一位中度智障病患之主要照顧者的護理經驗

The Nursing Experience of a Primary Caregiver Providing Care to a Patient with Moderate Mental Retardation

本報告在於分享照護一位日間病房中度智障病患其主要照顧者（母親）的護理經驗。護理期間自民國92年10月1日至93年7月31日。筆者藉由觀察、當面會談、電話訪談及使用量表，包括主要照顧者負荷量表、台灣人憂鬱症量表等方法收集主、客觀資料，並由五大層面進行整體評估，所確立的護理問題主要為照顧者角色緊張。透過持續性的關懷、傾聽並以同理心鼓勵個案說出心中的感受，針對照顧者身心症狀及照護上面臨的問題，提供相關知識的衛教、並結合家屬的支持力量等護理措施，改善主要照顧者照顧的負荷感受及憂鬱症狀。

This case report shares the researcher's experience and observations with regard to a primary caregiver responsible to provide nursing care to a patient suffering from moderate mental retardation during the time period October 1st, 2003 to July 31st, 2004. The writer collected subjective and objective information using observation, face-to-face interviews, telephone interviews and scales, including the Caregiver Burden Scale and Taiwanese Depression Questionnaire. A holistic nursing assessment established that the primary nursing problem faced was caregiver anxiety. Through continuous caring and empathetic listening, the researcher encouraged the caregiver to describe her perceptions. Nursing intervention included providing information regarding professional patient care and encouraging support of the caregiver from the patient's family. Results demonstrated that, by the end of this study, the primary caregiver was better able to execute her duties and that her anxiety had been significantly relieved.