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1 精神裂力理理 1 理 2 狀精神裂理理 2009 年年 2 3 理度立良療力理理行療念理理力更狀理念力力 : 精神裂行療理精神裂亂行力 American Psychiatric Association, 年精神精神裂數精神裂 58%80% 流精神度數精神狀復療亂暴力行度女精神狀狀不良理行療狀理力理念理行良精神裂精神裂精神行理 Stuart& Laraia, 2003 精 98 年年理 2009 Vol. 15 No

2 神狀亂 Arinami, 2006 精神精神裂狀狀行亂狀力降兩類見狀精神裂不離 Turkington Dudley Warman& Beck, 2004 精神裂理不略行療年來行療精神裂療力狀理樂行念行行連狀 Turking, Dudley, Warman& Beck, 2004; Zimmermann, Favrod, Trieu& Pomini, 2005 行理狀力例樂勵理年來了理念 Rayens& Svavarsdottir, 2003; 梨麗 2007 理力力讀力略 McCubbin McCubbin 1993 識行行女復力都理臨理念李 2002 Buccheri Trygestad Dowlin Hopkins White& Griffin 2004 參理 38 年 2006 年狀例說勵 Vol. 15 No

3 96 年狀不利老不精神精神裂療陸療理理 2009 年年 2 3 料靈行理 100 / 26 / 來行料理 BMI 便尿都來亂 2-3 精神都 1/14 寧 1/15 說說力不 Stilnox Rivotril 1/16 神 1/18 精神狀參療都來裡不不 1/ Vol. 15 No

4 老離神老女不了量說度不 1/17 說不理 1/14 說說理 1/15 力 1/16 力說度量神不神行 1/16 落神不行力力說力力力力力力力度識識精神裂不不識都禮說神 1/19 都來參療狀良離不來來老 1/14 都不 1-2 來留 1/15 來說力來說來 1/17 都 1/19 來神落 1/20 來都不冷不了 2009 Vol. 15 No

5 不靈來來什都不亂不了立 / / 刺力 / 理 / 理 : 1. 理論 2. 行理論理立料理 S1:1/15 力 S2:1/16 力 O1: O2: 說度量神不 1-1 度立療 1-2 勵說不 1-3 了 1-4 不狀 2-1 參療療論 2-2 利異力 2-3 力 2-4 良理 2-5 樂力 2-6 錄狀 2009 Vol. 15 No : 1/17 說理不 1/19 都不不不切 1/22 亂都不理了不亂不了 : 1/19 來 1/20 亂參療來參療 1/22 神亂都不理了不亂不了 1/24 不 1/31 練樂神

6 理 / 刺理 : 1. 理 2. 行 3. 利理料理 S1:1/14 老離神老女不了 S2:1/15 說說 O1:1/14 說說 O2:1/14 寧 O3:1/16 落神不 1-1 理度立理不 1-4 勵參 1-5 勵 1/ 錄率來行了 2-2 樂理 1/27 療力 2-3 勵 2-4 料 2/1 更理說不理力 2-5 精神 2/2 練樂不見了 3-1 勵狀力 : 1/16 理理論不 1/18 理來了 10 1/19 樂 15 理力 / 理 : 2. 理狀 Vol. 15 No

7 料理 S1:1/14 都不 S2:1/14 不不 S3:1/15 來說力來來說都了來 S4:1/17 都 S5:1/20 來都不? O1: 來冷 O2:1/19 來度神 1-1 立 1-2 了 1-3 來勵 2-1 度行 2-2 禮論療識療 2-3 識行索良切 2-4 異 2-5 女參勵女 2-6 女理理療 2-7 女 2-8 不更行力復行連精神 2-9 勵參 2-10 狀暴力行理 2-11 復練力 1/21 1/24 了不不 1/25 數不了 1/26 女參女不來了精神了不精神來不 1/27 參參 2/1 不不理不 2/2 不了 2/3 女理了 2/3 來 2009 Vol. 15 No

8 論論狀精神裂理論狀女理便度力力行療狀異力狀理力理念識令理女理精神理臨參參年數 2009 年 5 18 療理精神理北 (2002) 精神裂流行 29(9) 精神暴力行論北梨麗 2007 理 Stuart, G. W.,& Laraia, M.T. (2003). 精神理林北 1998 Arinami, T. (2006). Analyses of associations between the genes of 22q11 deletion syndrome and schizophrenia. Journal of Human Genetics, 51, American Psychiation Association. (2009). Diagnostic and statististical manual of mental disorders(4 th ed). Washington, DC: APA. 李 2002 精神裂 Buccheri, R., Trygestad, L., Dowlin, G., Hopkins, R., White, K., Griffin, J., et al. 狀理 (2004). Long-term effect of teaching behavioral strategies for managing 2008 精神裂精神狀 persistent auditory of hallucinations Vol. 15 No

9 Journal of Psychological Nursing Journal of Psychiatric Practice 10(1) Mental Health Services, 42(1), McCubbin, M. A., & McCubbin, H. I. (1993). Family coping with illness: The resiliency model of family stress adjustment and adaptation In C. Danielson. B. Hamel-Bissell and P. Wistead-Fry(Eds.). Families health and illness. St. Louis C Zimmermann, G., Favrod, J., Trieu, V. H., & Pomini, H. (2005). The effect of cognitive behavioral treatment on the positive symptoms of schizophrenia spectrum disorders: A metaanalysis. Schizophrenia Research 77(1) 1-9. V. Mosby. Mowbray, C. T., Bybee, D., Oyserman, D., Macfarlane, P., & Bowersox, N. (2006). Psychosocial outcomes for adlutchildren of parents with severe mental illness Demograohic and clinical history predictors. Health an Social Work, 31(2) Polkki, P., Ervast, S. A., & Huupponen, M. (2004). Coping and resilience of children of a mentally ill parent. Social Work in Health Care, 39(1-2), Rayens, M. K., & Svavarsdottir, E. K. (2003). Focus on research methods. A new methodological approach in nursing research: An actor, partner, and interaction effect model for family outcomes. Research in Nursing & Health, 26(5), Turking, D. Dudley R. Warman D. M., & Beck, P. (2004). Cognitive -behavioral therapy for schizophrenia A review Vol. 15 No

10 Nursing experience in patient with schizophrenia to enhance the ability of family coping skills Yin-Chi Chen 1, Yu-Chien Hsu 2, Chen-Ju Chen 2 Dachien Hospital 1 Lecturer, School of Nursing, Yuanpei University 2 This nursing care experience regards to a patient suffering from delusion and auditory hallucination. After establishing therapeutic relationship and applying nursing assessment with the patient, 3 major nursing problems were identified: altered thought processes, sensory/ perception alternation, ineffective family coping. Cognitive-behavior concepts were used to improve client s negative emotional problems, enhance the self-management ability, and reduce life disturbance effectively. After employing family nursing care concepts in the nursing care plan, we improved the family members coping skills and positive interaction. Positive attitude toward subject returning home and high quality of life was found in the family. Key words: Schizophrenia, Cognitive behavior therapy, Family nursing care Received: Jul, 30, 2009 Accepted: Aug, 27, 2009 Address correspondence and reprint requests to: Yu-Chien Hsu, Lecturer, School of Nursing, Yuanpei University hyclovely@gmail.com 2009 Vol. 15 No

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