動機式會談於一位無意圖服藥多重抗藥性肺結核病人

Enhancing the Medication Compliance of an Unmotivated Patient with Multi drug-Resistant Tuberculosis by Using Motivational Interviewing

旨在了解運用動機式會談於一位無意圖服藥多重抗藥性結核病人個案報告。以Gordon十一項健康功能型態評估工具評估病人問題，田野調查、深度訪談於2010年8月10日至12月23日進行資料收集。動機式會談中意識覺醒、情感喚起、自我再評價、自我解放、增強管理及社會解放時策略介入，激發個案願意規則服藥，並建立良藥苦口之服藥技巧及自我監測服藥後負性徵象行為。透過本次護理經驗，了解動機式會談，有助於修正多重抗藥性結核患者，預期藥物副作用拒絕服藥行為和遵從服藥行為成效維持。

To encourage an unmotivated patient with multidrug-resistant tuberculosis to take medications by using motivational interviewing. The patient was assessed using Gordon's 11 functional health patterns. Data were collected in field surveys and in-depth interviews conducted from August 10, 2010 to December 23, 2010. The patient was encouraged and trained to take bitter-tasting medicines. He was monitored for negative sign behavior. Emotion evocation, self-reevaluation, self-liberation, enhanced management, and social liberation nursing intervention strategies were utilized. The patient learned about the side effects of the drugs, which enhanced medication compliance as well as positive attidudes, leading to better adherence and maintenance of treatment.