運用充能協助一個慢性精神分裂症患者家庭之護理經驗

Nursing Experience of Using Empowerment to Assist the Family of a Chronic Schizophrenia Patient

本文是運用充能(empowerment)照顧一個慢性精神分裂症患者家庭之護理經驗。照護期間為2009年10月12日至2010年6月2日。筆者藉由病房觀察照護、家庭訪視、電話追蹤收集主客觀資料，並運用Friedman家庭評估模式評估，確立護理問題為：個案知覺紊亂、主要照顧者-案母照顧負荷過大、家庭角色失能。透過傾聽關懷與個案和主要照顧者建立信任關係，於照護過程中，以尊重的態度，並運用充能協助主要照顧者自我省思，重新建構與肯定自己的照顧能力，並藉由家庭成員的相互支持來改善家庭角色失能之情形。

This article described the nursing experience of using empowerment to assist a family who took care of a schizophrenia patient. The author collected subjective and objective information using participant observation and interview while providing nursing care, home visit, and phone follow-up during the time period October 12 2009 to June 2 2010. A holistic Friedman family assessment and nursing problems were established as perceptual alteration of a patient, overload of caregiver’s stress of a patient’s mother, and disabled family role. The author listened attentively to and cared about the chief caregiver so as to establish a trust relationship, and made use of the empowerment to assist her to examine herself, and then re-established and re-confirmed her caring ability, supported each other by family members to improve the disabled family role.