照護一位暈眩的器質性精神病患之經驗

An Experience Nursing an Organic Psychiatric Patient With Vertigo

本篇報告之目的在照護一位長期遭受暈眩之苦的器質性精神病患之護理經驗。個案因一場車禍不僅造成腦部受創、認知功能受損，還留下反覆發作的暈眩症狀，影響工作及家庭生活。整體性護理評估後確立的護理問題包括：潛在危險性跌倒、自我照顧能力缺失、照顧者角色緊張以及無力感等四項。提供的護理重點放在：（一）防止跌倒意外再度發生；（二）以逐步養成的訓練方式，重建個案自我照顧的能力；（三）教導案妻如何照顧個案及自己；（四）運用認知行為治療及前庭復健運動建立個案信心。

This study documents the nursing of an organically mentally disordered patient with chronic vertigo. The subject suffered a head injury in a traffic accident, resulting in impairments to his cognitive abilities as well as symptoms of recurring vertigo, which hampered his work and family activities. Holistic nursing assessment revealed four areas of nursing concern: risk of falls, impaired self-care ability, caregiver role strain, and powerlessness. Care provided to the subject concentrated on: (1) preventing him from falling again; (2) regaining his ability to care for himself, through gradual training exercises; (3) training his spouse in caring for herself and the subject; (4) establishing his self-assurance by means of cognitive-behavior therapy and vestibular rehabilitation.