運用音樂治療於一位慢性思覺失調症個案之照護經驗

本文敘述一位慢性思覺失調症個案，運用音樂治療之護理照護經驗。2012年9月15日至12月16日照護期間，藉由會談、觀察等方式收集資料，經整體性護理評估後，確立個案有焦慮、感覺及知覺紊亂（聽幻覺）、社交互動障礙等護理問題。筆者運用被動治療形式，合併採聆聽法介入，進行個別性音樂治療。針對個案需求，進行完整評估，擬定計畫及目標，促使個案學會面對及處理疾病相關問題，讓病情獲得有效控制。出院後，電話追蹤及居家訪視，亦發現個案仍可持續運用音樂治療，穩定控制情緒及症狀干擾，獲得身體和心理舒適狀態，進而回復社會化功能與生活品質，並減輕家屬之照護壓力。

關鍵字

音樂治療；慢性思覺失調症；照護經驗

並列摘要

The purpose of this article is to discuss a nursing experience using music therapy for a chronic schizophrenic patient. The duration of care was from September 15th to December 16th, 2012. Through the ways of interviews and observation with full nursing evaluation to collect information from the patient who was determined to have several nursing problems, such as anxiety, disturbed sensory perception(auditory hallucination), impaired social interaction. During the nursing process, Passive therapy was strategically used, combining empathetic listening skill with individual music therapy. A plan and goal can be built up according to the needs of the patient with complete evaluation, urging him to face and to deal with problems related to the disease which can be effectively controlled. After being discharged from the hospital, the patient's condition was monitored via telephone follow-ups and home visits. It was discovered that the patient was able to continue having their emotion in control; in addition, music therapy also helped the patient stabilize interference symptoms and obtain physical and mental comfort. Furthermore, the patient would recover from the social function and quality of life and would further have his pressure of caring for his family members lessened.