全身性紅斑狼瘡為一慢性、長期之自體免疫疾病，患者除身體會遭受不等程度之損 害外，更會影響心理社會之調適，而產生：社交隔離、焦慮無助、低自尊、憂鬱等心理社會 問題。本文說明心理諮商及諮商前、護士本身、病患、環境之準備和常見之諮商技巧，並藉 由實例，說明諮商在內外科病房護理的運用，協助患者調適全身性紅斑狼瘡所帶來之身心衝 擊。

　　　　　SLE is a chronic, long-term disease of auto-immunity. Patients suffer hardly from different kinds of damages, that influence their psychological and social adaptation. Bad-regularity results in many psychological and social problems, such as isolation from society, anxious, helplessness, low-selfesteem, and depression. This study discusses the importance of psychological consultation, how nurses and their patients start in the therapy, preparation of surroundings, and some popular consulting skills. Some examples in the study are also helpful to the patient to adapt their disease, which cause physical and mental impact on the patients.