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企業探索訓練（Corporate Adventure Training, CAT）讓企業或組織有目的地用冒險探索訓練的方式來設計、安排活動，使參與者在情境中實踐、體驗與反思，透過學習經驗的創造和轉化，完成企業或組織的教育訓練。本研究以專業訓練評估（Questionnaire for Professional Training Evaluation, Q4TE）來衡量參與者訓練成效，採Baldwin與Ford的移轉過程模型為核心架構基礎，探討員工參與CAT訓練後，移轉設計（transfer design）透過訓練移轉、自尊、知覺組織支持對訓練評估的間接效果影響，建構企業探索訓練移轉模型（Corporate Adventure Training Transfer Process Model, CATTPM）。其與移轉過程模型最大的不同在於，CATTPM將自尊、知覺組織支持以及訓練移轉皆視為中介角色。正式問卷調查以接受完CAT之員工為研究對象，共於40個開設於組織內部的CAT課程發放問卷，每班訓練學員人數約30-40位，回收有效問卷1,310份。研究發現，移轉設計可透過探索訓練移轉對訓練評估產生正向顯著效果；移轉設計也能分別透過自尊、知覺組織支持對訓練評估產生正向顯著效果。本研究結果支持自尊、知覺組織支持與訓練移轉為重要的中介角色，並建構CATTPM

傳染性疾病擁有高度被烙印及入罪化之特性。本文敘述愛滋帶原者合併感染新型冠狀病毒之照護經驗。文中個案因確診感染新型冠狀病毒入院隔離，害怕使愛滋帶原者身分曝光且對於自己染疫後將新型冠狀病毒傳染給同住母親感到自責，罹病後懊悔不已，亟需護理介入支持。護理期間自2021年7月15日至7月29日，筆者利用面對面及監視器觀察、身體評估、電話會談及醫療團隊討論之方式進行生理、心理、靈性及社會四大層面之評估，確立個案有現存性感染、焦慮及情境性低自尊之健康問題。於照護過程中提供新興傳染性疾病個人衛生指導，並按時給予服用組合型抗病毒藥物以維持免疫力；護理人員作為個案唯一直接接觸對象，藉由建立信賴關係，關懷傾聽個案對於雙重感染者身分的擔憂，同理並保證其隱私權，接納其於隔離期間的負面感受，強化支持系統幫助渡過隔離期之心理壓力。此照護經驗顯示為傳染性疾病病人提供心理照護之重要性，建議政府與媒體能提供正確資訊以強化社會大眾對傳染性疾病的認識與了解，達到去除污名，創造更友善醫療環境。

背景：面子是一種內外在的自我形象，當中包含社會賦予的地位、角色確認以及自我形象的管理和維持。失智症者與家人因感覺「失去面子」而產生社交隔離甚至影響疾病進展。因此，了解影響失智症者面子相關因素，有助於協助照護人員維護失智症者面子並建立社會大眾對失智症者的了解與同理。目的：本研究以系統性文獻回顧之實證模式，探討影響失智症者面子問題的相關因素。方法：採系統性文獻回顧法，收錄發表於PubMed、CINAHL、華藝線上圖書館及Cochrane Library等四個資料庫的實證文獻，設立關鍵字與同義字為失智症、面子、自尊、尊重、自我概念等，發行年限為2018年9月前，共搜尋出3,050篇文獻，經篩選、刪除重複及評讀後，納入8篇符合主題之文章進行分析，並以喬安娜布里格斯學會（Joanna Briggs Institute）出版的評讀工具進行評析文獻品質，再依據Melnyk和Fineout-Overholt證據分級將所有文獻有所歸類，並萃取實證證據。結果：從文獻歸納出影響失智症者面子問題的相關因素分二個主軸：其一為「喪失自我認同」：失智症者因逐漸失去認知功能與記憶能力，而對於現階段的角色任務產生無法勝任與管理。其二為「社會大眾負向概念」：社會大眾認為失智症者對他人會有危險性與其行為不可預測而致使失智症者原該享有的權利或地位被剝奪。結論／實務應用：失智症者因疾病關係致使其逐漸失去自我認同而無法維持合宜人生階段角色任務，加上社會大眾對疾病的負向概念而產生偏差觀念，促成失智症者與其家人感覺「沒面子」。本回顧結果可作為未來進行失智症個別性照護時，加入影響失智症者面子問題之因素，提供以「人」為中心的照護，並結合政府與民間打造友善失智環境。

Background: HIV has become a chronic disease. Therefore, the mental health and sleep quality of people living with HIV/AIDS (PLWHA) have become increasingly important issues of concern. Purpose: To explore the sleep quality, depression, anxiety, and self-esteem of PLWHA and the correlation between sleep quality and various related mental-health factors. Methods: A cross-sectional, descriptive, correlational study was conducted at a medical center in southern Taiwan in 2013-2014. Data on the sleep quality, depression, anxiety, and self-esteem of 146 PLWHA cases were collected using a structural questionnaire (the Pittsburgh Sleep Quality Index, the Center for Epidemiologic Studies Depression Scale, Zung’s Self-Administered Anxiety Scale, and Rosenberg Self-Esteem Scale). Results: Three-fifths (60.3%) of the cases had poor sleep quality, 50% were inclined toward depression, and 36.3% were inclined toward anxiety, indicating that sleep quality, depression, and anxiety levels in these cases were worse than the ge

本文運用認知治療改善一位46歲患有慢性思覺失調症個案，經歷乳癌術後的生活品質及心理健康之照護經驗。個案罹患思覺失調症超過24年，長期接受復健治療，因在例行健康檢查時發現乳癌，101年5月22日於地區醫院進行右側乳房切除手術，手術後返精神科急性病房住院。護理期間為101年5月30日至101年8月28日，藉由五大層面評估確立急性疼痛、身體心像紊亂、長期性低自尊三項護理問題。在傷口急性疼痛部份，透過建立信任的護病關係，同理內在感受，予傷口疼痛照護，個案自評傷口疼痛從10分降至4分；由於個案失去右側乳房而導致身體心像改變，藉由協助探索身體心像改變之感受，讓個案接受身體缺少乳房的事實；對於病人長期性低自尊護理問題，運用認知治療，改善負向的思考模式，個案變得開朗有笑容，生活依賴的問題也明顯改善。給予個別性的護理有助於精神病人走出乳癌術後傷口疼痛、身體心像改變、低自尊之陰霾。

People nowadays think highly of appearance showing to others, so they often go shopping to buy some new outfits for themselves. Presently, there are a lot of shopping stores and the competitions between clothing industries have been keen. Not only merchandises can get customers into the store, but also the service is quite important. In the process of serving the customers, it is possible that they may want to reach sales targets and bring some negative conflicts to customers and lower their purchase intention. Otherwise, they don't want to shop anymore because of the poor service. The purpose of study is to learn the relationship between the consumer's emotional blackmail perception and purchase intention, and the consumer's \"self-esteem\" acts as mediator in order to learn about the interaction between these three factors. Total of 450 consumers who have ever gone shopping in the shopping stores were selected. The results showed that \"consumers' emotional blackmail perception\" has a significant effect on \"pu

The impact of unrealized educational plans on mental health, whether it aligns more with the predictions of the Self-Discrepancy Theory or the adaptive resilience presented by the Resilience Theory, remains an open question. This study applied longitudinal data from the Taiwan Youth Project, deleting missing values, which resulted in a total of 618 samples for analysis. Regression analysis was utilized to depict the influence of unrealized educational expectation during adolescence and early adulthood on an individual’s happiness, life satisfaction, depressive symptoms and self-esteem of middle adulthood. The findings reveal that unrealized educational plans at 12th grade in high school of Taiwanese adolescents significantly affect self-esteem in middle adulthood. Adjusting educational expectations downward as an adaptive strategy might result in adverse consequences, with effects varying across different developmental stages. Based on these results, the study proposes a few recommendations for educational pr

本研究係以正向心理學理論為基礎，考驗國中生所知覺到的社會支持與自尊對主觀幸福感之影響。本研究的研究對象係從北、中、南各地區選取兩所國中，每校各抽取5班的學生，有效樣本共計946人。研究工具包含社會支持量表、自尊量表及主觀幸福感量表。本研究所蒐集的資料以SEM進行考驗。結果發現：（1）社會支持對自尊與主觀幸福感具有直接影響；（2）自尊對主觀幸福感具有直接影響；（3）社會支持會透過自尊，進而對主觀幸福感產生間接效果。最後，本研究根據研究結果進行討論，並提出學校教育與未來研究之建議。

This study measured the dynamic changes and influencing factors of the Rosenberg Self-Esteem Scale across individuals and time through intensive longitudinal measurement. Participants were 119 senior elementary school students who were repeatedly measured for 100 times on the Rosenberg Self-Esteem Scale. Through the analysis of the cross-classify factor model, it was found that the reliability and validity of self-esteem did not change with time, and showed a stable measurement state across time, but the measurement intercept and factor loading of self-esteem across students have random variation. Through dynamic structural equation model analysis, it can be seen that there is a first-order correlation in students’ self-esteem. Recommendations are made based on the research findings

隨著人權思想受到重視以及校園中禁止體罰，教育部於2007年開始推動「校園正向管教工作計畫，希冀教師能以正向管教方式培養學生健全的發展。基於此，教師正向管教落實情形為何，特別是從學生的觀點與感受來看，以及正向管教是否能有效提升國中生的自尊？故本研究旨在探究臺北市國中生知覺教師正向管教與其自尊之概況、教師正向管教與學生自尊之相關性，以及背景變項與教師正向管教對國中生自尊之影響。本研究以臺北市國中生為研究對象，採配額抽樣方式進行問卷調查，共得有效樣本577份。研究工具包括：教師正向管教量表、自尊量表與背景資料調查表。所得資料以描述性統計、單一樣本t檢定、單因子相依變異數分析、皮爾森積差相關，以及逐步多元迴歸進行分析。本研究發現，國中生認為教師有運用正向管教方式，且其自尊呈中上程度。教師越使用正向管教方式，學生的自尊越高。對國中生自尊最具預測力之變項依序為：教師正向管教中的「鼓勵增強」、「家庭社經地位」、「學校規模：小型學校」、「家庭型態：典型家庭」，以及「學生年級」，上述五個變項共具有22 %之預測力。根據本研究發現，建議學校宜持續推動正向管教，特別是應運用鼓勵增強之管教方式，以提升國中生之自尊