頁籤選單縮合
題 名 | 一位接受冠狀動脈繞道手術病患之護理經驗=Nursing Experience of Caring a Patient Undergoing Coronary Artery Bypass Graft Surgery |
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作 者 | 游美玉; 李彩緣; | 書刊名 | 若瑟醫護雜誌 |
卷 期 | 6:1 2012.08[民101.08] |
頁 次 | 頁119-129 |
分類號 | 419.73 |
關鍵詞 | 冠狀動脈繞道手術; 護理經驗; Coronary artery bypass graft surgery; Nursing experience; |
語 文 | 中文(Chinese) |
中文摘要 | 本文描述一位因胸悶發作,診斷為急性冠心症候群,進而接受冠狀動脈繞道手術病患之護理經驗,護理期間為2009年2月13日至2月24日照護期間,採Gordon十一項功能性健康型態評估,藉由觀察和會談方式收集資料,並確立個案有急性疼痛/與手術傷口有關、活動無耐力/與術後疼痛及氧氣供需不平衡有關及知識缺失/與缺乏返家心臟術後照護知識有關三項護理問題。在護理過程中,筆者針對個案的護理問題,提供個別性護理措施,提升個案和家屬照護能力,改善手術後傷口照護、疼痛、活動意願降低和返家後對照護的疑慮,進而提升照護品質。筆者期望此次針對接受冠狀動脈繞道手術病患之照護經驗,可提供臨床護理人員於照護此類病患之參考。 |
英文摘要 | The nursing experience of caring a patient underwent coronary artery bypass graft (CABG) surgery for acute coronary syndrome (ACS) was described in this study. Gordon's 11 Functional Health Patterns Assessment was applied to collect data by approaches of observation and interview during the period of nursing care between 13th February and 24th February, 2009. Three nursing-related issues were evaluated for this case, including acute pain related to post surgery incision, activity intolerance and deficiency in health perception correlated with postoperative pain and imbalanced oxygen demand/supply and lack of knowledge for postoperative cardiac care after discharge, respectively. In accordance, individual nursing care was provided to enhance the caring capabilities of both the patient and family members during the period. Postoperative management of wound and pain was then effectively improved, activity intolerance and hesitation to home care were further relieved, and the quality of nursing care was eventually promoted. The nursing experience of this case is anticipated to provide practical example for nursing staffs when they are providing care to patients receiving CABG surgery. |
本系統中英文摘要資訊取自各篇刊載內容。