양극성 장애조증 및 울증환자와 간호사의 언어적 의사소통유형에 대한 상호교류분석

Abstract

This study was attempted to explore structures and characteristics of verbal communication in nurse-patient interactions. Berne`s Transactional Analysis theory was used to analyse the verbal processes. The subjects selected for this study were two patients able to communicate with the nurse, one`s diagnosis was bipolar disorder, manic, the other`s major depression(DSM-Ⅳ). Data collection was done from February 18 to February 23, 1999. The results were as follows. 1. From the descriptive dimensions 1) When the nurse communicate with the manic patient, the patient tended to use Free Child (45.61%), the nurse Adult (57.89%). 2) When the nurse communicate with the depressed patient, the patient tended to use Free Child(30.26%), the nurse Adult(76.32%). 3) When the manic and depressed patient were compared. Free Child(45.61%), was used by both patients(manic : 45.61%, depressed : 30.26%) but Nuturing Parent was scarcely used(both 2.63%). 2. From the result of hypothesis testing 1) When the nurse communicate with the bipolar disorder, the hypothesis that the nurse tended to use Adult was accepted(X^2=6.826, P＜.01). 2) The hypothesis that the depressive patient tended to use Parent more than manic was refused(Z=-1.666, P＞.05). 3) The hypothesis that the manic patient tended to use Child much more than the depressive was accepted(Z=2.772, P＜.05). From the above result, the suggestions would be presented. 1. The research which is based on TA theory would applied to the transaction with not only patients but also their relatives, colleagues and other health care colleagues. 2. The research should be replicated, so TA theories and way of doing psychiatric nursing care could be constantly expanded and examined 3. A transactional model of nurse-patient interaction should be proposed and tested repeatedly.