Peplau護理理論於妄想性疾患之護理經驗

application of Prplau Theory in the Nursing Care of the Delusional Disorder

本個案報告是運用Peplau理論，照顧一位27歲診斷為妄想性疾病患之男性，改善其人際互動障礙之護理經驗。發現人際互動障礙之主要原因：（一）戒心強、對人際缺乏安全感；（二）因疾病引發的焦慮，產生退化行為；（三）以往挫折的人際互動經驗。以Peplau理論為護理導向，透過觀察及會談方式收集資料並作護理評估，發現護理人員在人際互動關係治療中，扮演資源提供者、指導者、諮商者的角色，能成功的幫助個案改善人際互動的障礙。

This case report is the nursing experience with the Peplau's theory to care about improvement of interpersonal relationship for a 27-year-old male who was diagnosed delusional disorder. The main factors caused his impairments in the interaction with others, including (1)suspicious attitude to others and lack of safe sensation about interpersonal relationship, (2)the regressive behaviors formed by the experience of anxiety due to his illness, and (3)frustrating sensation from the interaction with others. The Peplau's Theory was adapted to be our goal for nursing guide. We collected the information and made nursing assessment through close observation and interview, in the therapeutic interpersonal relationship. We found that nurses played the roles of resource persons, the instructors, and counselors who could help the client to ameliorate the impairment in interpersonal relationship.