照顧一位具自殺問題行為且合併Steven-Johnson Syndrome之精神科病患的護理經驗

This case report described the experience of the nursing staff caring for a psychiatric patient with suicidal behavior and acute psychosis (auditory hallucination) in a medical center after joining the army. During this period the patient was diagnosed and Steven-Johnson syndrome caused by a drug allergy to: Carbamezpine. The nursing staff implemented the Gorden health assessment tool to evaluate the patient. The major nursing problems included: (1) High risk for self-mutilation; (2) Sensory-perceptual alteration; (3) Impaired tissue integrity, and (4) Tneffective coping. Cognitive therapy and clinical suicidal standards were used to prevent and treat the patient is suicide behavior. The self-help techniques were also used to reduce auditory hallucination. Besides, The isolation and non-bacterium techniques were used to treat the patient's Steven-Johnson syndrome. The results of the case report were positive. After treatment and excellent care by the nursing staff, the patient had no suicidal ideal, no auditory hallucination, and was free of complications from Steven-Johnson syndrome.