照顧一位遭受婚姻暴力創傷後壓力疾患之護理經驗

Translated title of the contribution: Nursing a patient with post-traumatic stress disorder caused by marital violence

李绣惠, 李玉蘭, 周桂如

Research output: Contribution to journalArticle

Abstract

This article describes the nursing of a patient with post-traumatic stress disorder brought about by marital violence. The nursing period was from December 1st to December 30th, 2007. The author collected data using observation, interview, and holistic nursing assessment and found that the patient engaged inhigh-risk, violent behaviors towards herself, and suffered from fear, sleep disorders, and other nursing problems. A trusting therapeutic relationship with the subject was established, and a half-hour interview was conducted daily with the patient, encouraging her to express her inner anxiety, suicidal plans, andassociated thoughts. A contract was agreed whereby the patient was to perform no self-harm but seek immediate help if necessary from healthcare personnel. Cognitive therapy was adopted by practicing keeping ”dysfunctional cognition records” to guide the patient to refute her automatic thoughts. Listening, accepting, and empathizing attitudes were used to help her perceive her negative thoughts and correcther distorted cognition. With respect to sleep, the patient was urged to take part in daily occupational activities, with an extended length of time spent on outdoor activities at dusk for additional exposure to the sun. After these strategies had been carried out, the patient was able verbally to express her innerfeelings and adopt effective coping models to face her emotional reactions. It is hoped that this nursing experience can serve as a reference for medical staff faced with a need to improve the quality of the nursing experience.
Translated title of the contributionNursing a patient with post-traumatic stress disorder caused by marital violence
Original languageTraditional Chinese
Pages (from-to)28-36
Number of pages9
Journal精神衛生護理雜誌
Volume6
Issue number1
Publication statusPublished - 2011

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