運用多元放鬆技巧於一位憂鬱症病患合併接受電痙攣治療之護理經驗

本文描述照顧一位長期受憂鬱情緒所困且首次接受電痙攣治療之護理經驗，病人於住院期間處於焦慮情境、因應及調適障礙，筆者以多元放鬆技巧改善多重健康議題。照護期間為2019年09月10日至2019年10月22日，以觀察、會談、身體評估及整體性評估工具等方式收集資料，確立個案有焦慮、因應能力失常及潛在危險性自我傷害之健康問題。其中透過多元放鬆技巧作為主要介入策略，如：漸進式肌肉放鬆、靜坐放鬆及正念減壓技巧等，當面臨突發壓力事件或情境中，可提升面對壓力之因應能力，並將其展現重拾生活動力。照護初期個案對於學習新技能缺乏動力，於醫療團隊共同鼓舞下得以順利推動，針對長期負向思考模式，協助引導自我覺察並重建自我價值及信心。期望藉此次經驗分享，未來可供提供精神衛生護理人員在照護類似個案時，可實際介入多元化放鬆技巧，建構成熟因應及適應現實情境中，灌注再次返回家中之希望感受。

關鍵字

憂鬱症；焦慮；多元放鬆技巧；電痙攣治療

並列摘要

This article describes the experience of caring for a patient who has suffered from chronic depression and received electroconvulsive therapy for the first time. The patient suffered from anxiety, coping and adjustment disorders during hospitalization. The author utilized multiple relaxation techniques to improve multiple health issues. Data were collected during nursing period from September 10 to October 22 in 2019, through observations, interviews, physical assessments, and holistic assessment tools to identify patients with health issues such as anxiety, coping disorders, and potentially dangerous self-harm. Among these multiple relaxation techniques employed as the main intervention strategy include: progressive muscle relaxation, meditation relaxation and mindfulness stress reduction techniques, and so on. So when facing sudden stressful events or situations, one has greater ability to cope and demonstrate it by regaining motivation in life. In the early stage of nursing care, the lack of motivation to learn new skills was successfully reverted with the encouragement from the medical team. Aiming at long-term negative mindset patterns, it helped guiding self-awareness and rebuilding self-worth as well as confidence. Hopefully, by sharing this experience, mental health nursing staff will precisely apply diversified relaxation techniques when caring for similar cases in the future, build mature responses, adapt to real cases, and hence instill the sense of hope for returning home again.

並列關鍵字

major depressive disorder ； anxiety ； multiple relaxation techniques ； electroconvulsive therapy

參考文獻

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