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題 名 | 照顧一位頸部肌張力不全症患者之護理經驗=The Nursing Experience of Caring for a Patient with Cervical Dystonia |
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作 者 | 莊琇雯; 司淑英; 陳明婉; 黃美芬; | 書刊名 | 高雄護理雜誌 |
卷 期 | 33:2 2016.08[民105.08] |
頁 次 | 頁26-37 |
分類號 | 419.73 |
關鍵詞 | 頸部肌張力不全症; 多專科團隊; 物理治療復健計劃; Cervical dystonia; Multidisciplinary teams; Physical rehabilitation program; |
語 文 | 中文(Chinese) |
中文摘要 | 本篇乃探討一位25 歲女性因右肩不自主扭動及頭部往前屈,經確診為頸部肌張力不全症。面對突如其來外觀改變,生活上需仰賴家人,加上對疾病不了解,產生身心衝擊之護理經驗。2014 年12 月15 日至31 日照護期間,運用Gordon 十一項健康評估,確立個案健康問題有焦慮、身體活動功能障礙、身體心像紊亂及低自尊。筆者有感個案對罹患疾病的症狀及治療不了解產生焦慮情緒,主動協助聯繫各專科團隊召開家庭會議,幫助了解疾病相關症狀及治療,予鼓勵與心理支持,爾後積極配合口服左旋多巴及肉毒桿菌注射合併物理治療復健計劃,改善身體外觀變化和調適負向情緒,成功讓個案正向接受疾病,改善生活品質。藉由此護理經驗分享,期望提供護理人員未來照護此類患者之參考。 |
英文摘要 | This paper describes the nursing experience of caring for a 25-year-old female patient who, diagnosed with cervical dystonia while having twisting involuntary movement in her right shoulder and slightly forward bending in her head, encountered the condition in both physical change and mental suffering and felt the helplessness toward the disease as well as having the difficulty to rely on the help of family members in her daily life. The nursing period was from December 15th to 31st in 2014, and the nursing assessment was developed within the framework of the Gordon 11 Functional Health Patterns, to identify the problems based on the functional valuations and to collect the related data from the patient. She was identified with health problems of anxiety, functional activity impairment, body image disturbance, low self-esteem, etc. Moreover, as the patient's emotional anxiety was caused by her limited knowledge of her disease and by fears caring of the medical treatment, the authors actively offered some help, not only to communicate and hold family conference with multidisciplinary teams, but also to offer the patient support for all possible needs, including obtaining and understanding the related information of the cervical dystonia and its possible treatments. Furthermore, the processes of the medical treatment for the disease were also explained. The Sspiritual encouragement and psychological support were also given, in addition to Levodopa, Botulinum neurotoxin injection and physical rehabilitation programs, in order to improve physical changes and negative thoughts. Thus, the patient could have positive thoughts to accept herself as having the disease, and improve her quality of life. It is expected that this nursing experience of caring in this paper can provide a model of nursing clinical practice or shed light on the understanding of the nursing process of patients with cervical dystonia. |
本系統中英文摘要資訊取自各篇刊載內容。