॾિላّᄃᖚຽিሚ̝࠹ᙯ̶ژ ĞN = 147ğ ჟৠࡊ᜕நˠࣶˠॾિላّĞrࣃğ ีāϫ ˠॾિላّ ଠטّপᇈ Ըˢّপᇈ ߄ጼّপᇈ ଐჰਈა -.325*** -.230** -.315*** -.348*** ͻˠّ̼ -.284*** -.204* -.327*** -.272** ࣎ˠјಶຏ .385*** .278** .351*** .419*** *p< .05ć**p< .01ć***p< .001 ܑ˟āჟৠࡊ᜕நˠࣶˠॾિላّᄃЯᑕඉர̝࠹ᙯ̶ژ ĞN = 147ğ ჟৠࡊ᜕நˠࣶˠॾિላّĞrࣃğ ีāϫ ˠॾિላّ ଠטّপᇈ Ըˢّপᇈ ߄ጼّপᇈ ࢬ၆યᗟ .443*** .378*** .391*** .426*** ੟ᔖё -.099 -.005 -.138 -.153 ሄ៍ё .371*** .335*** .344*** .328*** ૛׻ኢё .130 .650 -.022 -.027 ଐჰّ -.083 -.043 -.090 -.099 ቤྋё .032 -.002 .034 .060 ͚޺ّ .186* .141 .171* .194* ҋޯّ .230** .225** .190* .197* *p< .05ć**p< .01ć***p< .001

(7)

ώࡁտ࠹ҬĞᔁඈĂ2001ğͽۤડჟৠ̶ෘঽଈ͹ࢋ໰ ᜪ۰ࠎࡁտ၆෪۞ඕڍ࠹ͧĂώࡁտ၆෪۞ˠॾિላ ّ଀̶࠰੼ٺჟৠঽଈ۞͹ࢋ໰ᜪ۰Ğܑ̣ğĄ ώࡁտពϯିֈࡦഀ̈́ѐ᛬ᄃˠॾિላّ֭൑ព ඾۞࠹ᙯĂᄃ׎΁ࡁտ൴னˠ˾ጯតี֭൑ព඾࠹ᙯ ĞJohnson-Saylor, 1991ğĄ ˬăჟৠࡊ᜕நˠࣶЯᑕඉர̝ෞณඕڍ ϤࡁտඕڍΞۢჟৠࡊ᜕நˠࣶࢬ၆ᑅ˧ְІॡ ྵົଳϡࢬ၆યᗟЯᑕݭၗăሄ៍ёЯᑕݭၗăҋޯ ّЯᑕݭၗĂЧᗟπӮࣃ࠰̂ٺ2.0Ă҃ჟৠࡊ᜕நˠ ࣶྵֹ͌ϡቤྋёЯᑕݭၗăଐჰّЯᑕݭၗ̈́੟ᔖ ёЯᑕݭၗĄ αăჟৠࡊ᜕நˠࣶᖚຽিሚ̝ෞณඕڍ ֶፂᖚຽিሚณܑ૱ሀ଀ۢώࡁտ၆෪ᖚຽিሚ Ҳޘă̚ޘăࢦޘˠᇴּͧೡࢗĂඕڍពϯΗᇴͽ˯ ჟৠࡊ᜕நˠࣶࠎ̚ăࢦޘଐჰਈა׶৿ͻˠّ̼۞ ຏצĂͷΗᇴͽ˯Ҳޘ۞࣎ˠјಶຏĄѩඕڍᄃՂ Ğ1989ğăధĞ1996ğඕڍ࠹ТĂ᜕நݡኳᔵు႙Լචͷ ೩̿Ăҭ၆֗ࠎ໰ᜪ۰ߏӎЯჟৠࡊ᜕ந̍ү۞পঅ ّĂ၆ঽଈ໰ᜪٙᅮଐჰԸˢ۞̍үώኳĂд੼ޘ۞ ˠᅫᙯܼޙϲ࿅඀̚Ă࣐ࡶღૺ۞ଐჰ൑ڱᒔ଀ዋ༊ නྋĂ̍ү̚൑ڱ྿ј࣎ˠјಶຏĂٽѣᖚຽিሚன ෪ĞSortent & Banks, 1996ğĄѩன෪Ξਕߏ᜕நݡኳ ൑ڱБࢬ೩چ̝ࣧЯ̝˘Ăࣃ଀᜕நˠࣶ̈́გந۰۞ ࢦෛĄֶፂᖚຽᑅ˧޽ᇾሀё࣎វ۞পኳౌΞਕົ ഴऴٕᆧૻᑅ˧۞វរĂ౵ޢ۞ᑅ˧д࣎វ֗˯۞ ͅᑕΞਕົߏ֗ᄃ͕ઉ૵۞યᗟĂٕ̍ү႕ຍޘࢫ ҲĂ҃д௡ᖐ፟ၹ˯۞ᇆᜩΞਕܑனࠎ৿̍த੼Ă ࣶ̍̀ঈҲར׶ᗓᖚத੼ĞDepew, Gordon, & Yoder,

1999ğĄͷ᜕நˠࣶˠॾિላّϺߏᖚຽিሚ̚Ķଐჰ

ਈაķ۞ࢦࢋ࿰ീЯ̄Ă׍ѣࢬ၆᜕ந̍үᑅ˧໚۞ አ༼үϡĂᄃྵ੼۞࣎ˠјಶѣᙯĂͷˠॾপኳ۞ิ ّົߏᔖҺᖚຽিሚ۞ࢦࢋЯ৵ĞCostantini, Solano,

DiNapoli, & Bosco, 1997ğĄΩѐ᛬׶̍үѐྤĺາ͘Ļ

၆ᖚຽিሚ඀ޘຏצྵ੼Ăߏӎ׶׎̍үਕ˧ᄃ͚޺ ྤ໚ѣᙯĂࣃ଀Гซ˘Վଣ੅Ą ඕāኢ ώࡁտ၆෪кᇴጾѣ੼඀ޘ۞ˠॾિላّĞM = 157.84̶ĂSD = 18.42ğćЯᑕඉர଀̶ᐛத౵੼۞݈ˬ ีࠎયᗟጱШ۞ྋՙ͞ڱćଐჰਈა඀ޘѨณܑពϯ ჟৠࡊ᜕நˠࣶଂְ̍үॡĂՏ࣎͡ົѣ˟ăˬѨଐ ჰਈა۞ຏצĄჟৠࡊ᜕நˠࣶˠॾિላّᄃЯᑕඉ ரݭၗ̚۞Ķࢬ၆યᗟăሄ៍ёă͚޺ّăҋޯّЯ ᑕඉரķ׍ѣ௚ࢍ˯۞ϒ࠹ᙯĄჟৠࡊ᜕நˠࣶˠॾ િላّᄃᖚຽিሚ̚Ķଐჰਈაăͻˠّ̼ķ׍ѣ௚ࢍ ˯࢑࠹ᙯĂ҃ᖚຽিሚ̚Ķ࣎ˠјಶຏķ׍ѣ௚ࢍ˯ϒ ࠹ᙯĄ᜕நˠࣶЯᑕඉரݭၗ̚Ķ੟ᔖёЯᑕඉரķᄃ ᖚຽিሚ̚Ķଐჰਈაķ׍ѣ௚ࢍ˯ϒ࠹ᙯĄ᜕҃நˠ ࣶЯᑕඉரݭၗ̚Ķࢬ၆યᗟăሄ៍ёăҋޯّķᄃᖚ ຽিሚ̚Ķ࣎ˠјಶຏķϺ׍ѣ௚ࢍ˯ϒ࠹ᙯĄ ޙāᛉ Ğ˘ğ᜕நିֈ͞ࢬĈޙᛉٺ᜕நዳјିֈ࿅඀آАି ጱጯϠҋԧᑅ˧გநኝ඀Ăጯ௫ഴᑅ੊ቚ̝ԫμĂᆧ ૻ׎࣎ˠ։р̝ЯᑕඉரĂᖣͽᆧΐયᗟጱШ̝ྋՙ ͞ڱĂ֭གྷϤ੊ቚᄃጯ௫҃ޢਕ೩̿ˠॾિላّĂֹ ጯϠਕͽϒШă᎕ໂă૟Ϡ߿ְІ۞ᑅ˧໚ෛࠎ߄ጼ ҃ܧރ਎Ă֭ጯ௫ࢬ၆ᑅ˧఍ཉॡĂᆧૻ׎࣎ˠયᗟ ྋՙ̝ଠטਕ˧Ą Ğ˟ğ᜕நҖ߆͞ࢬĈؠഇᓝᏱˠॾિላّ੊ቚ࠹ᙯኝ ඀̝ĺјܜᒉĻ߿જĂܳซຍ֍Ϲ߹ͷਕҋԧ၆ྖĂᒢ ྋҋ̎၆̍ү۞ٚᏚĂߏӎਕ૟ܧ࿰ഇ۞̍үְІ༊ јࠎ߄ጼĂ֭੊ቚᆧΐ၆̍ү۞ଠטຏĂֹ׎ᖣѩᆧ ૻˠॾ۞ิّĂҋԧ·ᝋᔖҺᖚຽিሚ͔ٙ੓۞࢑ࢬ ຏצĄޙϲࣶ̍ᙯᘃନ߉Ăјϲĺ้᝘̈௡ĻĂ࠹̢ ᙯᘃ಴ࢦă໛఼ᒢྋĂ֭ᏱநഴᑅဥវĂିጱᑅ˧ አዋ͞ёĄΩѐ᛬׶̍үѐྤ၆ᖚຽিሚ͔ٙ੓۞ ᇆᜩϺࣃ଀൴ण̙Т۞дᖚିֈඉரĂ֭੨Ъ᜕ந ˠࣶ̍үགྷរ̝௢᎕Ă၁߉ѣࢍ൪̝዇አטޘĂם ܑ̣āͽჟৠঽଈࠎ໰ᜪ۰̝ࡁտ၆෪ˠॾિላّࡁտඕڍͧྵ πӮ ˠॾિላّ ଠטّপᇈ Ըˢّপᇈ ߄ጼّপᇈ ࡁտ۰ ࡁտ၆෪ ѐ᛬ πӮࣃ ᇾ໤म πӮࣃ ᇾ໤म πӮࣃ ᇾ໤म πӮࣃ ᇾ໤म ᔁָटඈĞ2001ğ 106Ҝۤડჟৠ̶ෘ 58.70 147.50 21.63 56.46 9.87 31.33 5.17 59.71 8.09 ঽଈ͹ࢋ໰ᜪ۰ ώࡁտ 147Ҝჟৠࡊ 29.83 157.84 18.42 62.95 8.32 32.39 4.25 62.49 7.86 ᜕நˠࣶ

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ӄĺᖚ୾ఢထĻĂᆧΐ࣎ˠјಶຏĂͽഴ͌ᖚຽিሚ ۞඀ޘĄ Ğˬğ᜕ந၁ચ͞ࢬĈခᐽ᜕நˠࣶ༊ࢬ၆क़Զᄃ߄ጼ ॡĂਕͽયᗟጱШ۞યᗟྋՙࢬ၆҃ܧགྷ૱ֹϡଐჰጱ Ш۞યᗟྋՙĂഴֹ͌ϡЪந̼ăӎᄮă੟ᔖඈ͞ё ֽ١඗ᑅ˧໚̝఍நĄ၆ٺѐ᛬дˬ˩໐ͽ˭Ăѐྤд ̣ѐͽ᜕̰̝நາ͘Ă͹გآଳפĺણᄃёგநĻĂགྷϤ ·ᝋᆧซᓜԖ໰ᜪ̝ҋ͹ّăՙඉᄃયᗟྋՙ̝ਕ ˧Ă֭၁߉к̮ԫਕ̝ĺϹ˽੊ቚĻĂᆧซ̍үᖳಱ̼ ᄃᕖ̼̂Ăֹܳѐᅅྤ୺ăጯ௫ਕ˧᜕ָ̝நˠࣶĂ ତצ̙Т۞̍ү߄ጼĂᆧΐ̍үଠטຏĂᖣѩᑒӄј ܜĂᆧૻјಶຏᄃˠॾિላّĂഴ͌ᖚຽিሚĄ ࡁտࢨט ώࡁտࠎፖᕝёࡁտĂϤٺॡมăˠ˧ăགྷ෱ඈ ࢨטĂ൑ڱஎˢᒢྋჟৠࡊ᜕நˠࣶ͹៍۞ᖚຽিሚ ຏצĂͷώࡁտ၆෪ࠎέΔгડ۞ჟৠࡊ᜕நˠࣶĂ ࡭ֹώࡁտ̝ඕڍ൑ڱଯኢҌٙѣჟৠࡊ᜕நˠࣶĄ ѩγдќ९࿅඀̚Ă൴ன઼̚ˠ၆ٺᑅ˧۞ྚᛖྵ૱ ͽĺԡĻٕĺ׻ྻĻ۞֎ޘྚᛖĂ҃дณܑొ̶ᙱͽӔ னĄ఺ΞਕߏЯࠎᑕϡҘ͞நኢăໄهă͞ڱ̈́̍׍ ֽࡁտ઼ˠّॾ۞मளॡĂٽنர઼̚ёޥ҂ᆊࣃᄃ ࣰጯפШĂֹ׎ᙱͽܑனдࡁտ።඀̚Ą

ણ҂͛ᚥ

ͨछ∶ăՂ͔ϜĞ1992ğĆჟৠࡊ᜕̀۞ᑅ˧ຏצᄃЯ ᑕҖࠎĆ᜕நᗔᄫĂ39Ğ1ğĂ107ů117Ą ՂāᏴĞ1989ğĆᓜԖ᜕நˠࣶ۞ᑅ˧ຏăিሚᄃҋԧ ͹֍̝ଣ੅Ć᜕நᗔᄫĂ36Ğ1ğĂ85ů97Ą ధፍࠠĞ1996ğĆჟৠࡊާّঽ᜕ٗநˠࣶ࣎ˠপᇈă ̍үᑅ˧̈́׎ᄃᖚຽিሚᙯܼ̝ଣ੅ĆϏ൴ܑ۞Ⴧ̀ኢ ͛ĂέΔĈ઼ϲέ៉̂ጯᗁጯੰ᜕நጯࡁտٙĄ ᑛ็͛Ğ1998ğĆԧ઼ჟৠ኎Ϡ̍ү۞൴णĆ᜕நᗔ ᄫĆ45Ğ1ğĂ5ů11Ą ᔁָटăችڟࠠăᏂ୿࢐ăౘणਝĞ2001ğĆۤડჟৠ ̶ෘঽଈ͹ࢋ໰ᜪ۰ˠॾિላّᄃ׎ઉ૵ېڶ࠹ᙯ̝ଣ ੅ĆາέΔ᜕நഇΏĂ3Ğ2ğĂ89ů100Ą

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The Relationship Between Hardiness,

Coping Strategies and Burnout in Psychiatric Nurses

Chia-Jung Hsieh • Hsin-Yi Hsieh

*

• Pi-Hsia Chen

**

Yu-Ling Hsiao

***

• Sheuan Lee

****

ABSTRACT: Hardiness is a personality trait in which the ability to buffer the health related effects of stress is inherent. It has been frequently and enthusiastically investigated in connection with human health. In order to understand hardiness in psychiatric nurses, to prevent burnout, and to enhance the quality of nursing care, this study sought to investigate the relationships between hardiness, burnout and quality of nursing care. One hundred and forty-seven psychiatric nurses were selected in a stratified random sample from the psychiatric units of district hospitals in Taipei City. Data were collected through structured questionnaires and concerned: (1) demographic variables, (2) the Health Related Hardiness Scale, (3) the Jalowiec Coping Scale, and (4) the Maslach Burnout Inventory. The main results indicated that: (l) Most respondents enjoyed high levels of hardiness (M> 157.84, SD > 18.42); (2) Re-spondents' levels of hardiness were positively correlated to the use of confrontational coping styles, optimistic coping styles, supportive coping styles and self-reliant coping styles; (3) Levels of hardi-ness were negatively correlated to emotional exhaustion but positively correlated to personal accomplishment; (4) There was a significantly positive correlation between the evasive coping style and emotional exhaustion; (5) The confrontational, optimistic and self-reliant coping styles were positively correlated to personal accomplishment. The findings of this study should contribute to our understanding of the relationship between hardiness, coping strategies and burnout in psychiatric nurses.

Key Words:hardiness, coping strategies, burnout, psychiatric nurses.

RN, MSN, Doctoral Candidate, Institute of Health Policy and Management, College of Public Health, National Taiwan University & Instructor, School of Nursing, Taipei Medical University;ā*RN, MSN, Instructor, School of Nursing, Taipei Medical University;ā**RN, MSN, Director, Department of Nursing, Taipei City Psychiatric Center;ā***RN, MSN, Instructor, School of Nursing, Taipei Medical University;ā****RN, PhD, Professor & Dean, School of Nursing, College of Medicine, Chung Shan Medical University.

Received: September 12, 2002āāAccepted: March 15, 2004

Address correspondence to: Sheuan Lee, No. 110, Chien-Kuo N. Rd. Sec. 1, Taichung 402, Taiwan, ROC. Tel: 886(4)2473-2200 ext. 1730

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