運用King氏目標達成理論分析護病互動－－一位雙極性精神疾患之個案報告

Application King's Theory of Goal Attainment to Analyze the interaction between the Primary Nurse and a Bipolar Disorder Patient

本文介紹Imogene M.King提出之目標達成理論，並運用其中概念分析一位雙極性精神疾患護病互動過程，資料收集採行為過程實錄。經由行為過程實錄內容分析的結果發現：最初個案與護理人的互動不良主要原因為，個案與護理人員的知覺、判斷、行動不同，以致引起各自的目標不同，待時間改變，個案與護理人員交流改善時，共同討論的護理目標才得以達成，護理人員給予的藥物與疾病衛教，始見成效。本文支持King的目標達成理論及概念可應用於雙極性精神疾患之臨床照顧，文中並對臨床應用之限制做討論。

The purpose of this study is to apply the King's theory of goal attainment to analyze the interaction between the primary nurse and a bipolar I disorder patient. Process recording was used to collect data. The results of content analysis show that the main reason of the initial impaired interaction between the primary nurse and the patient was attributed to different perceptions, judgments, and actions, which in turn cause different goals. The nursing goal, which was discussed by both the patient and the nurse, could only be achieved through mutual interaction and transaction. This achievement has been completed along with successful implementation of the education in illness and drug. This case study highlights the application of King's theory in nursing practice, and also discusses the limitations of the application.