精神分裂症病患幻聽症狀自我處理技巧之初探研究

Pilot Study of Self-Management Strategies for Auditory Hallucination in Patients with Schizophrenica

李美秀(Mei-Hsiu Lee) ； 蔡芸芳(Yun-Fang Tsai)

《醫護科技學刊》 5卷1期 (2003/01) Pp. 45-54

https://doi.org/10.6563/TJHS.2003.5(1).5

摘要

幻聽對於精神疾患而言，是令人苦惱的問題，有時甚至會造成自傷或自殺行為的發生。即使使用藥物治療，仍有許多患者持續有幻聽的症狀，而必須與幻聽共存。本研究的目的為探討精神分裂症病患幻聽症狀之自我處理技巧，以立意取樣方式，在花蓮、屏東、高雄及台南等地區之醫學中心和精神科專科醫院收案，以面對面的訪談方式進行資料的收集。在102位有幻聽干擾的個案中，僅有67位表示有幻聽症狀之自我處理技巧，共提出46種方法。最多人使用的方法是『不理它』。第二多人使用的是『聽音樂』、『看電視』、和『找人說話』。第三多人使用的是『運動』。本研究結果可作為未來其它精神分裂症病患，在面對幻聽干擾時症狀處理的參考；並可提供臨床醫護人員或家屬在照顧病患時之處理方法，以便幫助病人減輕幻聽症狀的干擾。

關鍵字

精神分裂症 ； 幻聽 ； 自我處理技巧

並列摘要

Auditory hallucinations are severely distressing for psychiatric patients. Even when on medication, many psychiatric patients still suffer from auditory hallucinations, and thus need to find ways to live with this problem. This study surveyed self-management strategies for auditory hallucinations in patients with schizophrenia. The survey was performed by using purposive sampling. The data was gathered from medical centers and psychiatric hospitals located in Hualien, Pingtung, Kaohsiung and Tainan cities, and patients were interviewed using both structural and semi-structural questionnaires. A total of 102 patients participated in the study. Among the participants, only 67 patients claimed to have self-management strategies to deal with auditory hallucination. Forty-six separate strategies were identified. The most frequent described strategy for dealing with auditory hallucinations was simply “ignore”. Next, all ranking similarly in terms of popularity, were the three strategies “listen to music”, “watch television”, and “talk with others”. Finally, “exercise” also ranked fairly highly, and was the fifth most popular method of dealing with auditory hallucinations. The findings of this study can be used as a reference for managing auditory hallucinations in schizophrenic patients. Simultaneously, the management strategies described herein can also provide reference for clinical staff and family in caring for schizophrenic patients suffering auditory hallucinations and helping them achieve relief.

並列關鍵字

schizophrenia ； auditory hallucination ； self-management strategies

參考文獻

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