| Summary: | 碩士 === 輔仁大學 === 護理學系碩士班 === 96 === Continuous nursing care is very important, especially to schizophrenia patients with inadequate drug alliances. Continuous nursing care can maintain the nurse-patient relationship, and reduce rates of relapse.
Purpose: The purpose of this study was to explore the function of nursing for schizophrenic outpatients who lack an adequate drug alliance. The researcher hopes that this research might serve as a reference in the development of continuous community nursing and contribute to improvements in the quality of continuous nursing care.
Method: This research was a qualitative study. The researcher cared for eight schizophrenia outpatients with inadequate drug alliance. The data were records of the entire nursing care process, which provides the basis of the analysis.
Results: The functions of the nurse with regard to schizophrenia outpatients with inadequate drug alliance are the competencies of nursing care together with patient empowerment. The competencies fall into two major categories. The first is assisting patients to conduct themselves effectively. The second is the improvement of their self-management skills.
The first category involves:
(1) Assisting patients to explore themselves: supporting them in expressing their feelings and exploring their self-expectations.
(2) Improvement of their capacity for self-affirmation by assisting them to be more accepting of their own emotions and to value themselves more highly.
(3) Support in motivation enforcement, which includes the encouragement of positive emotions and experiences, reinforcement of changing motivations, and development of the patient’s own resource systems.
The second category, improvement of self-management skills, involves:
(1) Improving patient’s self-management of diseases, this includes: assistance in exploring both their own understanding and the actual state of their disease, enhancing their knowledge of their disease, and helping them to develop insight and self-care strategies.
(2) Assistance in self-management of drug therapy: including assisting patients in exploring their own understanding, the actual situation, side-effects, and their expectations of medication, and enhancing their knowledge of their medications in order to help them to build a more adequate drug alliance.
(3) Assistance in self-management of daily life: including helping them to explore their daily life problems, confirming the source of their problems and developing coping strategies.
Conclusion: The results of this study constitute an evaluation of the importance of nursing care with patient empowerment, and development of the competencies of continuous nursing care with patient empowerment. The results might serve as a reference for the development of continuous community nursing care , but research is also needed to develop competency assessment indicators, improve the use of resources, and explore caring effectiveness.
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