- 期刊
運用自我超越理論協助一位心靈困擾個案得到安適之護理經驗
Applying Self-transcendence Theory in Assisting a Spiritually Distressed Patient to Regain Well-being
摘要
本文是探討照護一位護理師背景之個案，護理過程中發現個案因輪班及心靈困擾造成睡眠障礙更導致一氧化碳中毒，照護期間自2010年5月9日至2010年6月15日止。包含住院期間照護6天、返家後共4次生命回顧。以觀察、會談等方式，依循Gordon十一項護理評估架構進行資料收集，並依緊急救治原則確立個案健康問題為氣體功能交換障礙、睡眠障礙、心靈困擾。針對心靈困擾之護理問題，筆者依據自我超越理論，於居家訪視期間運用生命相簿協助個案進行生命回顧。經由述說、回憶的過程增加病人對正向個人因子的察覺，進而提升自我超越能力，達到自我統合，表達對生命的看法及接納，得到心靈安適。生理問題則與護理長共同調整派班方式，降低輪班對個案的影響，使個案建立正確用藥及睡眠習慣，避免傷害事件的發生，本照護經驗可提供護理人在面對類似個案或同事時之參考。
並列摘要
This article describes a carbon monoxide poisoned patient caused by long-term insomnia due to an irregular shift schedule at work and spiritual distress. The five-week care period in 2010 included six days of acute hospitalization and four post discharge home visits. Information was gathered through observation and interview. Based on Gordon 11 Health Functional Patterns and principle of urgency, nursing health problems included impaired gas exchange, insomnia and spiritual distress. During the home visit, self-transcendence theory and life album were used to help the patient to reflect on life. The narration and recall process helped the patient to find positive factors and extend his ability in self-transcendence and self-identity. The patient was able to discuss and accept his life and gain spiritual well-being. The patient was able to work out a shift schedule that minimizes its impact on sleep disturbance. The patient also established a better sleeping pattern and the proper use of sleeping aids to prevent accidental suicide acts.
延伸閱讀
- 余錦星、楊佩宜、呂淑琴、馬大元（2012）。協助一位精神分裂個案改善家庭關係之護理經驗—現實治療法之應用。護理雜誌，59(6)，111-117。https://doi.org/10.6224/JN.59.6.111
- 林盈束（2021）。運用自我管理概念協助一位合併思覺失調症及強迫症患者的護理經驗。馬偕護理雜誌，15(2)，80-92。https://doi.org/10.29415/JMKN.202107_15(2).0008
- 游惠雯、黃燕茹、馬維芬（2018）。運用理情行為治療協助一位思覺失調症合併強迫症狀個案之自我控制感重建的護理經驗。護理雜誌，65(5)，112-119。https://doi.org/10.6224/JN.201810_65(5).14
- 王翠彬、陳雯婷（2005）。A Nursing Experience of Cognitive Therapy with a Major Depression Patient。護理雜誌，52(1)，74-80。https://doi.org/10.6224/JN.52.1.74
- 陳侑浩、陸瑞玲（2011）。A Nursing Experience of Behavior Therapy with an Attention-deficit/ Hyperactivity Disorder Patient。精神衛生護理雜誌，6(1)，56-65。https://doi.org/10.6847/TJPMHN.201106_6(1).0007