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題 名 | 一位因毒癮感染心內膜炎行心臟手術患者術後之加護經驗=The Postoperative Nursing Care of a Patient with Drug Addiction-related Infective Endocarditis |
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作 者 | 張世中; 陳櫻云; 黃素慧; | 書刊名 | 高雄護理雜誌 |
卷 期 | 25:2 2008.11[民97.11] |
頁 次 | 頁98-110 |
分類號 | 419.73 |
關鍵詞 | 毒癮; 感染性心內膜炎; 護理; Drug addiction; Infective endocarditis; Nursing care; |
語 文 | 中文(Chinese) |
中文摘要 | 本文主要敘述照顧一位單親少女因施打毒品,引發感染性心內膜炎,經切除贅生物及修補三尖瓣術後之護理經驗。護理期間為96年4月15日至96年5月13日。筆者藉由Gordon十一項健康功能評估,透過觀察、紙筆溝通等方式收集相關資料,加以彙整分析,發現個案有疼痛、活動無耐力、氣體交換障礙、焦慮、睡眠型態紊亂等健康問題,針對身心問題提供適當的護理措施,用同理心引導個案表達感受、給予心理支持及放鬆技巧等,減經個案的焦慮;透過個案、家屬、及醫療團隊共同努力,協助個案度過毒癮發作,陪伴個案走出此次疾病手術的衝擊。透過此護理經驗,深感面對毒癮患者時,除了生理照護,亦要重視心理層面,以達完整性的照護,期能與護理人員分享此特殊照護經驗。 |
英文摘要 | This case report describes the nursing experience caring for young girl who had infective endocarditis resulting from the injection an illicit drug and who had received a resection of the tricuspid valve. Between Apr. 15, 2007 and May. 13, 2007, data was collected and analyzed through observation and communication with the patient using the Gordon’s assessment tool. Nursing problems were found to be pain, activity intolerance, impaired gas exchange, anxiety and disturbed sleep patterns. Nursing intervention for this patient included mental support and relaxation to relieve her anxiety and sympathetically encourage her to express her feelings we also helped the patient break her drug addiction and face cope with the discomfort with the cooperation of patient, her family and her medical team. It is hoped that through sharing this experience, health care professionals can be reminded that psychological support is as important as physical care for patients with drug addictions. |
本系統中英文摘要資訊取自各篇刊載內容。