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題名 | 一位陣發性心室上頻脈合併休克個案之急診護理經驗=Emergency Care for a Case of Paroxysmal Supraventricular Tachycardia with Shock Symptoms |
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作者 | 林芳儀; 吳云湘; 黃麗華; | 書刊名 | 健康照護科學雜誌 |
卷期 | 2 2020.12[民109.12] |
頁次 | 頁48-56 |
分類號 | 419.73 |
關鍵詞 | 陣發性心室上頻脈; 休克; 同步整流電擊; |
語文 | 中文(Chinese) |
中文摘要 | 本文探討一位陣發性心室上頻脈併休克症狀意識清楚個案之急診護理經驗,個案不僅須面對疾病所帶來的生理威脅,亦須於短時間內克服並接受雙向波同步整流電擊治療之恐懼,引發筆者想幫助個案渡過生、心理護理問題之危機。主要照護期間為2018 年3 月12 日,筆者運用Gordon 十一項健康功能型態進行評估,以直接照護、身體檢查、觀察、會談、查閱病歷等方式收集資料,確立個案有「心輸出量減少」、「恐懼」及「疼痛」之護理問題。在護理過程中,會診第二專科醫師給予建議,並運用行動裝置協助個案強化疾病認知,運用急症專業知識「高級心臟救命術之急救流程」協助醫師執行雙向波同步整流電擊,維持心輸出量;提供個別性之護理措施,給予宗教支持提供心靈寄託緩解焦慮、恐懼,以及運用轉移注意力及傾聽之方式降低疼痛,最終個案克服恐懼,接受雙向波同步整流電擊,順利協助個案渡過危機,穩定其生命徵象。急診醫護人員需有高度敏感辨識心律之變化,運用專業知識給予適當的護理措施,提供良好的照護及整體性護理,故建議優化資訊系統輔助醫護團隊完全正確執行高級心臟救命術之相關急救流程提升病人安全及提供優質照護品質;期望此急診護理經驗能提供護理同仁臨床照顧之參考。 |
英文摘要 | This article discusses the experience of emergency nursing in a paroxysmal supraventricular tachycardia with shock symptoms awareness cases. The case must not only face the physical threat caused by the disease but also must overcome and receive bidirectional wave synchronous rectification shock treatment in a short time. The fear caused the author to want to help the case survive the crisis of physical and psychological care problems.The main period of care was March 12, 2018. The author used Gordon 11 Health Patterns for evaluation and collected data through direct care, physical examination, observation, interviews, and medical records. Established cases have nursing problems of "decreased cardiac output", "fear" and "pain".During the nursing process, the consultation second specialist doctor gave advice, and used mobile devices to assist patients to strengthen disease awareness, and used emergency professional knowledge " Advanced Cardiac Life Support" to assist physicians to perform two-way wave synchronous rectification shock to maintain cardiac output; Provide individual nursing measures, provide religious support, provide spiritual support to alleviate fear, and reduce the pain by diverting attention and listening. In the final case, overcome the fear, accept the synchronous rectification shock, and successfully assist the case to survive the crisis and stabilize her life. Emergency medical staff need to be highly sensitive to identify changes in heart rhythm, use professional knowledge to provide appropriate nursing measures, provide good care and holistic care, so it is recommended to optimize the information system to assist medical teams to fully implement the advanced first aid procedure related to advanced cardiac lifesaving Patient safety and quality of high-quality care; It is expected that this emergency nursing experience can provide a reference for clinical care of nursing colleagues. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。