本文探討照護一位憂鬱症高齡個案因面對壓力無法有效因應及調適，導致憂鬱症復 發，因持續負向想法及出現自傷企圖之護理經驗過程。護理期間自2016 年08 月23 日 至10 月07 日，以五大層面整體性護理評估方式收集資料，發現個案健康問題依序為： 潛在危險性自殺、睡眠型態紊亂、無效性因應能力。運用音樂介入治療中，擬定護理計 畫，協助個案解除自殺危機、改善睡眠品質，因應生活中的壓力問題，轉化負向想法， 增強其適應性及學習重建正向認知。出院後電話追蹤個案，可維持規律作息、情緒表現 穩定，並利用有效的資源和自我調適。期待能將此臨床實務照護經驗作為分享。

The purpose of this case report was to share the nursing experience of applying music therapy to an older people with depression and negative thinking.The nursing period was from August 23 to October 07, 2016. Holistic nursing assessments were used for data collecting.Data analysis revealed the health problems included risk for sucide,sleep disturbance, and ineffective coping.During the nursing process, music therapy was applied to lead the patient toward positive thinking. Assist patient to relieve suicide crisis, improve sleep quality, and respond to stress in life. Patient can maintain regular routines, emotional stability, use effective resources and self-adjustment after discharge. This case report expects to share this clinical practice care experience.