英文摘要 |
Mindfulness-based cognitive therapy (MBCT) is an effective strategy for treating patients with depression. This article described the experience of caring a patient with major depressive disorder using a nursing intervention employing eight stages of MBCT as an instrument for therapeutic communication. The eight stages were as the followings: (1) changing from automatic pilot to developing awareness; (2) shifting from emphasizing thinking to directly feeling emotions; (3) developing from focusing on the past and future to experiencing the present; (4) evolving from averting problems to approaching them with curiosity; (5) shifting from wanting to change to cultivating acceptance; (6) developing from interpreting thoughts as facts to viewing them as internal psychological events; (7) evolving from demanding excessively of oneself to taking care of oneself with mercy and compassion; and (8) extending and continuing mindful living. Nursing care was provided from April 17, 2018 to September 28, 2018. Through MBCT, the author assisted the patient in understanding that displeasure was not the source of problems, but that the process of responding to the displeasure was the primary factor that made problems to persist. The nursing process assisted the patient by identifying her habitual response to everyday life events, letting go of her automatic emotional responses, developing a psychological ''being'' mode that facilitates the patient to be with herself completely, improving quality of life, mitigating negative emotions, and beginning a new phase in her life. By introducing the concepts of MBCT and applying them as an aid to a clinical patient, this study improved our understanding of MBCT and can serve as a reference for nursing personnel to establish a communication framework for providing patient care. |