運用減重策略協助一位長期服用抗精神病劑個案控制體重之護理經驗

Nursing Experience about Using Weight Reduction Strategy to Control Body Weight for A Patient Taking Long-Term Anti-Psychotic Drugs

謝雅雯(Ya-Wen Hsieh) ； 黃惠滿(Hui-Man Huang)

《高雄護理雜誌》 29卷2期 (2012/08) Pp. 59-69

https://doi.org/10.6692/KJN-2012-29-2-6

摘要

本文描述一位個案因長期服用抗精神病劑導致體重增加，經由減重策略達到體重控制之護理經驗。護理期間自2009年1月22日至9月10日。透過觀察、會談、身體檢查、查閱病歷及電訪等方式評估及收集資料，發現個案有營養狀況改變、個人因應能力失調、自尊紊亂三個健康問題。護理措施著重在協助個案確認體重過重與健康問題之關連，並依個別性設計個案生活日誌，紀錄每日運動量及飲食，並定期評估體重；教導個案確認壓力源，並藉由情境演練學習正向因應方法，執行團體治療與職業復健，協助個案尋找正增強因子，提升其自信心，使得個案體重由78.1減少至62.1公斤，達成護理目標。期望本文可成為護理人員日後照顧長期服用抗精神病劑個案之參考。

關鍵字

抗精神病劑 ； 營養狀況改變 ； 減重策略 ； 體重控制

並列摘要

The purpose of this paper was to share the experience about using reduction strategy to control body weight of a patient who was taking anti-psychotic drugs for a long time. The duration of nursing was from January 22nd to September 10th in 2009. Data was gathered by using observations, interviews, physical examinations, medical records, and family visits. Three problems were identified: changing nutritional status; coping with insufficiency; and self-esteem disturbance. Nursing interventions included: helping the patient realize relationships between over-weight and occurrence of health problems; implementing an individualized life chart; and regularly evaluating body weight, exercise, and diet. The patient also learned about the sources of stressors and positive coping methods by situational practice. By means of group therapy and occupational rehabilitation, the patient's positive reinforcers were found and self-confidence was established. After applying these nursing techniques, the patient's body weight was reduced from 78.1 to 62.1 Kg. This nursing experience serves as a useful reference for nurses when caring for patients taking long-term anti-psychotic drugs.

並列關鍵字

Changing in nutritional status ； anti-psychotics drugs ； reduction strategy ； body weight control