詮釋社區精神衛生護理實務能力於病人及家庭之照護

An Interpretation for the Psychiatric Mental Health Nursing Competence in Caring Patients and Their Families

陳慧玲(Hui-Ling Chen) ； 李依玲(I-Ling Li) ； 蕭淑貞(Shu-Jen Shiau) ； 黃耀輝(Yao-Hui Huang) ； 李世凱(Shih-Kai Lee)

《精神衛生護理雜誌》 12卷1期 (2017/09) Pp. 47-58

https://doi.org/10.6847/TJPMHN.201709_12(1).0005

摘要

本文目的在敘述居家護理師依據中華民國精神衛生護理學會公告之社區精神衛生護理實務能力，並依「情境家庭護理治療理論」運用於照顧一位思覺失調症居家個案及其家庭之過程。筆者於2016年4月1日至6月30日對個案及其家庭提供居家照護，以精神科個案五大層面及家庭護理評估，依其照護需求，提供（一）建立治療性關係（二）建構自我（三）自我管理（四）家庭護理治療等護理實務能力，護理目標為：（一）建立與個案及案家之治療性關係（二）協助個案肯定自我價值（三）提升個案改變動能及自我管理能力，以及（四）促進個案家庭健康調適。結果呈現護理師能與個案及家屬建立信任關係，個案能肯定自我的價值及有改變的動機並嘗試改變進而增進自我管理之能力，促進個案與家人的溝通以增進家庭健康調適能力等。總論：本文呈現護理師能運用「社區精神衛生護理能力」，提供個案及其家庭之社區護理，提升社區照護服務品質，期許本文章可做為護理人員在呈現、學習及運用「精神衛生護理社區實務能力」於個案及家庭的參考。

關鍵字

思覺失調症病人及家庭 ； 社區精神衛生護理 ； 臨床實務能力 ； 情境家庭護理治療

並列摘要

The purpose of this article is to describe the caring process in compliance with the essential community psychiatric mental health nursing competence, which was established by Psychiatric Mental Health Nurses' Association, Republic of China, for the patients having schizophrenia and their families, and based on the theory of ＂contextual family nursing therapy＂. The author provided nursing home care to the patient and his family from April 1, 2016 to June 30, 2016. By using the five aspects of psychiatric mental health nursing assessments and family nursing assessment, we offered these competencies: therapeutic nurse-patient relationship, self-construction, self-management, and family nursing therapy to meet the caring needs of the patient and his family. The goals of nursing care were to: establish the therapeutic relationship, assist the patient in affirming self-worth, promote the patient's motivation of improving self-management, and enrich the patient’s family health- adaptation ability. The results showed the nurse could use the essential psychiatric mental health competence to establish the therapeutic relationship, assist the patient in affirming self-worth, promote the patient to elevate the motivation of self-management, and family health- adaptation ability. Conclusion: This article shows that a community mental health nurse applied the essential community psychiatric mental health nursing competence to provide the patient and his family with community mental health nursing care successfully. This study could not only improve the community caring quality, but also a reference for psychiatric mental health nurses to learn and to apply the essential psychiatric mental health nursing competence while caring the patients having schizophrenia and their families.

並列關鍵字

patient with schizophrenia and family ； community psychiatric and mental health nursing ； clinical competence ； contextual family nursing therapy

參考文獻

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