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題 名 | 一位急診家屬簽署拒心肺復甦術後之行為反應=Nursing Experience of Family Signing Do Not Resuscitate (DNR) form in the Emergency Department |
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作 者 | 麥嘉萍; | 書刊名 | 腫瘤護理雜誌 |
卷 期 | 2:2 2002.12[民91.12] |
頁 次 | 頁41-49 |
分類號 | 419.73 |
關鍵詞 | 急診家屬; 拒心肺復甦術; 行為反應; Emergency family; Do not resuscitate; DNR; Behavior reaction; |
語 文 | 中文(Chinese) |
中文摘要 | 本篇個案報告是描述一位急診家屬得知丈夫肝硬化瀕臨死亡時,在缺乏支持系統又期望丈夫能善終的意願下,筆者協助個案簽署拒心肺復甦術同意書(DNR),簽署後其餘家屬有怪罪個案的行為反應。從民國89年12月7日到90年1月19日於北部某區域醫院,以觀察法、會談及電訪方式收集資料,整合個案生理、心理、社會、靈性等層面問題進行資料分析,發現個案主要健康問題為(1)照顧者角色緊張,(2)家庭因應能力失調:妥協性(3)睡眠型態紊亂。筆者以照顧者、教育者、溝通協調者、支持者四種角色功能協助個案,提供個案DNR相關知識,運用開放式的溝通技巧,引導個案說出心中想法,以同理心接受個案的行為反應等護理措施,協助個案簽署DNR後的行為反應得以調適,及病患善終。期望本篇報告的完成能提供急診室的護理同仁協助此類個案之參考。 |
英文摘要 | This report is about the responses of a dying man's wife upon signing the Do not resuscitate (DNR) form in Emergence Room. The stress due to wanting patient die peacefully and lacking supports of other family member was described. All the data were collected by observation, individual interviews and telephone interview in a local hospital of North Taiwan during December 7, 2000 and January 19, 2001. Analysis of the data shoe this woman had three major problem: (1) Caregiver role strain; (2) Ineffective coping skill of family: potential for growth (3) Sleep pattern disturbance. As a caregiver, educator, coordinator and supporter provided the patient related knowledge of DNR. Moreover, the author also encouraged the patient to express their though through communication skills, and showed in the patient's situation. The author help the patient and his family to adapt well after signing DNR form and accept the peaceful death of the dying person. This report could serve as a reference for nursing colleague in emergency room on handling similar cases. |
本系統中英文摘要資訊取自各篇刊載內容。