文章詳目資料

新生學報

  • 加入收藏
  • 下載文章
篇名 照顧一位憂鬱症患者因應能力失調與自殺行為之護理經驗
卷期 23
並列篇名 The Experience of Nursing for a Patient with Depression in Coping Dysfunction and Suicidal Behavior
作者 盧淑敏
頁次 009-026
關鍵字 因應能力憂鬱症自殺自傷Coping AbilityDepressionSuicide, Self-harm
出刊日期 202103

中文摘要

本文主旨在闡述一位低社會支持女性憂鬱症患者,面對負性生活事件,因應能力下降,繼而重複吞服安眠藥自殺行為之照護經驗。護理期間自106年8月20日至106年9月10日。筆者以尊重、接納、同理、傾聽及關懷的態度與個案建立治療性人際關係,藉由會談、觀察、團隊討論等技巧收集資料並進行整體性護理評估。確立主要的護理問題有因應能力失調和潛在性自我傷害。照護過程中維持原有藥物治療常規,特別針對因應能力失調提供評估與處置以及潛在性自我傷害之護理模式,實踐憂鬱症適切護理。使個案在住院期間能遵循醫療處置、改變思考模式、強化支持系統、降低焦慮情緒及肯定自我,提升壓力因應能力,進而降低自我傷害風險。筆者發現憂鬱症患者之護理,應及早覺察個案日常生活壓力對調適因應能力之影響,進而有效控制壓力誘發之焦慮情緒,使憂鬱症狀緩解改善,降低自我傷害之危險。期藉此個案照護經驗分享,實踐憂鬱症臨床護理知識內涵,提升個案照護品質。

英文摘要

The experience of a female depression patient, who with low social support faced negative life events and decreased coping ability response to suicide by overdose. The author establishes therapeutic interpersonal relationships with the case in an attitude of respect, acceptance, empathy, listening and caring, and uses techniques such as interviews, observations, and team discussions to collect data and conduct holistic nursing assessments to establish nursing problems. The caring period of time was from August 20 to September 10, 2017. The main health problems in nursing are coping ability imbalance and potential self-harm. Maintain the original drug treatment routine during the care process, practice the depression care model, and provide appropriate care. During the hospitalization, the case can follow medical treatment, change the thinking mode, strengthen the support system, reduce anxiety and affirm self, improve stress response ability, and reduce the risk of self-harm. The author found that the nursing care of patients with depression should be aware of the impact of the individual’s daily life stress on the ability to adapt and respond, so as to effectively control the anxiety induced by stress, relieve and improve depression symptoms, and reduce the risk of self-harm. This nursing experience, we hope to share the experience of case care, practice the connotation of clinical nursing knowledge for depression, and improve the quality of case care.

相關文獻