頁籤選單縮合
題 名 | 照顧一位獨居老人適應結腸造口之護理經驗=Nursing Experiences in Caring for an Elderly Person of Living Alone Adapt Colostomy Process |
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作 者 | 李蕙君; 周繡玲; | 書刊名 | 腫瘤護理雜誌 |
卷 期 | 4:2 民93.12 |
頁 次 | 頁53-66 |
分類號 | 419.77 |
關鍵詞 | 獨居老人; 結腸造口; 自我照顧; Elderly person living alone; Colostomy; Self-care; |
語 文 | 中文(Chinese) |
中文摘要 | 根據內政部92年老年人口統計已超出人口總數的9.2%,使得台灣人口的老化現象更為明顯,近年來老人獨居比率也有慢慢上升的趨勢,由於老年人口增多,相對提升住院比例,而對於獨居老人住院療護及居家自我照顧的需求,更成為護理人員思考如何提供有效率且符合獨居老人需求的護理。本文為探討一位獨居老人在乏人照顧且無良好的社會支持下,因大腸癌執行永久性結腸造口所引發身心調適的護理經驗。筆者運用Gordon十一項健康功能評估,經由實際觀察及參與照護,將資料加以整理分析,發現個案有疼痛、自我照顧能力缺失及身體心像紊亂等護理問題。在照護過程中筆者扮演支持者、教導者與諮詢者的角色,提供術後疼痛護理,並利用自製且適合老人閱讀的結腸造口衛教手冊作為個案自我照顧的依據,提供正向因應技巧幫助個案接納自己身體外觀上的改變,並尋求居家照護的資源,協助個案出院的後續照護,期望病患能適應與病共存的生活。 |
英文摘要 | According to the Interior Ministry's figures, the elderly comprised more than 9.1% of Taiwan's population as of 2003, making the silvering of this island's people all the more obvious. In recent years the ratio of senior citizens living alone has likewise crept upward. Bulging ranks mean a higher incidence of those hospitalized, along with the amount of hospital care needed for single senior patients, and self-care for those living at home. All this adds up to grave concern by healthcare personnel-i.e., how to provide effective healthcare appropriate to the needs of elderly persons living alone. This paper will examine the care of one such person who lacked personal care and/or societal support, as well as the nursing experiences obtained from caring for the patient-one faced with mental and physical adjustments wrought by intestinal cancer and the resultant colostomy. The author has adapted the Gordon 11 functional health patterns for thorough analysis of data collected from empirical observation and hands-on care, thereby discovering the subject's pain, deficit of self-care, and body image disturbance. During the process of administering care, the author played the supportive role of guide and consultant, thereby concocting his own healthcare manual suitable for aged people to read. It can serve as a basis for self-care and provide skills to help subjects accept physical changes better, as well as seek the resources for home nursing care, thus assisting the outpatient with continuing care afterwards, and eventually enabling the patient to co-exist well with the illness. |
本系統中英文摘要資訊取自各篇刊載內容。