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題名 | 一位罹患出血性水痘合併呼吸衰竭學齡期兒童之照護經驗=A Nursing Experience of a School-age Child with Hemorrhagic Varicella Combined with Respiratory Failure |
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作者 | 李婷婷; 吳麗芬; | 書刊名 | 榮總護理 |
卷期 | 29:4 2012.12[民101.12] |
頁次 | 頁365-373 |
分類號 | 419.75 |
關鍵詞 | 水痘; 出血性水痘; 學齡期兒童; Chicken pox; Hemorrhagic varicella; A school-age child; |
語文 | 中文(Chinese) |
中文摘要 | 本文分享一位出血性水痘合併呼吸衰竭學齡期兒童之護理經驗。照護期間為2010年1月11日至20日,運用Gordon十一項功能性健康型態模式,以觀察、會談及遊戲的方式,評估其身、心、靈、社會各層面的發展和健康問題,發現有潛在危險性感染、低效性呼吸型態、皮膚完整性受損、營養攝取少於身體所需、疼痛及分離性焦慮等問題,除予呼吸支持和感染控制之護理照護外,過程配合學齡期的發展特性,於住院期間運用個案喜歡的繪圖遊戲,說明疾病特性、隔離和治療,提升其對水痘資訊的認知;拔管後,讓個案參與護理活動的安排,且於表現良好時給予稱讚。另外採取彈性訪客,讓案母在個案需要情感支持時在床旁陪伴,並鼓勵案母學習胸部叩擊、餵食等照顧技巧,減少疾病和入住加護病房對個案發展和家庭的影響。故期望藉由此經驗分享,以作為相關案例照護的參考。 |
英文摘要 | This article aims to share a nursing experience of a school-age child with hemorrhagic varicella combined with respiratory failure. The data was collected from January 11 to 20, 2010. Based on Gordon's 11 functional health patterns, observation, conversation, physical assessment, and inclusion of games were ways to assess the child's body, heart, social and spiritual problems. Some of the health problems identified were the risk for infection, ineffective breathing pattern, impaired skin integrity, pain, anxiety and nutrition, altered: less than body requirements. We designed a care plan for the child and the family according to their developmental characteristics and provide unique care, to restore health and comfort. We hope that this article can be an important reference to pediatric clinical nursing staff in care of children with chicken pox. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。