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題 名 | 極晚發型思覺失調症病人之護理經驗=Nursing Experience with a Patient Diagnosed with Very Late-Onset Schizophrenia |
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作 者 | 廖淑惠; 陸瑞玲; | 書刊名 | 精神衛生護理雜誌 |
卷 期 | 18:3 2024.03[民113.03] |
頁 次 | 頁42-48 |
分類號 | 419.85 |
關鍵詞 | 極晚發型思覺失調症; 被害妄想; 暴力; 家屬因應能力失調; Very late-onset schizophrenia; Persecutory delusions; Violence; Dysfunctional coping with family members; |
語 文 | 中文(Chinese) |
DOI | 10.6847/TJPMHN.202403_18(3).06 |
中文摘要 | 本文探討一位76歲女性極晚發型思覺失調症病人之護理經驗,因出現幻覺及被害妄想,擔心被下毒拒吃家人準備的食物,出現焦慮及激躁情緒,攻擊兒子的暴力行為而入院,於2022年11月15日至12月22日住院期間,筆者運用「精神衛生護理評估」藉由會談、行為觀察、直接護理、傾聽及查閱病歷記錄等方式並以生理、心理、智能、社會及靈性五大層面的護理問題評估收集相關資料確立病人之健康問題,主要有:思想過程改變、高危險性暴力、家屬因應能力失調等。透過護理計畫,運用同理心,藉由陪伴及關懷和病人建立良好的治療性人際關係,於治療性環境給予正向心理支持、教導辨識與因應精神症狀,增進病人病識感、加強信守服藥及疾病自我管理等護理措施,協助病人改善人際互動、減輕症狀干擾、增強日常生活功能,成功轉介長期照護,使病人獲得持續性照護,也使家屬有喘息時間,從而舒緩照護壓力,增進雙方良性互動,提升生活品質。期以此護理經驗之分享,提供護理人員日後照顧此類病人之參考。 |
英文摘要 | This study explored the experience of caring for a 76-year-old female patient with very late-onset schizophrenia. The patient was admitted to the hospital after she exhibited signs of visual and auditory hallucinations, anxiety, refusal to eat food prepared by her family out of fear of being poisoned, and aggressive, violent behavior toward her son. During her hospitalization from November 15 to December 22, 2022, a mental health nursing assessment that involved interviews, behavioral observations, direct nursing, listening, and medical record reviews were used. In addition, data were collected across the physiological, psychological, cognitive, social, and spiritual dimensions. Numerous major health problems were identified, including changes in the patient's thought process, a high risk of violence, and dysfunctional interactions with family members. By formulating and implementing a nursing plan that utilized empathy, companionship, and care approaches, the author established a positive therapeutic relationship with the patient. In this therapeutic environment, the patient received positive psychological support and education on recognizing and coping with psychiatric symptoms, thereby enhancing her awareness of her conditions, improving her medication compliance, and enhancing her ability to manage the illness on her own. These nursing interventions improved the patient's interpersonal interactions, alleviated her symptoms and dysfunctions, and enhanced her ability to engage in activities of daily living. The successful referral to long-term care ensured continual care for the patient and provided her family with a respite, thereby reducing their caregiving stress, fostering beneficial interactions between them and the patient, and enhancing their quality of life. By sharing this nursing experience, the author hopes to offer a reference for nurses in caring for patients with similar conditions. |
本系統中英文摘要資訊取自各篇刊載內容。