運用King目標達成理論協助精神病患服藥之護理經驗

Using King's Goal Attainment Theory to Facilitate Drug Compliance in a Psychiatric Patient

本文主要描述一位精神分裂症患者，因為不遵從服藥而導致疾病復發之臨床護理經驗。護理期間為92年3月8日至4月2日。筆者於患者住院期間，運用King's目標達成理論為指引，發現個案主要護理問題為：不遵從服藥。護理過程中，擬訂一個符合個案需求之個別性護理計畫，幫助個案瞭解服藥遵從性、疾病與藥物控制之間的相關性，以及疾病復發徵兆。結果發現，目標達成理論應用於藥物治療與藥物遵從性方面，對於個案與家屬皆有很大的幫助。由此經驗顯示以King目標達成理論應用於因不遵從服藥而重覆出入院的精神病患，進行目標性護理計畫與護理措施，對於加強患者與家屬藥物認知與服藥遵從性是有幫助的，進而可協助患者病情控制，減少疾病復發率與症狀惡化，避免重覆出入院，促使維持社會化功能。

This paper describes a schizophrenic patient who failed to comply with his drug regimen and was repeatedly admitted to hospital. Using King's Goal Attainment Theory as guidance, it was found that the patient's main problem was medication noncompliance. We developed an individual nursing care plan that met the patient's needs, including helping him to understand the importance of medication compliance, the relationship between disease and medication-control, and the symptoms of disease recurrence. The result showed that King's Goal Attainment Theory benefited both patients and families when it was applied to drug therapy and medication compliance. From this experience, we are able to demonstrate that using King's Goal Attainment Theory to design nursing care plans and interventions for schizophrenic patients who are repeatedly admitted to hospital because of medication noncompliance is very effective. In addition, it can also assist patients to control their conditions, decrease frequency of the disease recurrence and hospital readmission, and maintain their socialized functions.