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題名 | 以蕭氏情境家庭護理治療於精神分裂症病患及其家庭之護理經驗=An Experience Using Contextual Family Nursing Therapy to Chronic Schizophrenic Patient and Familiy |
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作者 | 李佳靜; 蕭淑貞; Li, Chia-ching; Shiau, Shu-jen; |
期刊 | 精神衛生護理雜誌 |
出版日期 | 20121000 |
卷期 | 7:1 2012.10[民101.10] |
頁次 | 頁33-40 |
分類號 | 429.5、429.5 |
語文 | chi |
關鍵詞 | 蕭氏情境家庭護理治療; Shiau's contextual family nursing therapy; |
中文摘要 | 本文描述以「蕭氏情境家庭護理治療」於一位慢性精神分裂症病患及其家庭之護理經驗。筆者於北部某區域教學醫院持續追蹤照護和家庭訪視,自2010年7月14日至同年12月30日照護期間,進行情境家庭護理評估,包括:(一)「結構性家庭特質」顯示家庭經濟支持薄弱。(二)「家庭功能」顯示問題解決、溝通、健康照顧和獨力依賴功能障礙,影響個案精神症狀與成員間穩定性。(三)「社會支持系統」顯示實質性、情感性、訊息性支持系統薄弱。家庭護理治療過程以「情境家庭護理治療場景及治療元素紀錄形式」表格呈現,包含「心」為護理人員在進入家庭前先省思自我狀態和能力,而能更柔軟的投入於家庭情境中;「識」為了悟每次家庭所處情境;「觸」為運用家庭護理治療處置技巧於家庭關注的主題;「智」為功能性家庭特質出現轉變的力量,尤其以「健康照顧功能」由無法遵從醫療建議和治療,轉變為期望個案症狀改善到日間留院持續復健,以減輕家庭負擔,產生求醫決策過程和醫病關係的體認,家庭對於個案疾病照護和未來發展開始抱有希望和期待。 |
英文摘要 | This article is to introduce the ”context of home care treatment Shaw” in a chronic schizophrenic patient and family of nursing experience. Our experimental period started from July 14th to December 30th 1999 in a regional-level teaching hospital in the North to keep track of family care and field visits. Nursing assessment was made on the basis of three aspects: 1.”Structural characteristics of the family” shows weak economic support. 2. ”Dysfunctional families” Shows dysfunction in problem-solving, communication, health care and dependent, affect patient psychiatric symptoms and family stability. 3.” Social support system” shows weak substantial, emotional, and messages support. Family nursing process to the text record presents the scene and treatment elements, including ”heart” of nurses self-reflection ability before putting themselves into a family situation and more soft considerations; ”know” means to comprehend family situation in each time; ”touch” involves in the home concern subject with family therapy techniques; ”wisdom” shows functional characteristics of family shifting to energy creating, particularly in the ”health care function” it's not able to follow the medical advice and treatment, then with no choice but to expect symptoms' alleviation, to reduce family burden, and to begin rehabilitation in day care centers which leads to a nursing-patient relationship and medical decision-making process of recognition, and the family has hope and expectations for better future development. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。