一位外籍配偶自殺行為之社區照護

Community Care for a Foreign Bride who had Attempted Suicide

本篇報告乃描述一位來台九年27歲女性印尼外籍配偶，因文化適應問題自殺未遂之社區照護經臉。本個案全程以居家照護模式，針對自殺之原因、跨國婚姻適應、人際互動及缺乏支持系統等問題子以評估並協助之。護理措施包括：降低案家之抗拒增加受訪之意願，增強個案與家屬對自殺之認識與預防，促進個案對自我之信心、學習因應壓力之方法，促進個案夫妻之溝通及增加靈性平安與社會互動。透過護理人員的協助，個案由非志頗個案變為志願個案。護理期間4個月及結案後追蹤6個月，個案未再出現自殺行為並可學習自我調適轉換情緒，另可主動尋求支持系統降低人際衝突。此非志願自殺未遂個案之社區照護經驗，期能做為社區護理之參考。

Cultural maladjustment of foreign brides is an important social problem. In order to elucidate effective community nursing intervention, a 27 year-old Indonesian bride who had attempted suicide was adopted as a subject presented. In four months of community nursing care, the client’s cooperation was won the client’s and family’s knowledge of suicide was improved, the client’s coping skills were improved, communication between the couple was improved and the client’s social interaction was improved, and religious tension with the family was moderated. The client’s attitude was changed from rejecting to accepting. There was no suicide attempt in the subsequent 6 months and the client’s ability to use social resources was significantly improved.