精神障碍患者治疗过程中心理护理探索与伦理反思

Exploration of psychological nursing and ethical reflections in the treatment of patients with mental disorders

目的:分析心理护理介入精神障碍患者治疗、康复、成长的路径,反思介入过程的价值中立、移情等伦理问题,为心理护理服务介入精神障碍治疗康复提供经验。方法:通过梳理对1位精神障碍患者服务与督导的过程,总结反思介入过程中的优点、护理工作者的情感卷入与价值观中立等伦理问题。结果:与精神科医师的沟通合作更有利于患者的治疗与康复。关注当下、优势视角有利于服务对象发现更多的可能与希望。绘画技巧的应用与系统家庭观可帮助我们进一步理解服务对象。服务过程中会遭遇价值观中立、角色身份偏移的困境,需要及时自我整理与被督导。结论:在介入患者治疗的过程中要保持价值中立,避免情感卷入,更有利于服务对象成长及其良好家庭关系目标的达成。团队工作与督导有利于社会工作者的成长与服务。

Objective: To analyze the path of psychological nursing intervention in the treatment, rehabilitation and growth of patients with mental disorders, and to reflect on the issues of value neutrality and empathy in the intervention process, so as to provide experience for psychological nursing services to intervene in the rehabilitation of mental disorders. Methods: By reflecting the intervention and supervision process of 1 patient with mental disorders, this paper summarized the advantages of introspection, the emotional involvement of the nursing workers and the neutrality of values. Results: Communication and cooperation with psychiatrists were more conducive to the treatment and rehabilitation of patients. Focusing on the present and the advantage perspective helped the patient to discover more possibilities and hopes. The application of painting skills and systematic family view could help us further understand the patient. When involved in the dilemma of value neutrality and role identity deviation, we have to sort it out and timely supervision is needed. Conclusion: In the process of intervention, we should maintain value neutrality to avoid emotional involvement, which is more conducive to the growth of patients and the goal achievement of good family relationship. Team work and supervision are beneficial to the development and service of social workers.