護理人員照顧內科慢性病人的健康諮商技巧需求評估

Needs Assessment of Health Counseling Skills for Nurses in Chronic WardWard

李玉嬋(Yuh-Chain Lee)

《彰化師大輔導學報》 22期 (2001/06) Pp. 125-155

https://doi.org/10.7040/GJ.200106.0125

摘要

本研究目的在探內科臨床護理人員須具備哪些健康諮商技巧，以協助慢性病人因應各種身-心-社會問題；乃以焦點團體研究法，分別組五個不同成員的焦點團體進行討論，各5-7人，以蒐集病人、護士、看護、護生和護理老師的意見，結果發現；內科慢性病人和家屬都期待護理人員協助其因應生病所引發的各心理困擾和生活問題，因此護理人員須具備的健康諮商扜巧應包括五大類：1.透過照顧病人身體的專業技術和態度，贏得病人的信賴與合作：2.教導病人實踐衛生教育；3.敏銳留意協助處理病人的身-心-社會問題；4.建立病人社會支持、信心和希望；5.控制並調適自己和病人的情緒等。依此研究結果，對醫療機構、醫護教育和心理諮商人員等，提出強化健康諮商技巧和服務的建議。

關鍵字

內科 ； 護理人員 ； 慢性病人 ； 健康諮商 ； 需求評估

並列摘要

Main purpose was being investigated in the study: To explore nessesary counseling skills for nursing practitioners to deal with paitients' bio-psycho-social problem. Focus group interviews were conducted to collect opinions from different perspectives, including patients, nurses, nursing assistants, college nursing students, and nursing college instructors. The result revealed that patients and their family members did expect nurses to have the ability to help them cope with disease related questions. Five most necessary counseling skills that a nurse was expected to have were identified as following: (1) Gaining patients' trust and cooperation by professional skills and attitudes. (2) Being able to educate patients regarding to health issues. (3) Paying attention and being sensitive to patients’ bio-psycho-social problems. (4) Assisting patients' to establish their social support system and hopes. (5) Being able to control and adjust emotional status of both nurses and patients.
Bases on the results of this study, implications and suggestions were proposed for chronic illness and nursing education. Further possible research directions were discussed at the end.

並列關鍵字

chronic ward ； nurses ； chronic patient ； health counseling ； need assessment