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題 名 | 一位慢性精神分裂症患者的出院準備照護經驗=Discharge Planning Service for a Chronic Schizophrenia Patient |
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作 者 | 李玫炤; 熊德筠; 林靜蘭; | 書刊名 | 源遠護理 |
卷 期 | 4:1 2010.05[民99.05] |
頁 次 | 頁68-77 |
分類號 | 419.72 |
關鍵詞 | 精神分裂症; 出院準備照護需求; 病人需求導向; Schizophrenia; Discharge care plan; Patient-centered care; |
語 文 | 中文(Chinese) |
中文摘要 | 本文主要是運用出院準備服務,協助一位長期住院慢性精神分裂症個案出院的護理過程。筆者自94年3月始負責照顧個案,在協助個案進行出院準備的過程中,運用「以病人需求為導向」概念作整體性評估,確立其主要出院照護的需求為:1.與疾病共存的認知需求;2.家庭關係及角色的重整;3.建立正向的社區網絡。護理措施包括建立個案對疾病及按時服藥的正確認知,協助個案接受生病的自己,並改善與家人的互動,配合執行復健治療,加強個案自我照顧及獨立生活功能訓練;協助個案重建新的角色功能,建立正向且符合個案健康需求的支持網絡。經過長期3年的住院療護,最後以出院準備服務促使個案97年得出院轉康復之家,白天於日間病房接受職能復健;而後擔任清潔工作,能完成職業任務,每月薪水二萬餘,並於98年1月搬出康家,於斗六租屋獨居,持續工作與門診治療。就此照護經驗提醒臨床護理人員,應以病人出院照護需求為依據,提供符合個案需求且有效的措施,加強家庭支持,可促進精神病人的出院,提昇照護品質。 |
英文摘要 | This paper describes the discharge planning process after a lengthy hospitalization for a patient diagnosed with chronic schizophrenia. The primary nurse evaluated and formulated three major goals based on the patient’s needs: (1)knowledge of the illness and disease management; (2)adjustment in roles and family relationship, and (3)establishment of positive social networks in communities. The nursing care interventions included (1)provide to patient knowledge of the disease and medications and help the patient accept own illness; (2)improve patient and family member interactions, and (3)reconstruct patient’s role and functions in society with a meaningful supporting network. The patient was discharged as planed in 2008 to a rehabilitation center where she worked during the day as a housekeeper. In January 2009, she moved out of the rehabilitation center and currently lives independently in a rental property. She maintains her job as a housekeeper, keeps her outpatient appointments and visits by her children during holidays. This nursing experience demonstrates an effective individualized discharge process for psychiatric patients. |
本系統中英文摘要資訊取自各篇刊載內容。