運用跨理論模式協助愛滋病毒感染者之門診戒癮照護經驗

本文應用跨理論模式協助愛滋病毒感染者透過改變其行為達到戒癮目標。照護期間自2018年11月12日至2019年8月21日，藉由會談、通訊軟體及查閱病歷等收集資料，確立健康問題：缺乏因應能力的準備度、睡眠型態紊亂及潛在危險性無力感。個案因併用成癮性藥物導致生理依賴行為產生內心罪惡感，因而促使產生戒癮動機，透過行為照護協助其從準備期進入行動期跨出戒癮第一步，期間更運用跨理論模式策略提供戒癮輔導、情緒諮商及客製化衛教活動，過程中特別注重其自我肯定及社會支持系統，鼓勵個案學會拒絕誘惑技巧，順利讓其完成戒癮，期望將此經驗提供醫護人員照護戒癮病人參考。

關鍵字

愛滋病；跨理論模式；戒癮

並列摘要

The use of methamphetamine in HIV infections induce physical and psychological problems. The primary goal of this current treatment is to change psychology and behavior with the aim of reducing or stopping using methamphetamine to improve their psychosocial functions and return to normal life. This article uses the transtheoretical model of change to assist an HIV-infected person in the outpatient clinic to complete the withdrawal of methamphetamine through behavior changes. From November 12, 2018, to August 21, 2019, after comprehensive nursing assessment including interviews, communication software, and medical records, coping enhancement, readiness for change and powerlessness were identified as the health needs. The patient also depends on methamphetamine but feels guilt, thus motivating him to abstain from addiction. Through behavioral change care, the case was assisted from the preparation phase to the action execution phase to successfully cross the first step drug abstinence. The transtheoretical model was used during this period with strategies including addiction counseling, emotional counseling, and customized health education activities to successfully complete the drug addiction withdrawal of the case. It is hoped that this experience will provide clinical nurse with a reference when performing addiction care for patients.

並列關鍵字

drug abstinence ； HIV infections ； transtheoretical model

參考文獻

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