Rogers護理理論於重鬱病患者的護理經驗

Nursing Experience of A Major Depression Patient by the Application of Rogers' Theory

本文以一位低自尊、無望感、自責及家庭環境不協調的重鬱病患者為個案，運用Rogers護理理論中人與環境能量交換之概念，以共振、螺旋之圓滿三個月同種動力原則去評估個案生命過程的發展、人場及環境場的型態與能量交換狀況，確立個案受困於原生家庭痛苦之生活經驗、目前角色執行障礙、生活封閉、未獲家人親友之支持肯定與協助。護理過程中，由工作人員及家人傳遞能量，運用共振原則調適接受新生活過程、螺旋原則調整其生活型式及圓滿原則促進個案與環境的協調，使個案漸回復信心活力並感受家人之愛與支持，達到個人及環境和諧安寧。

This article presents the nursing care of a major depressed patient with low self-esteem, hopelessness, self-reproach and disharmonious family, using the concept of Rogers' nursing theory about energy-exchange between human and environment. We applied three homeodynamic principles, resonancy, helicy and integrality, to evaluate the case's life-cycle development, human field and environment field patterns and energy-exchange condition, indentifing the case to be discomforting with living in painful family, present role-playing disturbance, autistic daily living without support from families and friends.Nursing staff and families delivered energy in the nursing practice by using resonancy to adapt the new life, helicy to readjust his life pattern, and integrality to promote harmony between the case and his environment, thus having the case to restore confidence progressively, and sense love and support from families and reach well-being of himself and his environment.