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| 題 名 | 認知行為治療結合遊戲於思覺失調症個案護理經驗=Cognitive Behavior Therapy Combined with Games in the Nursing Experience of a Case with Schizophrenia |
|---|---|
| 作 者 | 賴美靜; | 書刊名 | 安泰醫護雜誌 |
| 卷 期 | 31:1 2025.06[民114.06] |
| 頁 次 | 頁67-79 |
| 分類號 | 419.85 |
| 關鍵詞 | 思覺失調症; 認知行為治療; 幻聽; 自我照顧能力缺失; 營養狀況多於身體需要; Schizophrenia; Cognitive behavioral therapy; Auditory hallucination; Self-care deficit; Imbalanced nutrition more than body requirements; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本文為青少年患有思覺失調症合併智能不足個案之護理過程,筆者運用認知行為治 療及遊戲方式,建立個案良好的生活習慣與疾病共存,減少認知功能及自我照顧退化, 進而提升生活品質。護理期間 2022 年 3 月 14 日至 5 月 26 日,確立健康問題後,與個 案建立治療性護病關係,教導對幻聽的處理技巧,運用遊戲輪盤及藥物拼圖衛教穩定服 藥可以有效改善幻聽,增加服藥遵從性,並加強自我照顧能力,運用洗澡遊戲紙卡,引 發學習動機,增加個人衛生技巧,再改善體重過重及進食量大問題,運用遊戲餐盤及運 動減重計畫表,改善暴飲暴食及建立良好的運動習慣,結果發現透過行為治療結合遊戲 的方式能夠讓個案用簡單的方式理解,進而改善護理問題。因精神疾病冗長且呈慢性化, 建議及早改善個案問題,維持穩定規律作息,減少認知功能退化及疾病穩定。 |
| 英文摘要 | This study outlined the nursing treatment provided to a teenager with schizophrenia and an intellectual disability. This author combined behavioral therapy with gaming techniques to assist the individual in establishing healthy lifestyle habits and managing with the illness's coexistence. The clinical care period was from March 14 to May 26, 2022. This strategy intended to reduce cognitive impairments and deterioration in self-care while improving overall quality of life. Using observation, direct care, and conversations to collect data, the identified health problems included sensory-perceptual disturbances related to auditory hallucinations, a lack of coping skills for hallucinations, a self-care deficit (bathing and hygiene), and changes in nutritional status (excessive food consumption and lack of exercise). First, a therapeutic nurse-patient relationship was established in order to address these nursing concerns. The interventions included teaching coping skills for auditory hallucinations, employing a roulette game, and employing a medication conundrum to promote compliance with medications. A shower card game was used to motivate learning and improve personal hygiene skills for individuals with self-care deficiencies in bathing and hygiene. To address changes in nutritional status caused by excessive food consumption and lack of exercise, a game of meal planning and an exercise weight loss program were implemented to improve eating patterns and establish a healthy exercise regimen. Combining cognitive behavior therapy with activities proved to be an efficient and straightforward method for understanding and resolving nursing issues, as indicated by the findings. |
本系統中英文摘要資訊取自各篇刊載內容。