運用Rotter控制觀理論於一位心肌梗塞患者之護理經驗

A Nurse's Experience Applying Rotter's Locus of Control Theory in a Myocardial Infarction Patient

本篇個案報告在於分享運用Rotter控制觀理論護理一位心肌梗塞患者之照護過程。護理期間自民國96年11月23日至12月1日。筆者於病房單位藉由觀察、會談方式收集主、客觀資料，分析歸納出個案有疾病認知不足影響健康行為、健康尋求資源不足、疾病的衝擊等護理問題。運用Rotter控制觀理論中內在控制觀，針對上述的護理問題，與個案在互信的基礎上提供個別性的護理措施，建立個案對疾病處置相關之認知並改變行為，健康尋求資源之獲得，調適疾病的衝擊，有效促進個案之健康與疾病調適。

This case report shares the experience of one nurse in applying Rotter's locus of control theory in her care of a myocardial infarction patient. Period of care ran from November 23 to December 1, 2007. The author collected subjective and objective data through observations and interviews with the patient in the ward. Data was analyzed to identify key healthcare problems. These included the inadequate information of the patient on his condition, which negatively influenced health behavior; inadequate health information available; and the flare-up of disease symptoms. Internal locus of control, as presented in Rotter's locus of control theory, was applied to the above nursing problems in order to deliver individualized nursing care to the patient based on mutual trust. Such enhanced patient disease cognition, facilitated his obtaining health information, helped him adjust to disease symptom episodes, and promoted his adjustment to the disease and adoption of more healthy behavior.