| 英文摘要 |
This article presented a nursing experience of caring a 24-year-old male depressive patient admitted to our acute psychiatric ward due to difficulties in coping with life stress events which caused recurrence of depression and attempted suicide by taking hypnotic drugs. The life stress events included intrafamilial conflict and deficits in interaction and communication with his family as well as frustration from work etc. The authors collected data through observation, in-depth interview and listening between August 28th and September 20th, 2012. Three major nursing problems were identified: risky self-harm behavior; ineffective coping strategy, and low self-esteem. Because of the considerations of the patient’s characters such as negative thought, no dialogue of innermost feelings with others, impaired interpersonal relationships and skills, we enabled us to establish therapeutic alliance with empathy, true and warm attitude, and improve the patient’s expression of positive emotion and suppression of negative emotion, learn effective communication, provide better support and enhance positive thinking process, and coping skills of stress management. Then rehearsals of effective communication between this patient and family were practiced to enhance family interaction and relationships. During nursing care period, the patient’s pattern of using repeated suicide to handle stress and emotional distress was found. The authors used cognitive re-processing to correct the patient’s negative thought, enhance self-adaptation skills, guide the patient and families to build up effective communication and supportive system, and provide necessary social resources. Through many interviews, cognitive distortion was decreased to eliminate suicide. This care promoted this patient’s mental health, stress management skills, self-expression and positive thinking and eventually prevented suicidal behavior. |
