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| 題 名 | 一位隱球菌感染導致肺炎及腦膜炎病患之護理經驗=Nursing Experience of a Patient with Pneumonia and Meningitis Due to Cryptococcal Infection |
|---|---|
| 作 者 | 楊琳琪; | 書刊名 | 高雄護理雜誌 |
| 卷 期 | 29:1 2012.04[民101.04] |
| 頁 次 | 頁57-68 |
| 分類號 | 419.73 |
| 關鍵詞 | 隱球菌感染; 腦膜炎; 護理經驗; Cryptococcal infection; Meningitis; Nursing experience; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 隱球菌感染屬於一種黴菌感染,若未給予適當的醫療照護,常會留下神經學後遺症,本個案報告描述一位隱球菌感染病患的護理經驗,護理期間進行個案生理、心理、社會、靈性及發展方面的資料收集與整理,確立個案有腦組織灌流改變、低效性呼吸型態、急性疼痛及焦慮等四項護理問題,在護理過程中,筆者能維持個案正常腦組織灌流、改善頭痛、有正常的呼吸型態,而個案對於已接受治療兩個月,頭痛卻未改善感到焦慮,筆者再透過傾聽與關懷的方式,給予個案隱球菌感染的相關護理指導,鼓勵個案的母親及乾女兒陪伴並支持個案,終而使個案能正向面對此次患病的壓力。希望藉由此文能使護理人員了解照顧此類個案之護理重點,以能提早發現個案問題。 |
| 英文摘要 | Cryptococcus is a type of fungal infection which, if not treated with appropriate medical care, may cause neural sequelae. This case report describes the nursing experience of a Cryptococcus patient. The patient’s physiological, psychological, social, spiritual, and developmental information was collected. The following four issues were confirmed: ineffective tissue perfusion (cerebral), ineffective breathing patterns, acute pain, and anxiety. During the nursing period, the patient maintained normal tissue perfusion, and had mitigated headaches as well as normal breathing patterns. The patient displayed anxiety about why his headaches had not been alleviated despite two months of therapy; the author displayed concern regarding this matter and provided health education on Cryptococcus infection. Under the author’s encouragement, the mother and god-daughter of the patient both offered support and companionship. With these positive influences, the patient eventually accepted the reality of the disease. This study wishes to emphasize the key factors of such rare cases in hopes of enabling future early problems. |
本系統中英文摘要資訊取自各篇刊載內容。