一位自殺未遂個案之護理經驗

The nursing experience of a suicide attempts patient

劉岳幗(Yue Kuo Liu) ； 翁麗雀(Li Chueh Weng)

《澳門護理雜誌》 16卷1-2期 (2018/04) Pp. 7-13

https://doi.org/10.6729/MJN.2017.002

摘要

本篇為照顧一位自殺未遂個案之護理經驗，經由直接觀察、會談、身體評估等方式取得資料，運用羅氏適應模式評估，確立健康問題有「無效性因應能力」、「急性疼痛」及「身體活動功能障礙」，在護理過程中運用關懷、傾聽及同理心了解個案負向思考，從中建立良好護病關係。引導家庭成員與病患間距離，表達自我感受及增強自我因應能力；透過藥物與另類療法來緩解個案的疼痛；依病程進展維持肌肉強度和關節活動及復健護理，促進個案的獨立程度。經由醫療團隊的治療及護理措施的執行，解決住院期間的不適以及積極學習後續照護方法，個案表示日後面對壓力衝突事件會採取正向的應變措施，出院後能維持自我照顧能力。

關鍵字

護理照護 ； 自殺 ； 自殺未遂

並列摘要

This case report described the nursing experience of a suicide attempts patient. Using the Roy's Adaptation model as a framework, we assessed patient by observation, interview and physical assessment. The major health problems of this patient were coping ineffective, acute pain, and impaired physical function etc. Therefore, authors established therapeutically relationship with the patient through caring, empathy, and listening. In addition, we encouraged family members to establish a good patient-family relationship and provided the opportunity for patient to express the negative emotion and enhance coping ability. We also provided medication and alternative therapy for pain control, physical rehabilitation for maintaining muscle strength and joint activity. After the individualized and appropriate nursing interventions, patient's distress symptom and self-care ability were improved gradually. Patient reported that he had the confidence and would adopt the positive coping strategies to deal with his disability, stress, and conflicts in the future.

並列關鍵字

nursing care ； suicide ； suicide attempts

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