- 期刊
一位癲癇合併暴力行為外籍配偶健康照護之探討
Healthcare of a Foreign Spouse with Epilepsy and Violence
摘要
壓力是影響健康的重要因素，移民遷移的過程會面臨社會、文化、經濟等各層面的問題，當發生調適困難時，壓力就可能轉化成身心健康的問題。外籍配偶屬於健康弱勢的一群，她們的健康照護問題不僅影響其個人，也間接影響國人及整個家庭與社會。個案為35歲印尼籍華裔女性，明顯出現生活適應障礙、缺乏語言溝通能力、就醫資訊之獲取、親職教育障礙、情緒焦慮與憂鬱合併暴力行為等問題，經精神科專科醫師評估臨床診斷為癲癇引致之精神疾病(mental disorder due to epilepsy)，施以藥物治療後，病況獲得改善，且癲癇未再發作。在社會資源提供部分，政府應協助外籍配偶學習本國語言，讓她們融入本國社會、提昇生活調適能力、擴展人際網絡與生活圈，並加強宣導精神衛生教育，讓國人及外籍配偶明瞭精神疾病的可治療性，讓需要醫療服務者，早日接受治療，以減少不幸事件發生的頻率。
並列摘要
Stress affects health. Most immigrants face social, cultural and economic problems in the process of immigration. Stressors may induce physical and mental disorders among immigrants with adjustment problems. Foreign spouses constituted a disadvantaged group in terms of health. Their health problems not only affect themselves, but also their family and society. The case reported in this study was a 35-year-old female Indonesian Chinese. She suffered from life adjustment problems, lack of verbal communication ability, poor access to medical resources, barrier of parenting education, anxiety, depression and domestic violence. She was diagnosed with mental disorder due to epilepsy by a psychiatrist. After treatment with medication, she had improved mental condition and no recurrence of seizure. The government should provide social support to foreign spouses, assisting them to learn the vernacular language, adapt to the local society, enhance adjustment ability, expand interpersonal network and life circles. In addition, the government should promote psychiatric education to enhance the understanding of psychiatric illness and offer prompt medical treatment to patients in order to decrease the risk of misfortune.