頁籤選單縮合
題 名 | 以中西醫結合照護一位肩關節周圍炎病患之門診護理經驗=Outpatient Care Experience of Western and Chinese Medicine Nursing on a Patient with Pericapsulitis |
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作 者 | 謝美雪; 王曉鈴; 周汎澔; | 書刊名 | 高雄護理雜誌 |
卷 期 | 28:2 2011.08[民100.08] |
頁 次 | 頁89-101 |
分類號 | 419.73 |
關鍵詞 | 肩關節周圍炎; 中醫門診; 四診; 中西醫護理; Pericapsulitis; Outpatient; Four examinations; Western and Chinese medicine nursing; |
語 文 | 中文(Chinese) |
中文摘要 | 本篇個案報告為中醫門診一位肩關節周圍炎病患,因疾病進展導致的疼痛、關節活動功能受限及日常自我照護缺失之護理經驗。照護期間為98年3月30日至5月13日,護理過程中以望聞問切四診做整體性的評估及辨證施護,結果發現個案慢性疼痛/與痺證有關、身體活動功能障礙/與寒邪入裏致筋骨僵硬痠痛有關、自我照顧能力缺失:穿衣、沐浴/與肩關節僵硬及疼痛等有關、知識不足(疾病的發展與處置及醫藥相關治療資訊認知錯誤)/與無法獲得正確的訊息有關等健康問題;藉由:1.指導與示範自我推拿,促使個案症狀緩解進而達到恢復關節功能,改善自我照顧能力;2.持續性關懷、傾聽並以同理心鼓勵個案說出內心感受,提升個案對疾病的認知;3.善用家人關懷、支持的資源,協助個案調適面臨疾病所帶來的依賴衝擊。筆者於護理過程深刻體會在照護中西醫多元求醫模式之病患時,惟有適切地給予個別性及整體性的護理措施,深入瞭解其面臨疾病的衝擊,方能展現護理的獨特性功能,希望藉此個案報告分享中西醫結合之照護經驗。 |
英文摘要 | The purpose of this article was to describe the outpatient care experience of both Western and Chinese medicine nursing techniques on a patient with pericapsulitis, having pain, functional limitation of joint, and deficit of self-care. During the period of nursing care, from March 30 to May 13 in 2009, the author did holistic assessment and pattern /syndrome identification using “correlation of all four examinations.(四診合參).”The health problems of the patient included chronic pain with impediment disease, impairment of physical mobility, deficit of self-care, and knowledge deficit. Through instructing and demonstrating self-massage, the author assisted the patient to have alleviated symptoms and to get functional recovery of joint activity. The patient further increased her ability of self-care. The author also used continued caring, listening and empathy to encourage and support the patient to express her perception and further increase her cognition of the disease. The author also provided social support to the patient to overcome the impact of the disease. During the nursing process, the author understood deeply that nursing professionals should provide individual and holistic interventions to a patient with plural health-seeking behaviors of Western and Chinese medical care. This nursing experience of western and Chinese medicine can also be served as a reference for further nursing care of the pericapsulitis patients. |
本系統中英文摘要資訊取自各篇刊載內容。