精神科門診病患與家屬對團體衛生教育之滿意度與需求

Psychiatric Outpatients’and Families’Satisfaction and Need toward Group Psychoeducation

本描述性研究，乃運用教學原理與方法，以精神分裂病的相關知識與調適為主軸去設計教案，並經過預演修訂內容後，在某醫學中心精神科門診，由護理人員針對病患與家屬，實施每週一次連續四次的團體衛教，主題分別為「認識精神分裂病」、「藥物居家照顧」、「症狀惡化時緊急處理及可用資源」、及「人際關係調適」。衛教過程中使用講述、問答與討論法，記錄參加者提出討論的議題，並使用自擬教學評鑑表來收集量性與質性資料，以探討參加者對團體衛教之滿意度與需求。結果，參加團體精神衛生教育的病患與家屬共有83人次，根據回收的61份資料分析，參加者並不限於精神分裂病患與家屬，約八成對於整體的團體衛生教育表示滿意度高，且希望再參加團體衛生教育的意願高，明顯地衛教需求相當大。精神疾患或家屬對衛教內容的需求方向，除疾病相關知識與調適的團體衛教方案之重點外，尚關注日常生活中有關疾病特色與處置、服藥、社會福利資源、家人相處、以及人際退縮等議題。文中並探討在精神科門診實施團體精神衛生教育之注意方向，以作為將來護理人員提供此類衛教之參考。

This descriptive study is about the satisfaction and need of psychiatric outpatients and families for group psychoeducation. The investigators applied the principles and methods of teaching and learning to design, revise and rehearsal the content about adaptation for schizophrenia. The group psychoeducation was taken place once per week in a month. The topics include 'knowledge of schizophrenia', 'medication care11', 'crisis intervention and community resource', and 'interpersonal relationship'. The discussed issues in the group and the evaluation of psychoeducation were collected as data. The result shows that there are 61 subjects who completed the evaluation scale. Most of them are schizophrenic outpatients and their families. About 80% of the subjects feel satisfied and would like to attend the psychoeducation next time. In addition to the four topics of the group psychoeducation, the subjects also concern with the illness and its intervention, medications, social welfare resource, family interaction, and social withdrawal in daily life. In this study, we also analyze the group teaching experience and point out the psychoeducation directions for nurses to apply in the future.