頁籤選單縮合
題 名 | 強制住院隔離肺結核病人之護理經驗=Nursing Care of a Pulmonary Tuberculosis Patient Who Was Isolated by Compulsory Hospitalization |
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作 者 | 黃淑萍; 何璇; 蔡佳樺; 吳孟嬪; | 書刊名 | 北市醫學雜誌 |
卷 期 | 8:4 2011.12[民100.12] |
頁 次 | 頁371-379 |
分類號 | 419.73 |
關鍵詞 | 肺結核; 潛在危險性跌倒; 強制住院隔離; Tuberculosis; Compulsory hospitalization isolation; |
語 文 | 中文(Chinese) |
中文摘要 | 本文為一位接受社會局安置之66歲活動性肺結核個案,因拒絕接受治療,依法強制住院隔離之護理經驗,目的為使個案能順利完成二週抗結核藥物的治療。筆者運用Gordon十一項健康功能型態評估為架構,經由觀察、會談、運用同理心及主動關懷等技巧收集資料,結果發現個案有:知識缺失、潛在危險性跌倒及社交隔離等問題。經由運用肺結核多媒體指導工具書、指導跌倒的預防措施、運用主動關懷及同理心的技巧,建立信任的護病關係,使個案了解強制住院隔離的原因,並藉由行為契約的建立,使其能短時間外出,以降低強制住院隔離的感受,後續轉介肺結核個管師及地段護士,確實執行都治計畫,返家後繼續服藥。 |
英文摘要 | This study pertains to one active tuberculosis patient, aged 66, who was resettled by the Social Affairs Bureau. The law in this area was enforced and he was isolated by compulsory hospitalization in order to complete a 2-week anti-tuberculosis drug treatment program. Applying Gordon's 11 health functions on an evaluation basis, the author collected information by observation, interview, empathy and identification of the patient's initial concerns from 12 December 2009 to 4 January 2010. Results indicated that, in this case, the problems included insufficient knowledge, potentially dangerous falls and social isolation. Guidance was provided via multi-media equipment. In addition, the patient was educated in measures that would help him to avoid falls. Active care and empathy were used to help to establish trust between the patient and the nurse. This helped the patient to understand the need for compulsory hospitalization isolation. The patient was allowed to go outside of the hospital for short periods of time to reduce his sense of isolation under a behavior contract to which he had agreed. Thereafter, he was transferred to a TB case manager and public health nurse for continuing care under the DOTS program. He intends to keep taking his medication after returning home. |
本系統中英文摘要資訊取自各篇刊載內容。