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題 名 | 認知行為治療應用於一位精神分裂症個案的護理經驗=Applying Cognitive-Behavioral Therapy to a Patient with Schizophrenia |
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作 者 | 亓新章; 陳采蕙; 許禎娟; 曾雯琦; | 書刊名 | 護理雜誌 |
卷 期 | 54:2 2007.04[民96.04] |
頁 次 | 頁91-97 |
分類號 | 419.72 |
關鍵詞 | 精神分裂症; 正向症狀; 認知行為治療; Schizophrenia; Positive symptoms; Cognitive behavioral therapy; |
語 文 | 中文(Chinese) |
中文摘要 | 本文呈現照護一位有被害妄想、聽幻覺等正向症狀干擾的精神分裂症個案,護理過程中,筆者藉由會談、觀察等方式收集主、客觀資料並運用整體性評估,發現個案有 (1) 睡眠型態紊亂;(2) 思想過程改變;(3) 感覺知覺改變;(4) 社交互動障礙等護理問題,由於本文著重個案對急性期症狀的緩解及自我管理能力,故僅分享思想過程改變及感覺知覺改變等二項護理過程。筆者在民國93年9月3日至10月2日近一個月的護理過程中,先以關懷、真誠的態度,與個案建立治療性人際關係,進而運用認知行為治療,協助個案確認、理解負向自動化思考之存在,及其合併出現的負面情緒、非理性的因應方式。藉由行為控制技巧的教導及實際演練,成功改善個案被害感、幻聽等正向症狀。在電話追蹤中也發現,個案於出院後仍可持續運用認知行為控制技巧緩解妄想及幻聽干擾,增進對正向症狀的自我管理能力及日常生活品質。 |
英文摘要 | The purpose of this article was to describe a nursing experience with a patient who suffered from delusions and hallucinations due to schizophrenia. Through conversation and observation, the authors gathered both subjective and objective data and identified two major nursing problems, as follows: altered thought processes and sensor/perceptual alteration (auditory). During the nursing process, the authors established a rapport with the patient and provided cognitive-behavioral therapy to help him to reduce his irrational beliefs and improve his coping methods. The behavioral therapy enabled the patient to face his negative beliefs, and he developed cognitive-behavioral skills to improve his self-management of delusions and hallucinations. From this perspective, cognitive-behavioral therapy was an effective intervention in the nursing process of caring for this patient with positive symptoms. |
本系統中英文摘要資訊取自各篇刊載內容。