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運用藥物治療信守概念於一位躁鬱症重複住院個案之護理經驗

A Nursing Experience of Improving a Repeatedly- Hospitalized Patient with Bipolar Disorder to Adhere to Medication

摘要


本文主要描述一位躁鬱症患者,因藥物治療信守不足,造成疾病反覆復發而重複入院之照護經驗。住院護理期間為2013年6月19日至同年7月29日,運用觀察及會談技巧進行整體性護理評估,歸納出主要健康問題有:高危險性暴力、思考過程紊亂、藥物治療信守不足。針對病患藥物治療信守不足,運用藥物信守概念,擬定符合個案需求之個別性護理計畫,建立信守關係,了解其疾病史、對治療的看法及長期服藥的感受,使其主動接受藥物治療並維持健康狀態;出院後同年8月5日至10月31日持續於門診追蹤及電話訪談,與個案共同合作的經驗,不僅提升照護品質,使得個案能長期安居於社區中。

關鍵字

躁鬱症 藥物治療信守 護理

並列摘要


This paper aims to describe the nursing experience of caring for a repeatedly - hospitalized patient who had a recurrent bipolar disorder due to lack of compliance with medication. During the nursing period from June 19 to July 29 in 2013, a holistic nursing assessment was undertaken through observations and conversations. The health problems were identified as follows: high risk of violence, thinking disorder, and lack of compliance with medication. The intervention strategies included applying the concept of sticking to medication, developing an individualized nursing plan that met the patient’s needs, and establishing a trustworthy relationship to understand the patient's medical history, and further to view and perceive how the treatment and long-term medications would have an impact on him. We, thereby, assisted the patient in actively receiving medication and maintaining health, and subsequent outpatient follow-ups and telephone interviews were also conducted during August 5 and October 31 in 2013. The cooperation between the nurse and patient effectively improved the quality of care and enabled the patient to remain in the community as long as possible.

參考文獻


黃任瑩、陳幸眉(2014).慢性病患藥物治療信守之概念分 析.護理雜誌,61(3),112-118。doi:10.6224/JN.61.3.112
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被引用紀錄


林欣薇、柯貞如(2020)。一位雙相情緒障礙個案急性躁期之護理經驗高雄護理雜誌37(),86-99。https://doi.org/10.6692/KJN.202005/SP_37.0008

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