運用灌注希望於酒癮併精神分裂症患者的護理經驗

The Nursing Experience of Utilization of Hope Instilling in the Schizophrenic Patient Combing with Alcoholism

沈麗秀(Li-Shiu Shen) ； 邱照華(Jaw-Haw Chiou)

《精神衛生護理雜誌》 1卷2期 (2006/09) Pp. 69-76

https://doi.org/10.6847/TJPMHN.200609_1(2).0008

摘要

本篇報告描述一位酒癮併精神分裂症患者，因妄想、酗酒、暴力而反覆住院之護理經驗。個案的基本需求受挫、疾病失去控制、缺乏有效之家庭支持系統，導致冷漠、少與人互動、拒絕參與活動、自我放棄及對未來沒有希望。筆者運用支持性人際關係，促使經驗成功，增進自我控制，發現生命意義之策略，透過照護措施，以激發個案的希望，增進個案的人際關係，修正與家人互動方式，提昇家人的支持度，促使個案釋放情感，化被動為主動，參予疾病的控制，並能運用可協助的資源，從中接受自己的侷限，重新找到生活重心及人生目標。

關鍵字

灌注希望 ； 支持性人際關係 ； 促使經驗成功 ； 增進自我控制 ； 發現生命意義

並列摘要

This article is about the experience of nursing a schizophrenic alcoholic who is frequently admitted as a result of delusions, alcohol abuse and violence. The client suffered unsatisfied basic needs, poor disease control, and lack of an effective family support system, causing indifference, poor interpersonal interaction, refusal to participate in activities, and feelings of self-abandonment and despair for the future. We utilized the strategies of maintaining relationships, experiencing success, promoting self-control, and finding meaning, to evoke feelings of hope on the part of the patient and enhance interpersonal relationships. We also helped the patient to modify his pattern of family interaction, raise the level of support that he enjoyed from his family, release his emotions, change from passivity to pro-activity, participate in the control of his disease, use all the resources available to him, accept his self-limitations, and find a focus and a goal in life.

並列關鍵字

Hope instilling ； Maintaining relationships ； Experiencing of success ； Promote self control ； Finding meaning