查詢結果分析
相關文獻
- 一位年輕高血壓個案不遵從服藥導致肺水腫之護理經驗
- 多病共存與老年高血壓患者服藥不遵從行為之相關性研究
- AROTINOLOL治療原發性高血壓的臨床研究
- 運動對高血壓的影響
- Unexpected Pheochromocytoma--A Case Report of Anesthesia in a Uremic Patient
- Relationship between Microalbuminuria, Left Ventricular Mass and Function in Essential Hypertension
- The Effect of Sphenopalatine Postganglionic Neurotomy on the Alteration of Local Cerebral Blood Flow of Normotensive and Hypertensive Rats in Acute Cold Stress
- 衛生教育對於榮民之家高血壓老人自我照顧行為與血壓控制之影響
- 長期阻斷內生性一氧化氮對血壓的影響:正常鼠與高血壓鼠間的比較
- Comparison of Clinical Efficacy and Adverse Effects between Extended-release Felodipine and Slow-release Diltiazem in Patients with Isolated Systolic Hypertension
頁籤選單縮合
題名 | 一位年輕高血壓個案不遵從服藥導致肺水腫之護理經驗=A Nursing Experience of a Young Hypertension Patient with Cardiogenic Pulmonary Edema Caused by Medication Noncompliance |
---|---|
作者姓名(中文) | 蘇佳美; 陳雅惠; | 書刊名 | 志為護理 |
卷期 | 14:4 2015.08[民104.08] |
頁次 | 頁79-88 |
分類號 | 419.73 |
關鍵詞 | 心因性肺水腫; 高血壓; 不遵從; Cardiogenic pulmonary edema; Hypertension; Noncompliance; |
語文 | 中文(Chinese) |
中文摘要 | 本文描述31歲男性高血壓個案自行停服降壓藥一年,導致心衰竭引發心因性肺水腫之護理經驗,護理期間2012年11月24日至12月14日,過程中藉由直接照顧、身體評估與會談等方式收集資料,運用Gordon十一項功能性健康型態進行整體性評估,確立個案有氣體交換功能障礙、體液容積過多、焦慮與不遵從等護理問題。筆者於疾病急性期協助改善其住加護病房之健康問題,同時引導家屬陪伴並錄製溫馨鼓勵話語,降低焦慮;待疾病穩定期以深入訪談方式,了解個案對疾病認知及不遵從服藥的原因,協助個案正視高血壓致命性傷害的風險危機,激發遵從服藥的自信心及建立服藥規則性,漸進性衛教正確疾病資訊及重拾遵從服藥的習慣,於個案數位手機內下載「簡單血壓記錄」之應用程式與設定鬧鈴以每日提醒,為返家自我照顧做準備。 |
英文摘要 | This paper detailed a nursing experience of a 31 year old male patient with hypertension who discontinued his anti-hypertensive drugs for one year, which led to heart failure and cardiogenic pulmonary edema. During the period between November 24^(th) and December 14^(th), 2012, data were collected by direct caring, physical examination and interview. By applying Gordon's 11 functional health patterns, the following nursing issues were identified: Gas exchange dysfunction, fluid overload, anxiety and noncompliance. The author aided the patient to improve his health issues and family not only company but also encouraged whom result in reducing anxiety. The author accompanied the patient during the acute phase of his disease, aided in the improvement of his health issues while in ICU, and guided the family to attend to the patient while recorded words of encouragements for the patient to reduce his anxiety. Once the disease stabilized, the author conducted in depth interviews to explore the patient's disease awareness and his medication noncompliance. The author then assisted the patient to confront the lethality of hypertension, which inspired his confidence to follow prescription directions and to establish medication regularity, and initiated progressive health education to teach accurate disease information and regain the habit of medication compliance. The author downloaded an app of simple hypertension record onto the patient's phone and set up a daily alarm to prepare the patient for self-care upon discharge. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。