頁籤選單縮合
題 名 | 一位中年婦女更年期身心困擾併有安眠藥成癮之護理經驗=A Nursing Experience of a Middle-aged Woman in Menopause, Sleeping Pills Addicted, with Physical and Mental Distress |
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作 者 | 林姿宜; 江曉惠; | 書刊名 | 精神衛生護理雜誌 |
卷 期 | 10:1 2015.11[民104.11] |
頁 次 | 頁34-41 |
分類號 | 419.74 |
關鍵詞 | 更年期; 身心困擾; 睡眠型態紊亂; 藥物成癮; Menopause; Physical and mental distress; Sleeping disorders; Drug addiction; |
語 文 | 中文(Chinese) |
中文摘要 | 本文描述一位54歲更年期身心困擾之婦女,因失眠問題長期依賴藥物成癮之護理經驗。筆者於2010年2月20日至4月5日的護理期間,運用五大層面為評估架構,利用觀察、身體評估、家屬溝通及會談等方式進行資料收集,整理歸納護理問題有「睡眠型態紊亂」、「個人因應能力失調」及「妥協性家庭因應能力失調」。過程藉由提供更年期相關訊息及睡眠習慣養成,出院前夜眠可達6-8小時;且運用認知治療來修正安眠藥成癮及壓力因應方式,結果個案選擇不再服用安眠藥,更有信心拒絕藥物誘惑;另利用角色互換方式,讓個案及案子了解溝通障礙,建立彼此可以接受的溝通模式,並提供社會資源與照護訊息及技巧,降低案子照顧壓力,同理個案身心症狀改變與不適,使照顧得心應手,進而提高生活品質。 |
英文摘要 | This paper describes a middle-aged woman with menopausal symptoms, who was married, away far from homeland, having been undergoing empty nest communication barriers, which also result in her longterm dependence on sleeping pills. During February 20, 2010 to April 5, 2010, we had used a so-called five dimensions to assess the framework, and established the case’s main problem of “sleeping disorder”, “personal coping ability disorder”, and “the disorder of coping with compromised family’s ability. The experimental process in the case was modified by menopause-related messages and sleeping hygiene habits to further develop and use cognitive behaviors. We also had a proper pressure coping strategy and stance tried in order to figure out the way to make the case understand the communication barriers and establish a mutually acceptable mode of communication through the method of role change. Moreover, by providing with the aforementioned resources and assistance, the patients with physical, mental symptoms, and discomfort decreased, while taking care of the similar conditioned patients became easier, whose quality of family life would also improve better. |
本系統中英文摘要資訊取自各篇刊載內容。