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題名 | 藉心身互動概念協助一位胸腺癌患者延遲脫離呼吸器之照護經驗=Caring for Athymic Carcinoma Patient Who Experience Delay in Weaning the Ventilator |
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作者 | 曾惠美; 韓錦樺; Tseng, Hui-mei; Han, Chin-hua; |
期刊 | 源遠護理 |
出版日期 | 20120500 |
卷期 | 6:1 2012.05[民101.05] |
頁次 | 頁48-55 |
分類號 | 419.77 |
語文 | chi |
關鍵詞 | 呼吸器脫離; 影響因素; 護理; 心身互動; 胸腺癌; Weaning from the ventilator; Influence; Nursing; Mind-body interaction; Thymic carcinoma; |
中文摘要 | 本文藉由照護一位胸腺癌之患者,探討影響呼吸器脫離延遲之生理、心理因素及合宜的護理過程。個案在手術中發現左、右橫膈神經被腫瘤侵犯並切除,導致術後無法順利脫離呼吸器。筆者於護理期間以心身互動概念為架構、評估影響個案呼吸器延遲脫離的生理、心理社會資料,並提供相關護理;與醫療團隊人員討論的方式,共同研擬來解決個案生理問題之方案;以連續性照護建立彼此的信任感,進而瞭解個案之人格特質,並讓個案能在呼吸訓練過程中表達情緒壓力;協助個案瞭解呼吸器脫離的過程及情況,及影響脫離呼吸器之生理、心理因素。在整個照護期間,個案呼吸器脫離的困難度高,經筆者適時的提供生理、心理之護理處置後,能讓個案恢復信心,面對脫離呼吸器的挑戰,並成功地脫離呼吸器,恢復自發性的呼吸。 |
英文摘要 | This study explores the nursing care that addresses both physiological and psychological factors in assisting a patient with thymic carcinoma weaning off the ventilator. The patient learned that her left and right diaphragmatic nerves were removed postoperatively due to tumor invasion. The primary nurse found that the patient experienced extreme difficulty in weaning off the ventilator. The primary nurse used the mind-body interaction as a framework to assess the physical or psychological factors that impacted the patient. The nurse joined the treatment team to discuss physical treatment plans and continued to build a caring relationship that facilitated the patient to express feelings and frustrations during ventilator weaning training. The timely physical and psychological support helped restoring patient's self-confidence. As a result, patient was able to wean from the ventilator and restore spontaneous breathing. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。