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題名 | 一位遺傳性貧血引發胸內髓外造血囊腫老年人之護理經驗=Nursing Experience on an Aged Hereditary Spherocytosis Patient with Intrathoracic Extramedullary Hematopoiesis Masses |
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作者 | 李月麗; 廖玉美; 黃敏蓉; | 書刊名 | 高雄護理雜誌 |
卷期 | 25:1 2008.05[民97.05] |
頁次 | 頁86-96 |
分類號 | 419.76 |
關鍵詞 | 遺傳性球狀紅血球性貧血; 胸內髓外造血囊腫; 肋膜積水; Hereditary spherocytosis; Intrathoracic extramedullary hematopoiesis masses; Pleural effusion; |
語文 | 中文(Chinese) |
中文摘要 | 本文旨在分享一位遺傳性球紅血球性貧血(hereditary spherocytosis)引發胸內髓外造血囊腫(intrathoracic extramedullary hematopoiesis masses)老年人,因併發肋膜水(Pleural effusion)導致呼吸困難反覆入院之護理老年人,因併發肋膜積水(Pleural Effusion)導致呼吸困難反覆入院之護理經驗。護理期間從2006年3月6日至2006年3月14日,經由生理、心理、社會及靈性層面之整體性護理評估,確立個案面臨低效性呼吸型態、無力感、潛在危險性孤寂等主要護理問題。為了避免個案因疾病導致身體功能喪失及反覆住院引起孤寂感,設立護理目標為改善身體不適,增進自我照顧能力,保持正常功能,促進人際關係,提升自我價感受。經過住院期間的照護,個案逐漸接受與疾病共存的重要性,學會運用有效性呼吸技巧,進而改善呼吸困難與不適,並且主動與醫護人員互動,不再持續出現沮喪、孤寂情緒。 |
英文摘要 | In this case report, we discuss our experience in the care of an aged hereditary spherocytosis patient with intrathoracic extramedullary hematopoiesis masses, complicated with plural effusion. There were multiple hospital stays due to dyspnea. From the period of the 6th to 4th March 2006, we evaluated the male patient in physical, psychological, social and spiritual aspects. The nursing evaluation of this case presented problems of ineffective breathing pattern, powerlessness and risk of loneliness. In order to prevent disease-related declining of physical abilities and loneliness after multiple hospitalization, we set up goals for him to alleviate/minimize/eliminate (choose the one you want-editor) his discomfort, enhance self-caring ability, maintain normal activity, promote social relationships and his sense of self-worth. After his period of caring, the accepted the importance of living with the disease, learning effective breathing patterns, and ameliorating his discomfort and dyspnea. In addition, he actively interacted with our staff and experienced no further depression or emotional loneliness. |
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