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題 名 | 一位海洛因成癮者行為改變歷程之照護經驗--跨理論模式之應用=Nursing Experience for Processes of Behavior Change by Transtheoretical Model in a Patient with Heroin Addiction |
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作 者 | 黃家嫻; 劉慧玲; 侯玟里; | 書刊名 | 精神衛生護理雜誌 |
卷 期 | 7:1 2012.10[民101.10] |
頁 次 | 頁41-48 |
分類號 | 548.829 |
關鍵詞 | 海洛因成癮; 美沙冬替代療法; 行為改變歷程; 跨理論模式; Heroin addiction; Methadone replacement therapy; Processes of behavior change; Transtheoretical model; |
語 文 | 中文(Chinese) |
中文摘要 | 本篇個案報告乃分享運用跨理論模式,探討一位海洛因成癮的女性個案,接受美沙冬替代療法的護理經驗。護理期間自2010年11月3日至2011年6月17日,筆者透過整體性護理評估、觀察、會談以及參閱病歷收集資料,並以跨理論模式為架構,評估個案當下的行為改變階段。發現個案主要健康問題為︰對美沙冬替代療法的知識不正確、低自尊及家庭社會支持系統薄弱等問題,且直接影響戒癮持續度,故依個案在戒癮過程的不同行為改變階段(準備期、行動期和維持期),提供自我解放、正向增強、找出社會支持力量及刺激控制之護理改變策略。結果顯示個案能增進對美沙冬替代療法的知識、正向看待自己,增強正向的因應能力,減少再復發機會。因此,建議護理人員在照顧類似個案時,能運用跨理論模式了解個案行為改變階段,以提供合適的護理處置,提升戒癮成效。 |
英文摘要 | In this case report, we share our nursing experience by the application of transtheoretical model in a heroin addicted female patient who accepted methadone replacement therapy. The nursing process started from November, 2010 to June, 2011. We have collected the information and made the holistic nursing assessment through observation, interview and the patient's medical record based on the study of behavioral change process through transtheoretical model. The major health problems of this patient with heroin addiction included the incorrect knowledge of methadone replacement therapy, low self-esteem and lack of family and social support, also these problems affect directly to the sustainability of abstinence. To help the patient keep on the maintenance stage, we according to the patient's different stage of behavior change (preparation, action and maintenance) provided different nursing strategies, including self-liberation, positive reinforcement, social support search and stimulus control. The results show that the patient has improved the knowledge of methadone maintenance treatment, started to look on the bright side, reinforced the ability of reaction, and inhibited the possibility of recurrence. We suggest that nurses can provide appropriate nursing intervention by applying transtheoretical model onto the similar patients who need to be taken care of through understanding the behavioral change process to promote the effectiveness of abstinence. |
本系統中英文摘要資訊取自各篇刊載內容。