運用Watson關懷理論合併園藝活動照護一位老人憂鬱症患者之經驗

Integrating Watson's Theory of Human Care with Gardening Activities: A Nursing Experience of an Elderly Patient with Depression

劉佳萍(Chia-Pin Liu) ； 江國誠(Gwo-Cheng Chiang) ； 陸秀芳(Shiou-Fang Lu)

《志為護理-慈濟護理雜誌》 13卷5期 (2014/10) Pp. 88-98

摘要

本文描述一位日間照護中心老人憂鬱症患者，長期因婚姻問題及經濟壓力，出現情緒低落、低自尊、對於未來無望感，以隱忍、壓抑方式來面對壓力。護理期間自2013年1月5日至2013年6月30日，以整體性護理評估方式收集資料，運用同理心、傾聽、接受、關懷等技巧，發現個案護理問題為：無效性因應能力、無望感，故擬定照護計劃及運用Watson關懷理論合併園藝活動措施於個案，發現個案在自我概念、生活適應都有正面的影響、改善憂鬱情緒及無望感。後續追蹤個案出院後生活規律，情緒可維持穩定，照顧放暑假的孫子及從事農作物的栽種，未出現對未來生活的不確定感。冀望此照護經驗，能提供護理同仁日後在面對照護類似個案之參考。

關鍵字

老人憂鬱症 ； 無望感 ； 園藝治療 ； Watson關懷理論

並列摘要

This article described an elderly patient with depression, living in a day care center, who faced stress with tolerance and inhibition, and exhibited depression, low self-esteem, and despair towards future due to the long-term marital issues and financial strain. The nursing activity began between Jan. 5th and Jun. 30th 2013. The authors carried out holistic nursing assessment to collect data and applied empathy, listening, accepting, and caring skills to establish a positive relationship with the patient. The following issues were identified: ineffective coping and hopeless. Therefore, a caring plan that integrated Watson's Theory of human care with gardening activities was implemented. The plan exerted positive impact on the patient's self-concept and life adjustment skills. Furthermore, the symptoms of depression and hopeless were reduced. Upon discharge, the follow-up observations revealed that the patient managed to maintain a routine schedule with stable emotions. He could also attend to his grandchildren who were on summer vacation as well as engaged in agricultural activities, without exhibiting any uncertainty towards future. We hope that this case could provide a reference for our nurses when encountering similar cases in the future.

並列關鍵字

gardening therapy ； geriatric depression ； hopeless ； Watson's Theory of Human Care