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題名 | 一位自閉症類群障礙青少年首次住院接受行為治療之護理經驗=The Nursing Experience of Applying Behavior Therapy to a Hospitalized Patient with Autism Spectrum Disorder |
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作 者 | 許芳瑜; | 書刊名 | 高雄護理雜誌 |
卷期 | 40:3 2023.12[民112.12] |
頁次 | 頁156-166 |
分類號 | 419.853 |
關鍵詞 | 自閉症類群障礙; 行為治療; 暴力; 家庭因應能力失調; Autism spectrum disorder; Behavior therapy; Violence; Family coping; |
語文 | 中文(Chinese) |
DOI引用網址 | 10.6692/KJN.202312_40(3).0014 |
中文摘要 | 本文闡述一位首次精神科住院自閉症類群障礙之青少年,因長期受疾病症狀影響,在學校及家庭生活中易情緒欠穩與他人起衝突並攻擊他人,故醫療團隊運用行為治療協助改善偏差行為之護理經驗。照護期間為2021年3月27日至2021年5月9日,運用五大層面評估,歸納個案主要的健康問題有高危險性暴力行為:朝向他人、睡眠型態紊亂、家庭因應能力失調等。運用行為治療,教導個案合宜的溝通技巧、引導衝動控制,並訂定行為契約,使不當情感表達及行為獲得改善,然而人際關係之衝突減少可提升自閉症類群障礙之自信心,亦能提升個案於學校、家庭環境的適應能力,避免再次住院。建議日後照護類似個案時能整合家庭、學校共同實施行為治療策略以發揮最佳療效。 |
英文摘要 | This article discusses a personal nursing experience of behavior therapy for a hospitalized adolescent patient with autism spectrum disorder who had emotional instability, conflicts, and attacks at school and in the home due to long-term disease symptoms. The caring plan was launched on March 27, 2021, and continued until May 9, 2021. The data were collected by psychiatric five-dimensional global assessments to summarize the main health issues including the risk of violence, sleep pattern disturbance, and how family coping affected this patient. Problematic behaviors were addressed by working with the medical team to teach the patient appropriate communication skills and guide impulse control. A behavioral agreement was developed with the patient and his family to improve improper expressive situations and behaviors, sincere ducing interpersonal conflicts can improve the self-confidence of autistic patients. Individual adaptability in school and the family were improved to avoid rehospitalization, thus it is recommended that the family and school implement behavior therapy for the best outcome of autism spectrum disorder treatment. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。