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題 名 | 運用希望療法照護一位反覆燒炭自殺無望感患者之護理經驗=Nursing Experience of Using Hope Therapy for Care of a Hopeless Patient Who Repeatedly Commits Suicide with Charcoal Burning |
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作 者 | 高郁茜; 穆淑珍; 廖桂林; 郭芳里; 柯淑芬; | 書刊名 | 高雄護理雜誌 |
卷 期 | 40:3 2023.12[民112.12] |
頁 次 | 頁85-97 |
分類號 | 419.821 |
關鍵詞 | 反覆性燒炭自殺; 無望感; 希望療法; 急診護理; Repetitive charcoal burning suicide; Hopelessness; Hope therapy; Emergency; |
語 文 | 中文(Chinese) |
DOI | 10.6692/KJN.202312_40(3).0008 |
中文摘要 | 本文旨在分享一位年輕男性,面臨債務糾紛、女友分手及親子衝突,產生無望感後選擇反覆性燒炭自殺。照護期間為109/11/01~11/03,運用精神科之身體、情感、智能、社會、靈性等五大層面進行整體性評估,藉由主動關懷、陪伴傾聽收集資料,發現個案有現存性傷害、無望感及因應能力失常等健康問題。於急性一氧化碳中毒照護初期,立即給予高濃度氧氣、密切評估生命徵象及神經學症狀,加強高壓氧治療之護理。第一線人員扮演自殺防治守門人的角色,發揮早期發現、早期介入、早期協助的功能,適時給予鼓勵並提供資源協助,運用希望療法鼓勵個案坦然面對困境,對未來產生期待,激發內在能量,勇敢接受挑戰,減少自殺意念。期此經驗能提供急診同仁照護之參考。 |
英文摘要 | The article aims to share a young man who felt hopelessness after facing debt disputes, breaking up with his girlfriend and parent-child conflict, and chose to commit suicide by burning charcoal repeatedly. The nursing period is from 109/11/01~11/03. Use the five dimensions of psychiatry: physical, emotional, intellectual, social, and spiritual to conduct a holistic assessment. By showing concern, keeping company and listening, it is found that the case has health problems such as existing injury, hopelessness and ineffective coping. At the initial stage of care for acute carbon monoxide poisoning, give high-concentration oxygen immediately, closely assess vital signs and neurological symptoms, and strengthen the care during hyperbaric oxygen treatment. Front-line personnel play the role of gatekeeper for suicide prevention, play the functions of early detection, early intervention and early assistance, provide encouragement timely and resource assistance, and use hope therapy to encourage patients to face difficulties calmly, have expectations for the future, stimulate inner energy, bravely accept challenges, and reduce suicidal idea. Hope this experience can provide a reference for emergency colleagues care. |
本系統中英文摘要資訊取自各篇刊載內容。