對一位慢性精神分裂症患者之低自尊護理經驗

Nursing Experience of A Chronic Schizophrenic Patient with Low Self-esteem

本文乃筆者照顧一位慢性精神分裂症患者，因將12天份睡前藥物一起服下，造成昏睡而送院治療，在其住院期間，經護理評估發現病患有睡眠型態紊亂、對事物缺乏動機、興趣及長期性低自尊等因應能力失調問題。在筆者為期一個多月運用Watson之人性照護理論、支持療法及行為治療的照護下，患者睡眠問題改善，能從被動至主動參與病室活動、社交互動增加、人際關係改善，並能運用自我功能，重建自信，積極參與出院後的生活計畫，並能付諸行動，終能順利回歸社區。

This report was a nursing experience of a woman with chronic schizophrenia, who was admitted to the psychiatric ward due to using overdose of sleeping pills. Then she was sent to the hospital for help. During admission, sleeping disturbance, lack of motivation and desire about activity, and chronic low self-esteem were detected via nursing assessment. The Watson's theory of nursing, supportive therapy, and behavior therapy were applied in the nursing process to the client. One month later, the sleep disturbance was improved. The participation of the ward activity had a positive change from being passive to active. Social interaction, and chronic low self-esteem were significantly improved through social skill training and supportive therapy. The plan of the daily activity after discharge was also scheduled and proceeded aggressively by the patient. Finally the patient returned to the community smoothly.