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題 名 | 照顧一位缺血性腦中風病人之護理經驗=Nursing Experience on the Care of Patient Diagnosed with Ischemic Stroke |
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作 者 | 劉芳瑜; 汪文華; 陳嘉珮; 楊碧枝; | 書刊名 | 源遠護理 |
卷 期 | 8:2 2014.08[民103.08] |
頁 次 | 頁48-55 |
分類號 | 415.922 |
關鍵詞 | 缺血性腦中風; 身體活動功能障礙; 自我照顧能力; 焦慮; Ischemic stroke; Impaired physical mobility; Self-care skills; Anxiety; |
語 文 | 中文(Chinese) |
中文摘要 | 本篇係探討一位69歲男性,因缺血性腦中風導致其身體功能降低及焦慮之護理經驗。筆者自2012年5月23日至2012年5月30日止,藉由會談溝通、觀察及調閱病歷、配合臨床理學等收集資料。運用Gordon十一項健康功能進行評估,確認個案護理問題為:身體活動功能障礙、自我照顧能力缺失及焦慮。筆者運用治療性溝通技巧,與個案建立信任感及良好的護病關係,給予個案正向支持,藉由醫療團隊整體性的照護,協助個案與家屬共同面對問題,訂定護理計畫提供適當之照護。例如:暸解疾病成因、疾病的治療及復健的重要性,提供適當自我照護,進而降低其焦慮感受。期盼此護理報告,增加臨床醫護人員對於缺血性腦中風患者認識與了解,運用具體有效護理措施解決個案之護理問題,增加其自我照護能力,降低再住院的機率,進而提升病人整體之生活品質。 |
英文摘要 | This article describes the one-week nursing care experience of a 69-year-old male patient with reduced physical function and anxiety due to ischemic stroke. Patient data was collected through interviews, active listening, physical assessment, and medical record review. Gordon's 11-item Functional Health Pattern identified the care problems, which included dysfunction of physical activity, self-care deficiency and anxiety. Therapeutic communication established a sense of trust and good nurse-patient relationship that provided support and a multidisciplinary team approach to the patient and his family. Interventions included patient teaching of disease and treatment process, the importance of rehabilitation, and assistance with self-care activities that contributed to the reduction of anxiety. The improvement of nursing knowledge on the care of patients with ischemic stroke may increase effectiveness of care, improve patients' self-care ability, reduce rate of readmission and improve patients' quality of life. |
本系統中英文摘要資訊取自各篇刊載內容。