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頁籤選單縮合
題名 | 以醫院為基礎的社區精神照護=Community Psychiatric Care by the Hospital-based |
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作者 | 蘇碧玉; 沙堅白; 余秝萱; 張慧敏; 諶立中; | 書刊名 | 源遠護理 |
卷期 | 2:2 2008.11[民97.11] |
頁次 | 頁5-10 |
分類號 | 419.72 |
關鍵詞 | 以醫院為基礎; 社區精神照護; 社交技巧訓練; Hospital-based; Community mental health care; Interpersonal social skills; |
語文 | 中文(Chinese) |
中文摘要 | 1960年代美國開始提倡去機構化運動 (deinstitutionalization) 之後,為了持續精神病人後續照護,發展出社區精神照護觀念,治療基礎分為以醫院及社區兩種模式。本文描述以國軍北投醫院為基礎的社區精神照護模式,經由醫療體系資源的整合,運用三級預防概念,由受過精神專業照護訓練的人員進行居家治療,協助一位有社交退縮的社區精神分裂症患者的照護過程,治療團隊提供個案社交技巧訓練計畫,使個案從足不出戶到走向社區進行社交互動。因此筆者建議相關從業人員,應整合照護資源,視個案的病況及需求,提供個別性的社區照護模式,進而強化病人自我照顧能力,以促進良好的生活品質。 |
英文摘要 | The concept and the development of community mental health, deinstitutionalization, started in the United States in the 1960s to sustain psychiatric patients' health post discharge from mental institution.The medical treatment was divided into hospital and community patterns. The military mental health system in Taiwan adopted this concept, and setup the hospital based-community mental health system. This system uses a three-level preventive process that employs mental health trained healthcare workers to provide care at home to assist the re-adaptation of those who are socially withdrawn to the community. This article discusses a successful experience of a schizophrenic patient who recovered from being socially withdrawn to participation in community activities through the multidisciplinary treatment plan that focused on the improvement of interpersonal social skills. Key factors involved in this system are integrated care resources, individualized care, individualized community mental health pattern,improvement of patient's self-care ability and promoting quality of life. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。