頁籤選單縮合
題 名 | 一位睡眠呼吸中止症候群患者之護理經驗=Caring for a Patient with Sleep Apnea Syndrome |
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作 者 | 蘇皇在; 楊禮謙; 楊淑雅; | 書刊名 | 源遠護理 |
卷 期 | 8:1 2014.04[民103.04] |
頁 次 | 頁55-62 |
分類號 | 415.472 |
關鍵詞 | 睡眠呼吸中止; 肥胖; 攜帶式BiPAP呼吸器; 護理經驗; Sleep apnea syndrome; Obesity; BiPAP; Nursing experience; |
語 文 | 中文(Chinese) |
中文摘要 | 本文探討一位睡眠呼吸中止症候群患者之護理經驗,患者因過度肥胖造成睡眠中頻繁出現呼吸暫停的情形而產生死亡恐懼,因此對疾病治療失去信心,甚至產生自殺意念。筆者於照護期間2010年10月1日至10月21日運用臨床照護、觀察、會談、運用同理心技巧與病歷瀏覽,發現患者有「營養多於身體所需」、「活動無耐力」及「恐懼」的護理問題。照護期間不斷關懷患者,瞭解其擔憂,協同相關醫療團隊如醫師、護理人員、呼吸個案管理師、營養師、社工及復健師的協助,透過團隊的合作提供患者身、心、靈的照護,並幫助患者找到攜帶式BiPAP的呼吸器資源,且統合家屬成為其重要支持人員,使患者的後續照護無後顧之憂,勇於面對疾病,提升對疾病預後的自信心,以正向態度面對自己的未來開創新人生,因此透過此護理經驗,與相關醫護人員分享,希望藉此照護經驗增進此類患者更完整之照護。 |
英文摘要 | This report describes the three weeks nursing care experience of a patient with sleep apnea syndrome caused by obesity. The patient developed a fear of death, lost confidence toward treatment and attempted suicide due to the high frequency of breathing cessation during sleep. Patient data were collected through clinical evaluations, patient interview, observation and medical record review. Problems identified included more nutrition intake than needed, activity intolerance and fear. The patient was placed on BiPAP with support of a collaborative team effort including physicians, nurses, a respiratory case manager, registered dietitians, social workers and rehabilitation technicians. The patient's family was involved in the care process to ensure their competency to provide follow up care at home. The patient and family's concerns were addressed to reduce fear of unforeseen outcomes. The patient was able to build a positive attitude and move on with recovery. |
本系統中英文摘要資訊取自各篇刊載內容。