頁籤選單縮合
題 名 | 一位行冠狀動脈繞道手術患者術後之護理經驗=The Nursing Experience of Caring for a Post-operative Patient with Coronary Artery Bypass Grafting Surgery |
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作 者 | 高鈴茵; 廖玉美; | 書刊名 | 嘉基護理 |
卷 期 | 13:2 2013.12[民102.12] |
頁 次 | 頁42-52 |
分類號 | 419.73 |
關鍵詞 | 冠狀動脈繞道手術; 焦慮; 健康尋求; Coronary artery bypass surgery; Anxiety; Health seeking; |
語 文 | 中文(Chinese) |
中文摘要 | 本文在探討一位接受冠狀動脈繞道術後患者所引發生、心理護理問題之照護過程。筆者於2010年6月5日~6月8日護理期間運用高登十一項功能性評估,透過直接參與照護收集資料,確認個案面臨:急性疼痛、焦慮、預防疾病復發的健康尋求行為等護理問題。藉由探討冠狀動脈繞道術後之相關護理問題,進而呈現照護過程及經驗分享。個案術後在生理層面要忍受傷口疼痛,心理層面要擔心疾病,預後還要面對加護病房陌生環境,造成其身心雙重煎熬,除此之外,個案對於疾病復發相當害怕,積極詢問術後注意事頃,其健康照護需求強烈。筆者於照護期間,提供放鬆技巧緩解個案疼痛情形,並在醫護人員解說下,個案能瞭解病程變化以減輕焦慮,提供適當衛教來滿足個案健康照護需求。藉此照護經驗,提供急性醫療團隊照護此類病患時,讓出院準備衛教不受地域與時間限制落實在加護病房,以建立病患自我照顧的基礎。 |
英文摘要 | This paper is to explore the nursing experience of caring for a post-operative patient with coronary artery bypass grafting surgery. The nursing care period was from June 5 to June 8, 2010, use Gordon's eleven functional nursing assessment tool, through direct participation in care to collected data on medical history. We found that acute pain, anxiety, and health care seeking behavior for disease prevention. By discussing the coronary artery bypass surgery postoperative care issues triggered, thus rendering the care process and experience sharing. Cases of postoperative physiological level to endure the pain of the surgical wound, psychological level, in addition to worry about the prognosis of the disease have to face the ICU unfamiliar environment, are caused by the dual cases of physical and mental suffering, In addition , the case is quite afraid of disease recurrence, positive asked about postoperative considerations, their health care needs strong, I use drugs during care, and relaxation techniques relieved his pain situation, and explanations of health care workers and health education, case to understand the course of change in order to reduce anxiety, provide appropriate health education to meet the health care needs of the cases. To take the case care experience to provide acute medical team taking care of these patients, discharge planning health education without geographical and time restrictions implemented in the intensive care unit, in order to establish the basis of self-care of the patients in the future. |
本系統中英文摘要資訊取自各篇刊載內容。