Citation

Cheng FM, Hsu CC, Lin YR. Hu Li Za Zhi 2009; 56(4): 100-104.

Affiliation

Department of Nursing, Tri-Service General Hospital, ROC. w42@mail.ndmctsgh.edu.tw.

Copyright

(Copyright © 2009, Nurses' Association of the Republic of China)

DOI

unavailable

PMID

19634106

Abstract

This case report described a nursing process that employed cognitive behavior therapy in the care of a repeated suicide adolescent patient between January 25 and March 25, 2007. Data collection was done through observations, interviews and discussions conducted concurrently with the patient and his family. The patient was evaluated physically, emotionally, intellectually, socially and spiritually. Major nursing problems identified included: (1) potential suicide risk, (2) social interaction disturbance, and (3) sleep pattern disturbance. During hospitalization, cognitive behavior therapy was employed to correct distortions in patient cognition, reduce suicidal ideations and improve sleep quality. Role-playing was also employed to deliver social skills training, which enhanced the ability of the patient to interact with others. After eight weeks and prior to discharge, the patient was able to use effective coping skills to face his negative-automatic thinking and actively participate in group therapy. After discharge, the author tracked patient progress by visiting the OPD and through communications over the telephone. His family and teacher described the patient as having a stable mood, no longer attempting suicide and being able to join clubs on campus and live a a normal daily life.

Language: zh