- 期刊
運用關懷理論於一位雙相情緒障礙症患者反覆自殺之照護經驗
Applying the Watson Theory to the Care Experience of Bipolar Disorder Patient with Repetitive Suicidal Behavior
摘要
本文描述一位雙相情緒障礙症患者，因個人、家庭及感情等因素，而無法調適生活多重壓力，出現反覆自傷自殺行為之護理經驗。護理期間為2019年10月30日至11月5日，藉由觀察、會談、直接照護等方式，歸納出健康問題有危險性自我傷害行為、無效性因應能力及家庭因應能力失調。照護期間發現個案因個人感情因素及家庭支持度不足，無法調適個人情緒壓力，加上多負向思考，反覆以自傷自殺行為來因應壓力情境，故運用Watson人性化關懷理論十項照護因素，利用關懷、真誠之態度，與個案建立良好信任關係，促進正向思考模式及肯定自我，增強壓力情境的因應能力，並引導建立家庭成員之間有效的溝通方式及支持系統，改善認知上的偏差問題，進而預防再次自殺行為。
並列摘要
This paper describes the case of caring for a bipolar disorder patient who repeatedly attempted self-harm and suicide due to the inability to cope with multiple sources of stress in personal life, family, and relationships. During the care period between October 30 and November 5, 2019, the patient's health issues were identified as risky self-harm, ineffective coping, and problems in family coping through methods such as observation, interview and direct care. The patient was found to be unable to cope with personal emotional stress because of their relationship issues and a lack of family support. The stress, in addition to negative thoughts, drove the patient to repeated self-harm and suicide as a coping mechanism. In response to this, Watson theory was applied to establish trust with the patient with a caring, sincere attitude to facilitate positive thinking and self-affirmation as well as to improve patient ability to cope with stress. Guidance was provided to the family to correct misconceptions and establish effective communication methods and a support system to prevent future suicidal behavior.