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題名 | 協助一位中低收入腦中風個案營養維持的居家護理經驗=Home Health Care Experience of Maintain Nutrition Status of a Low Income CVA Patient |
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作者 | 游玉姿; 林秀純; 楊舒琴; Yu, Yu-tzu; Lin, Shiou-chuen; Yang, Shu-chin; |
期刊 | 若瑟醫護雜誌 |
出版日期 | 20120800 |
卷期 | 6:1 2012.08[民101.08] |
頁次 | 頁84-95 |
分類號 | 429.5 |
語文 | chi |
關鍵詞 | 腦中風; 居家護理; 營養評估; 吞嚥困難; 壓力負荷; CVA; Home health nursing; Nutrition assessment; Dysphagia; Caregiver burden; |
中文摘要 | 本文描述一位腦中風後合併吞哄困難的中低收入戶個案之居家護理經驗,於2009 年3月18日至2010年3月2日護理期間,運用高登(Gordon)十一項功能性健康型態評估為架構,藉由觀察、會談、身體檢查評估及傾聽等方式收集資料,對個案進行生理、心理及社會發展整體性評估,歸納出個案主要健康問題為:(一)吞嚥障礙;(二)營養不均衡;(三)照顧者壓力負荷過重。在護理過程中,透過12次家訪及8次電訪與主要照顧者建立信任關係,依個案狀況教導吞嚥困難進食注意事項並持續進行營養評估及諮詢,另協助主要照顧者日常生活規劃,共同討論適切的紓壓方式,並在經濟資源有限下提供正式及非正式社會資源等措施,使個案能避免因吸入性肺炎而住院的機會,滿足營養需求,並減輕主要照顧者的壓力負荷,以提升個案及家庭之生活品質。 |
英文摘要 | This case report describes a home health care experience of maintain nutrition status of a low income CVA patient with dysphagia. Through twelve home visits and eight telephone interviews between March 18, 2009 and March 2, 2010, the Gordon's eleven functional health patterns was applied for assessment during the nursing process through observation, physical examination, interview, listening, interaction and communication, Three health related problems: swallowing impairment, imbalanced nutrition, and caregiver role strain were identified. According to client's family condition, the home health nurse helped the caregiver to deal with swallowing problems, continues to assess and consult the nutrition status, helped the caregiver to plan everyday life and discusses appropriately stress relieving methods, and referred to formal and created informal resources under limited budget. Finally the client's nutrition maintained to an ideal status, the caregiver's burden decreased and the client's quality of life improved with no hospital admission. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。