- 期刊
探討門診護理人員於服藥結盟行為不足精神分裂病患之護理實務能力
Exploring the Clinical Competency of Psychiatric Nurse in Continuous Nursing Care of Outpatient Department
摘要
本研究的目的為探討護理人員對門診服藥結盟行為不足精神分裂症病患照護之實務能力。本研究採用質性研究法，研究對象為某區域醫院精神科門診八位有服藥結盟行為不足的精神分裂症病患，資料分析採內容分析法，在服藥結盟行為不足病患之門診照護過程中，藉由照護過程記錄及分析，發展出護理人員於門診服藥結盟行為不足精神分裂症患者的實務能力。研究結果發現以賦能為照護理念的實務能力，實務能力則包含兩大主軸：（一）「協助建構自我歷程」：包含(1)協助探索自我，包括引導表達感受、協助探索自我期待；(2)促進肯定自我，包括協助接納自我的感受、促進肯定自我價值；(3)強化動能，包括強化正向感受與經驗、強化改變動機及協助發展資源協助系統；（二）「促進病患達成自我管理歷程」：包含(1)協助達成疾病自我管理歷程；(2)協助達成藥物治療自我管理歷程；(3)協助達成生活自我管理歷程。本研究發現以賦能為理念之護理照護的重要性，也發展出以賦能為理念之持續性照護護理實務能力，可做為推廣社區持續性照護之參考，未來則可進一步發展實務能力的評估指標，促進資源聯結運用並探討照護成效。
並列摘要
The purpose of this study was to explore the functions of nursing for schizophrenic outpatients who lack adequate drug alliance. Method: This research was a qualitative study. The subjects were eight schizophrenia outpatients with inadequate drug alliance. The data were collected during the entire nursing care process, which provides the basis of the analysis. Results: The main functions of the nurse are: the competence of nursing care and patient empowerment. The competence can be divided into two major categories. The first category involves: (1) Assisting patients to explore themselves. (2) Assisting patients to accept their own emotions and to value themselves highly. (3) Giving Support in patients' motivation enforcement. The second category, improvement of self-management skills, involves: (1) Improving patients' self-management of diseases. (2) Assistance in self-management of drug therapy. (3) Assistance in self-management of daily life. Conclusion: The results of this study provide an evaluation of the importance of nursing care with patient empowerment, and development of the competence of continuous nursing care with patient empowerment. The results might serve as a reference for the development of continuous community nursing care. There can be further studies about developing competency assessment indicators, improving the use of resources, and exploring caring effectiveness.
被引用紀錄
延伸閱讀
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