運用認知行為療法於一位憂鬱症合併自殺行為個案之護理經驗

Nurses' Experience Applying Cognitive Behavior Therapy to a Depressive Disorder Patient with Suicide Behavior

黃姿瑋(Tzu-Wei Huang) ； 許禎娟(Jen-Jiuan Hsu)

《源遠護理》 6卷1期 (2012/05) Pp. 75-83

https://doi.org/10.6530/YYN.2012.6(1).09

摘要

本文呈現照護一位憂鬱症合併自殺行為個案的護理經驗，在照護過程中以觀察、會談等方式進行整體性護理評估，了解個案面對壓力採負面思考，合併有自殺行為，護理期間確立個案有危險性自我傷害／與負向思考有關、個人因應能力失調／與缺乏適當因應技巧有關、家庭因應能力失調／與家庭成員無法有效溝通有關等護理問題。於護理過程中與個案及家屬建立良好治療性人際關係，運用認知行為治療、書寫家庭作業及不良功能認知紀錄表，協助個案學習以正向思考、適當之因應技巧面對壓力。而個案於住院期間雖未能完全摒除負向思考，但已可嚐試以正向思考來面對問題，進而減少自傷想法，故藉此經驗與大家分享。

關鍵字

認知行為治療 ； 自殺行為

並列摘要

This article describes a nursing experience of a depressive disorder patient who exhibited suicidal behavior. Subjective and objective data were collected through observations and interviews during the nursing interactions. Nursing diagnosis results include potential suicide, disabled personal coping and disabled family coping. The interventions included establishment of a therapeutic interpersonal relationship between nurse and the patient, applying cognitive behavior therapy such as doing homework assignments, recording a list of non-functional thoughts, assisting patient with new skills to manage stress. The patient was not able to eliminate negative thinking process completely during hospitalization; however, he was able to demonstrate positive thinking that would reduce his suicidal thoughts.

並列關鍵字

cognitive therapy ； suicide behavior