情緒困擾之概念分析

Emotional Distress: A Concept Analysis

10.6692/KJN.202104_38(1).0005

林婉如(Wan-Ju Lin)；黃惠滿(Hui-Man Huang)；李婷琳(Ting-lin Lee)

情緒困擾 ； 概念分析 ； 第六生命徵象 ； emotional distress ； concept analysis ； the 6th vital sign

高雄護理雜誌

38卷1期（2021 / 04 / 01）

50 - 61

繁體中文

「情緒困擾」被視為病人的第六生命徵象，病人普遍存在此狀況。「情緒困擾」議題日漸受到重視，但目前欠缺有系統及整體性的概念分析之探討。本文運用Walker和Avant（2011）發展的概念分析步驟，確認情緒困擾之定義性特徵為：（1）個人因受外在環境的刺激而引發內在不愉快的情感變化；（2）是一種多動向的非單一的感受；（3）至少有二類不同的情緒表現；（4）不愉快的情感短時間重複發生或持續一段時間。本文列舉典型、邊緣及相反案例來釐清概念，確定其前因與後果，並統整臨床常用的實證性工具，以期護理人員能了解此概念並應用於臨床實務上，以預防病人出現嚴重的情緒困擾。

Emotional distress is the sixth vital sign of patients, being relatively prevalent. Recently, the issue of ＂emotional distress＂ has attracted attention; however, a systemic and comprehensive conceptual analysis and discussion is lacking. The authors applied the method outlined by Walker and Avent (2011) to analyze the concept of emotional distress, its defining characteristics, and enumerate the examples to explain the concept. The conceptual definitions of emotional distress are: (1) A person, who is subject to external stimulation of the environment develops inner unpleasant emotional changes; (2) A multi-mobile, non-singular feeling; (3) At least two kinds of emotional manifestation; and (4) An unpleasant emotion repeated in a short time or for a period of time. This paper describes the defining characteristics of emotional distress, clarifies the concept, and confirms the predisposing factors and effects of emotional distress, using examples of a typical case, borderline cases, and a contrary case. In order to prevent the occurrence of emotional distress and promote the quality of nursing care, nursing staffs are expected to develop a better understanding of this concept and apply it in daily practice.

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