- 期刊
一位處於躁期病患反覆住院之護理經驗
A Nursing Experience for a Repeatedly-Hospitalized Patient with Bipolar Disorder
摘要
本文闡述一位躁鬱症患者自行停藥導致疾病復發而反覆住院之護理經驗。護理期間為2010年3月3日至2010年7月30日，筆者於護理期間透過與病患建立良好治療性人際關係，藉由觀察、會談及整體性護理評估等技巧收集資料及確立問題，歸納病患主要健康問題有高危險性暴力、社交互動技巧不當、服藥結盟不足等。照護過程中，與其共同討論及擬定符合病患需求之個別性計劃，除協助接受藥物治療外、矯正暴力行為、協助病患自我察覺情緒及教導正向調適情緒方式，提供社交技巧訓練修正不合宜社交行為為急性期主要護理，於緩和期強化其服藥結盟行為，並將家屬納入治療計劃中，於病患出院後，藉由電訪追蹤以監測症狀及生活適應情形，使其順利回歸社區生活且預防疾病復發。
並列摘要
This case report describes the nursing experience of a patient with recurrent bipolar disorder because of non-adherence with medication. During the nursing care period from March 3th to July 30th, 2010, the author built a strong therapeutic relationship with the patient. The author observed and interviewed with the patient to further evaluate his physical, emotional, intellectual, sociological, and spiritual state. After the aforementioned analysis, it could be concluded that the main problems of the patient is at the edge of violence, impaired social skills, and non-adherence. In accordance with the patient's need, the author also discussed the care plan with patient during the nursing period. The author taught the patient how to understand and cope with his emotions, and to correct his violent behaviors, and receive certain training of social skills. The author also provided psycho-education for the patient and family to build medical alliance. Through telephoning communication, the author monitored the patient's symptoms and adaptation to family life after he discharged from the hospital. This patient has been able to return to the community successfully and to prevent from disease relapse.