提升一位慢性思覺失調症病人復原力之護理經驗

A Nursing Experience Enhancing the Resilience Capacity of a Patient With Chronic Schizophrenia

本文旨在探討提升思覺失調症病人復原力的護理過程，照護期間從2018年5月24日至2018年9月20日，透過每二週一次的居家訪視及臨床觀察進行整體性護理評估，歸納出病人主要健康問題有無效性自我健康管理、個人因應能力失調及個人復原力障礙。護理過程除協助病人建立有效且正確的自我健康管理、情緒調適能力、減少親子衝突外，針對個人復原力障礙擬定符合個別性護理計畫，帶領病人回顧生病歷程中重要的支持力量，覺察回歸社會就業的阻礙，採取有益健康的行為以提升復原力，並能維持就業狀態及獲得自我成就感。

The article describes the author's nursing experience providing psychiatric homecare to a patient with chronic schizophrenia using the concept of resilience. Holistic nursing assessments were conducted via clinical observations during home visits every two weeks from May 24th to September 20th, 2018. Through these assessments, the main health problems of the patient were defined as ineffective selfhealth management, ineffective coping skills, and insufficient resilience. The nursing interventions implemented were designed to establish the patient's capacity to effectively and correctly selfmanage health status, achieve emotional accommodation, and reduce parent-child conflicts. In order to enhance the resilience of the patient, the patient was guided to review important support resources over the course of illness, to detect the barriers of returning society, to apply the beneficial skills of health management, and then extend the status of employment and to enhance self-fulfillment.