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題 名 | 照護一位眼鏡蛇咬傷病患之急診經驗=Caring for a Cobra Bite Patient in Emergency Care |
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作 者 | 莊惠雯; 穆淑珍; 陳昭文; | 書刊名 | 高雄護理雜誌 |
卷 期 | 34:1 2017.04[民106.04] |
頁 次 | 頁97-107 |
分類號 | 419.73 |
關鍵詞 | Emergency nursing; 眼鏡蛇咬傷; 急診照護; cobra bite; |
語 文 | 中文(Chinese) |
中文摘要 | 本文旨在描述一位 61歲獨居女性被眼鏡蛇咬傷之急診照護經驗。護理期間為 2012年 9月 5日上午 9點 05分至下午 2點 30分,使用陪伴、會談、身體評估、病歷查閱等方式收集資料,運用 Gordon十一項健康功能型態評估個案的健康問題,發現有「疼痛 /與蛇毒毒素引起的肢體腫脹有關」、「潛在危險性傷害 /與蛇毒毒素及注射蛇毒血清有關」、「焦慮 /與不了解病情及擔心傷口惡化有關」。筆者首先採取主動關懷、傾聽及陪伴的互動關係建立信任感,教導放慢呼吸、肌肉放鬆等行為治療來加成藥物止痛的效果;藉由密切評估意識變化、皮膚外觀及溫度、皮下出血點、小腿圍等護理措施,早期發現蛇毒毒素及注射抗蛇毒血清可能發生的潛在危險性傷害;藉由案子等有利支持系統及治療性觸摸的按摩技巧,配合逐項釐清疾病的不確定感等,有效減緩個案的焦慮程度。希望藉此照護經驗來提升護理同仁面對毒蛇咬傷病患的照護品質,增加急診醫療服務的病患滿意度。 |
英文摘要 | This article described the nursing experience of a 61-year-old female who was bitten by a cobra and visited our emergency department. The nursing period was from 09:05 to 14:30, 2012/09/05. We collected data via accompanying, conversation, physical examination, medical records, and so on. We evaluated the patient by Gordon’s Eleven Function Health Pattern, and we found that "pain, related to limb swelling induced by venom", "potential harm, related to venom and antitoxic serum", and "anxiety, related to worrying of the deterioration of disease and wound" were predominant factors. We established trust of the patient by caring, listening, and accompanying at first, then we taught the patient techniques of breathing slowly and relaxing muscles to enhance the effect of the painkiller. We closely monitored the patient’s consciousness level, skin condition and temperature, symptoms of hemorrhage and calf circumflex, to find out the potential harm related to the venom and antitoxic serum in a timely fashion. We reduced the patient’s anxiety via her family’s supportive system, massage, and explanation of the disease. We wish to promote the nursing quality and satisfaction of the emergency department by nursing experiences. |
本系統中英文摘要資訊取自各篇刊載內容。