運用正念療法照護一位憂鬱症病人之護理經驗

Use of Mindfulness Therapy in the Care for a Depressed Patient

呂桂鳳(Gui-Feng Lu)；黃玉婷(Yu-Ting Huang)；曾秀月(Shiou-Yue Tzeng)

憂鬱症 ； 正念療法 ； 潛在危險性自殺 ； depression ； mindfulness therapy ； suicidal ideation

志為護理-慈濟護理雜誌

21卷2期（2022 / 04 / 01）

121 - 132

繁體中文

本文為運用正念療法照護一位憂鬱症病人合併自殺意念之護理經驗。護理期間為2020年05月15日至2020年07月08日，藉由觀察、治療性會談等方式收集資料，並運用五大層面進行整體性護理評估，分析出主要健康問題有：「潛在危險性自殺」、「社交互動障礙」、「因應能力失常」。筆者以關懷、接納、同理、不批判之態度，與個案建立良好的治療性關係，並運用正念療法訂定符合個別性、整體性之護理計畫。透過引導個案覺察與接納現況，改善自殺意念、憂鬱情緒及社交互動，增進因應能力，提升專注力。最終個案可順利出院回歸社區。期待此篇照護經驗有助於增加臨床醫護人員對憂鬱症照護及正念療法的認識與應用。

This paper is a nursing experience of using mindfulness therapy to care for a depressed patient with suicide idea. From 15 May 2020 to 08 July 2020, data was collected through observation, therapeutic talks and five levels of holistic care assessment. This data suggested the major mental health problems were potential risk of suicide, social interaction disorder and response disorder. By adopting a caring, accepting, empathetic and non-critical attitude, the author establishes a good therapeutic relationship with the patient and makes a nursing plan incorporating mindfulness therapy that is consistent with individual and holistic perspectives. Reduction in suicide idea and depression, and improvement in social interaction were achieved by guiding the patient's awareness and acceptance and improving response and focus. The patient was able to be successfully discharged from hospital and returned to the community. It is expected that this care experience will help to increase awareness and application of mindfulness therapy for depression care among clinicians.

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