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題 名 | 照顧一位膽結石術後老年病患之加護護理經驗=The Nursing Experience in a Post-cholecystectomy Elderly Patient at ICU |
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作 者 | 劉翠婷; 丁玉芝; 熊道芬; | 書刊名 | 慈濟護理雜誌 |
卷 期 | 2:3 2003.09[民92.09] |
頁 次 | 頁96-105 |
分類號 | 419.76 |
關鍵詞 | 膽結石; 老年病患; Gall bladder stone; Elderly patient; |
語 文 | 中文(Chinese) |
中文摘要 | 膽道結石是一種常見的疾病,其治療多著重在減輕病人的痛苦,當合併膽道炎時,即需施行簡單的膽囊切除術。若發生在老年人身上,則會因為器官老化而影響手術的預後,甚至危及生命而需接受加護照顧。本文探討一位88歲高齡病患,因膽結石併發急性膽囊炎行切除術後,無法即時脫離呼吸器,而轉入加護病房的護理過程,並運用Gordon 十一項健康型態評估架構,確立病患的健康問題為:1.呼吸道清除功能失效;2.潛在危險性感染;3.睡眠型態紊亂;4.營養狀況改變;5.焦慮。照護過程中,除穩定病患生理平衡外,還包括護理人員透過與個案及家屬建立良好的護病關係,並針對老年人心理層面之護理問題給予持續性護理措施,協助病患減輕在加護病房中所產生的一連串不適應,陪伴其與家屬一同渡過加護病房中之照護期。率能將此護理經驗提出大家分享,做為提供日後照顧此類病患時的參考。 |
英文摘要 | Biliary tract stone ( choledocholithesis ) is a common disease among the old age. The therapy mainly focuses on the relief of a patient's pain. When complicated with cholecystitis, cholecystectomy is indicated. When it happens to an aged patient, the prognosis after surgery becomes worse with even life threatening risk which needs intensive care. This paper discussed an 88-year-old patient with acute cholecystitis. He was transferred to intensive care unit due to difficult weaning after surgery of cholecystectomy. Based on Goldon's functional of health pattern assessmet, the patient's health problems were identified as: 1. Airway clearance, ineffective; 2. Potential for infection; 3. Sleep patten disturbance; 4. Altered nutrition; 5. Anxiety. In addition to stabilizing the physiologic conditions, through the therapeutic relationship with the patient and his families, the nursing staff also provided aggressive intervention to stabilize the physical imbalance and mental supports for the psychological problems of the old-aged patient, and helped the patient go through the treatment at the intensive care unit easily. The researcher pleasantly present the case for sharing experience in caring such a case with all the staff. |
本系統中英文摘要資訊取自各篇刊載內容。