運用Peplau理論促進精神分裂病人服藥遵從行為的過程

Applying Peplau's Theory in Improving Drug Compliance of a Schizophrenic Patient

藍菊梅(C. M. Lan) ； 蕭淑貞(S. J. Shiau) ； 黃瑞媛(R. Y. Huang)

《護理雜誌》 44卷1期 (1997/02) Pp. 56-62

https://doi.org/10.6224/JN.44.1.56

摘要

本個案研究乃是報告護理人員運用Peplau的理論，協助一位有拒藥行爲的精神分裂病人的護理過程。結果發現：病人不服藥的原因，主要是病識感不佳、疾病和藥物知識不足。透過Peplau理論建立治療性的人際關係，並施予藥物衛教及監測服藥反應，來促進個案遵從行爲的護理過程中，護士特別重要的角色是：評估者和教育者，而護士和病人在人際互動中完成了「遵從醫囑服藥」的共同目標，並獲得了學習和成長。

關鍵字

Peplau理論 ； 遵從 ； 精神分裂症

並列摘要

The purpose of this paper is to report the application of Peplau’s theory to helping a schizophrenic patient deal with drug noncompliance. It was found that the main reasons for noncompliance were poor insight and lack of illness and drug—related knowledge. Based on Peplau’s theory of establishing a therapeutic relationship, giving guidance in medication and monitoring the effects of medication in order to improve drug compliance, the most important role of the nurse is as an assessor and educator. Nurse and patient were able to learn to achieve the common goal of drug compliance through the interactive human relationship.

並列關鍵字

Peplau's theory ； compliance ； schizophrenia