정신건강간호학실습) 양극성 정동장애 케이스스터디 사례연구

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양극성 정동장애 사례연구(케이스스터디)입니다

간호과정 2개 작성되어있습니다
깔끔하게 작성했어요

#1. 조절되지 않는 충동성과 관련된 자신 또는 타인에 대한 폭력위험성
#2. 기분조절 능력저하와 관련된 무력감

목차

Ⅰ. 서론
연구의 필요성 및 목적 ··············································································· 3

Ⅱ. 문헌고찰 ·········································································································· 3

Ⅲ. 자료 수집 기간 및 방법 ········································································· 5

Ⅳ. 사례연구 ········································································································ 5
1. 일반적 배경 ······························································································· 5
2. 건강력············································································································· 5
3. 신체검진 ······································································································ 6
4. 발달력 ··········································································································· 6
5. 가족력 ··········································································································· 7
6. 정신상태 사정 ···························································································· 7
7. 의학적 진단명 및 정의 ········································································· 8
8. 임상병리 검사 ···························································································· 9
9. 임상심리 검사 ····························································································· 9
10. 의사의 치료 계획 ·················································································· 9
11. 간호과정 적용 ······················································································· 10

V. 결론 ················································································································· 10

Ⅵ. 참고문헌 ······································································································ 10

본문내용

I. 서론
1) 연구의 필요성 및 목적
양극성 장애의 평생 유병율은 우리나라 전체인구의 약 1~2%이며 양극성장애 범주장애까지 포함하면 전체인구의 약 3~7%에 해당할 정도로 매우 흔한 질환이다. 또한 양극성장애 대상자의 25~60%는 평생 적어도 한 번은 자살을 시도하며, 20%는 사망한다는 결과가 있다. 하지만 일반인들은 조증과 우울증의 경계를 쉽게 알아차리지 못하기 때문에 양극성 장애 환자가 정확한 진단을 받는데는 평균 10년의 시간이 걸린다. 그래서 이번 사례연구를 통해 양극성 장애란 무엇인가 알아보고, 특징적인 증상과 치료방법, 진단 기준에 대해 공부하여 대상자의 빠른 회복과 재활을 돕고자 한다.

2) 대상자 선정 이유
병동에 처음 도착했을 때 가장 먼저 인사를 나눈 대상자이다. 처음에 대상자를 봤을 때 체구가 크고 표정이 없었으며 팔에 깊은 상처가 나있었다. 그래서 두려움을 가지고 조심스럽게 다가갔는데 누구보다 밝게 웃어주시며 호의적인 분이였다. 자신의 병식에 대해 정확히 알고 있고 개방적으로 이야기를 들려주셨으며 스스로 조절을 위해 많은 노력을 하고 계셨다. 많은 대화를 나누며 정신질환자에 대한 편견을 깰 수 있는 계기가 되었고, 대상자가 가진 질병에 대해 공부하여 어떤 간호를 제공해드릴 수 있을지, 어떤 도움을 드릴 수 있을지 고민해 보고 싶어 선정하게 되었다.

II. 문헌고찰
1. 정의
양극성 장애란, 조울증이라고도 하며 기분 장애의 일종이다. 이 질환은 조증 삽화와 우울증 삽화를 보이는데, 삽화는 증상이 계속 지속되지 않고, 일정 기간 나타나고 호전되기를 반복하는 패턴을 보이는 것을 의미한다. 일반적으로 조증이란 평소와 달리 기분이 매우 좋고 고양된 상태를 말한다. 환자를 잘 모르는 사람들이 처음 보면 매우 즐겁고, 자신감이 넘치는 상태로 보인다. 그러나 환자를 잘 아는 사람들이 볼 때 이러한 기분 상태가 정상이 아니라는 것을 알 수 있다. 이러한 점이 단순한 기분 기복과 조울증을 구별하는 점이 될 수 있다. 조증의 특징은 의기양양한 기분이지만, 때에 따라서는 지나치게 예민하고 흥분을 잘하는 상태에서 나타날 수 있다.

참고자료

· 이미형 외(2019), 정신건강간호학, 현문사
· “양극성 장애”, 건강정보, 의료정보, 질환백과, 서울아산병원. (2023).
· “약학정보원”, https://www.health.kr/searchDrug/result_drug.asp?drug_cd=2012032600004
· 고성희 외(2013), 정신간호 진단과 중재, 수문사
· 정영은, 김문두.(2016).양극성장애의 심리사회적 치료.우울조울병,14(1),19-24.