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題名:運用焦點解決短期諮商於一位重鬱症負向思考患者之護理經驗
書刊名:護理雜誌
作者:洪惠玉宋素卿
作者(外文):Hung, Huei-YuSung, Su-Ching
出版日期:2007
卷期:54:4
頁次:頁94-100
主題關鍵詞:憂鬱症負向思考焦點解決短期諮商DepressionNegative thinkingSolution focused brief therapySFBT
原始連結:連回原系統網址new window
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本文旨在分享運用焦點解決短期諮商護理一位對自己及所有事件皆抱持著負面看法的憂鬱症病患之護理經驗。護理期間自民國95年2月7日至95年3月20日。筆者藉由觀察、直接護理、會談、量表測驗及五大層面進行整體評估收集個案資料並確立問題,呈現護理問題為:無望感、長期性低自尊、潛在危險性暴力行為、社交互動障礙及睡眠形態紊亂。以溝通實錄模式呈現焦點解決短期諮商護理過程,運用正向的開始、建立對話架構、確立目標架構、尋找例外架構、假設解決架構、讚美等技巧引發個案正向思考、產生行為改變進而解決問題。結果個案於住院期間未再出現自傷行為,其憂鬱情緒及人際關係、自卑感也獲得改善。因此建議護理人員在繁忙的臨床護理可運用短期焦點解決諮商於護理過程中,有助於改善患者憂鬱情緒所造成之負向思考問題。
This case report is intended to share the nursing experience of applying solution focused brief therapy to a depressive patient with negative thinking. From February 7th to March 20, 2006, the authors collected data using observation, direct nursing care, interviews, scales, and holistic nursing assessments. Data analysis revealed the patient's problems to be feelings of hopelessness, low long-term esteem, potential violence toward self, social interaction disturbance, and sleep disturbance. A communication strategy based on solution focused brief therapy was used during the nursing process in order to lead the patient toward positive thinking, behavioral change and ultimately problem solving. The strategy included use of positive initialization, building conversations, setting goals, seeking exceptions, making presumptions, and giving compliments. As a result of the intervention, the patient presented no self-harming behavior during his stay in hospital, while his depressive mood, interpersonal relationships, and low esteem all improved. The article concludes, therefore, that using solution focused brief therapy in the nursing process is an effective strategy for improving depressive patients' negative thinking.
期刊論文
1.余春娣(20051000)。憂鬱症病患自我調適技巧認知篇。健康世界,238=358,47-51。  延伸查詢new window
2.簡正鎰(20020300)。焦點解決心理諮商「問問題」之技術。諮商與輔導,195,13-19。  延伸查詢new window
3.Bowles, N.、Mackintosh, C.、Torn, A.(2001)。Nurses' communication skills: An evaluation of the impact of solution-focused communication training。Journal of Advanced Nursing,36(3),347-354。  new window
4.Davis, E. D.、Vander Meer, I. M,、Yarborough, P. C.、Roth, S. B.(1999)。Using solution-focused therapy strategies in empowerment-based education。Diabetes Education,25(2),249-257。  new window
5.Wales, P.(1998)。Solution-focused brief therapy in primary care。Nursing Times,94(15),48-49。  new window
6.李素芬(20040700)。憂鬱的相關理論探究。諮商與輔導,223,2-6。  延伸查詢new window
7.謝碧玲(20020500)。憂鬱症的人際關係心理治療--理論與技巧。學生輔導,80,76-83。  延伸查詢new window
8.陳淑惠(2004)。憂鬱症的心理與病理防治--藍調心情,灰色人生。科學月刊,35(3)=411,202-206。  延伸查詢new window
圖書
1.Berg, I. K.、Dolan, Y.、黃漢耀(2002)。焦點解決諮商案例精選。台北:張老師文化。  延伸查詢new window
2.許維素、李玉嬋、洪莉竹、陳秉華、賈紅鶯、張德聰(1998)。焦點解決短期心理諮商。張老師文化事業。  延伸查詢new window
 
 
 
 
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