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題名 | 青少年初次罹患自發性氣胸接受胸腔鏡肺楔狀切除術之護理經驗=Nursing Experience of a First Spontaneous Pneumothorax Adolescent with Thoracoscopic Wedge Resection |
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作者 | 陳亞欣; 顧雅利; 董曉婷; Chen, Ya-xin; Ku, Ya-lie; Tung, Hsiao-ting; |
期刊 | 高雄護理雜誌 |
出版日期 | 20121200 |
卷期 | 29:3 2012.12[民101.12] |
頁次 | 頁29-39 |
分類號 | 419.73 |
語文 | chi |
關鍵詞 | 自發性氣胸; 胸腔鏡肺楔葉切除手術; 護理經驗; Spontaneous pneumothoraxce; Thoracoscopic wedge resection; Nursing experien; |
中文摘要 | 本篇個案報告是筆者護理一位青少年初次罹患自發性氣胸且第一次接受胸腔鏡肺楔葉切除手術個案的經驗,護理期間為2010年1月2日至1月8日,以Gorden十一項健康評估,觀察及會談等方式,收集個案資料,並將資料加以歸納分析,確認個案有低效性呼吸型態、疼痛及焦慮之健康問題。筆者提供個案胸管照護注意事項、教導Triflow訓練、監測其生命徵象、提供傷口癒合資訊、給予止痛藥物及轉移注意力等措施。此外,個案正處於青少年階段,因治療過程而導致求學中斷,造成課業上的壓力,再在加上手術後插胸管留下的疤痕,導致其外觀的改變,使其身體心像受損。筆者提供青少年氣胸照護相關支持的網站,藉由同儕的力量來支持及克服疾病所帶來的衝擊和焦慮,最後,藉由醫療團隊之衛教來改善個案的呼吸型態和疼痛、焦慮等問題。期許此篇報告能提供外科護理人員於照護青少年自發性氣胸個案身心護理之參考。 |
英文摘要 | This case report describes the experience of nursing a first spontaneous pneumothorax adolescent with thoracoscopic wedge resection. The duration of nursing care was between January 2nd and January 8th, 2010. The nursing process was evaluated with Gordon’s 11 functional patterns. Related data were collected by evaluation, observation, and interview with the patient. Our case revealed three problems: anxiety, ineffective breathing pattern, and pain. The author provided the case the notes chest tube care, taught Triflow training, monitored vital signs, provided wound healing information, gave analgesic drugs and diverted attention. Additionally, during the adolescent period, the case school learning was interrupted due to the treatment that has caused his stress on schoolwork, and his body image also was disturbed because of the changing appearances due to the scans after inserting chest tube. The author has provided related internets about pneumothorax adolescent to support the case by peer power to overcome the impact and anxiety from the illness. Finally, the case’s anxiety level was improved through the medical team education and also his pain and breathing pattern were altered. This case report is expected to provide the references on the physical and psychological nursing care of the spontaneous pneumothorax adolescent for the surgery nurses. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。