- 期刊
運用行為修正於一位慢性精神分裂症個案之護理經驗
Using Behavioral Modification in Caring for a Patient with Chronic Schizophrenia
摘要
本篇個案報告是筆者運用行為修正技巧於一位慢性精神分裂症個案在日間照護的護理經驗。透過與個案建立治療性人際關係，運用整體性的護理評估為指引，歸納個案主要健康問題為：不遵從／服藥、思考過程變異／聽覺、自我照顧能力缺失／沐浴及衛生。在護理過程中，積極的與個案及案母討論可加強個案改變意願的正向增強物，期間並透過與職能治療師的協調及協助轉介個案至餐廳工作，進而達到使個案建立良好的生活習慣及增強服藥遵從度的意願。由此次護理過程中，發現行為修正對慢性精神分裂症個案改善日常生活功能及服藥遵從度確實有效，而且與個案訂立行為修正內容時，如果有家屬的參與，並且能夠找到一個個案有興趣的正向增強物，對行為修正技巧運用更能達到事半功倍效果。
並列摘要
This case report described the use of behavioral modification techniques in the nursing care of patient with schizophrenia in daycare. A therapeutic interpersonal relationship was established and the patient was evaluated by integral nursing assessment. The main health problems were noncompliance with treatment, abnormal thought processes, and poor bathing and hygiene. We discussed with the patient and the patient's mother measures that could provide positive reinforcement of changes in behavior. Through the assistance of occupational therapists, the patient was hired by a restaurant. The therapeutic goal was achieved, namely development of better living habits and better drug compliance. Behavioral modification appear to be effective in improving activities of daily living and compliance. We believed a behavioral modification plan is more likely to succeed if the family participates in the planning and if a form of positive reinforcement that is attractive to the patient is found.
延伸閱讀
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