以焦點團體探討慢性精神分裂症病人對三種幻聽管理策略之經驗

Using Focus Groups to Explore the Experiences of Three Management Strategies in Auditory Hallucinations in Chronic Schizophrenic Patients

江逸萱(Yi-Hsuan Chiang) ； 羅素貞(Su-Chen Lo) ； 許淑惠(Shu-Hui Hsu) ； 楊秋月(Chiu-Yueh Yang)

《源遠護理》 6卷1期 (2012/05) Pp. 25-34

https://doi.org/10.6530/YYN.2012.6(1).04

摘要

本研究主要目的為瞭解精神分裂症患者使用三種幻聽管理策略的經驗。於北部地區某精神專科醫院之三個慢性病房帶領三輪的幻聽管理策略的焦點團體，每輪12次，每週一次，共教導10種管理策略，本研究擷取其中三種；每輪有8-10個個案參與，共有27人，而參與的研究對象為精神分裂症合併有幻聽的個案。將訪談資料轉錄為文本後，以內容分析法分析，結果有三大主題：一．基本要素：規則服藥、具洞察力、動機與因時制宜的運用；二．促進因素：全神貫注、未雨綢繆、轉移注意力、適合自己；三．障礙因素：可及性差、有益的幻聽內容、短暫的專注於管理策略。本研究結果可做為護理人員提供管理策略於精神分裂症合併有幻聽干擾病人之參考。

關鍵字

精神分裂症 ； 幻聽管理策略 ； 焦點團體

並列摘要

This is a qualitative research study of chronic schizophrenic patients' experiences in the use of auditory hallucination management strategies. This report includes results of three focus groups with a total of 27 patients from a psychiatric hospital in the northern Taiwan. Each focus group consisted of 8 to 10 patients who met weekly for 12 weeks. Content analysis of the interview scripts showed three main themes: (1) basic elements, including compliance to prescribed medications, insightful observation, motivation and acting properly in the situation; (2) contributing factors, such as maintaining focus, predicting, distraction and adjusting self to the situation; and (3) impeditive factors, including inaccessibility, positive content in the auditory hallucinations and inability to maintain attention to management strategies.

並列關鍵字

schizophrenia ； auditory hallucination management strategies ； focus group