Development of Nursing Skills and Ethical Guideline in Home-based Psychiatric Care for Mentally III.

本研究旨在探讨公共卫生护士与精神科护士对社区精神病患进行访视护理的经验，并探讨精神病患的护理技巧与伦理准则。为了解访视护理活动与社区精神卫生服务体系的关系，采用访谈法对5名公共卫生护士和15名精神科护士进行访谈。鼓励他们描述精神病患者在社区护理中的经历、访视护理的过程、患者的帮助需求以及访视护士的角色。结果发现访视护理的4个要素：建立关系：保持专业亲密度;分享时间、空间和关怀;为高危病人提供安全保障。探讨了家庭精神病护理的三项护理技巧：发展病人的自我照顾能力、建立病人的社区生活方式和拓展病人的社会技能。尤其是建立信任关系、保障当事人的人权、培养当事人的自我照顾能力是社区精神病护理的重要组成部分。

The purpose of this study is to describe the experience of visiting nursing by public health nurses and psychiatric nurses, and to identify the nursing skills and ethical guideline for mentally ill in community. On researching the activities of visiting nursing and the community mental health care systems, 5 public health nurses and 15 psychiatric nurses were interviewed using a interviewguide. They were encouraged to describe the episodes in community care for mentally ill, the process of visiting nursing, the patients' needs for help and the roles of visiting nurses. As a result, 4 elements composed of visiting nursing were found : establishing relationships : keeping professional closeness, sharing time, space and concern ; providing safety for high-risk clients. Three nursing skills for home-based psychiatric care were discussed : developing clients' self-care abilities ; establishing their life style in community and expanding clients' social skills. In particular, to establish the trust relationships, to protect the clients' human right and to develop the clients' self-care abilities were components of community psychiatric care.