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題 名 | 探討一位直腸癌合併呼吸衰竭病人脫離呼吸機之護理經驗=Nursing Experience in Assisting a Rectal Cancer Patient with Respiratory Failure to Wean off the Ventilator |
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作 者 | 利彣璇; 徐敏芳; | 書刊名 | 嘉基護理 |
卷 期 | 23:2 2023.12[民112.12] |
頁 次 | 頁43-51 |
分類號 | 419.82 |
關鍵詞 | 呼吸衰竭; 脫離呼吸機; 低效性呼吸型態; 焦慮; 呼吸機戒斷反應功能失常; Respiratory failure; Ineffective breathing pattern; Anxiety ; Dysfunctional ventilator weaning response; |
語 文 | 中文(Chinese) |
中文摘要 | 護理期間自2020年11月3日~12月25日,以Gordon十一項健康功能型態為指引,藉由:觀察、會談、身體評估及病歷查閱收集資料,確立健康問題為:低效性呼吸型態、焦慮及呼吸機戒斷反應功能失常。協助個案執行胸腔復健以改善呼吸道症狀;表達關懷與個案建立信任關係,協同醫療團隊擬定呼吸訓練計畫,鼓勵個案表達內心感受,增進自信心,緩解呼吸訓練引發的焦慮,使個案成功脫離呼吸機順利返家。建議病人在脫離呼吸機過程中,建立良好人際關係給予病人安全感,降低不安與焦慮,當疾病為不可逆發展時,安寧療護可讓病人及家屬能決定未來的照護系統,渡過人生最後階段,讓生命能無憾、無悔、保有尊嚴。 |
英文摘要 | The article describes the nursing experience of a patient with rectal cancer complicated by respiratory failure who was successfully weaned from a ventilator. The nursing period was from November 3 to December 25, 2020. Gordon's eleven health functional patterns were utilized as a nursing assessment framework, and data was collected through observation, interviews, physical assessments, and review of medical records. The main health problems identified were an inefficient breathing pattern, anxiety, and dysfunctional ventilatory weaning response. During the nursing process, individualized nursing interventions were provided, including pulmonary rehabilitation exercises, teaching deep breathing and coughing techniques, improving muscle strength, and promoting lung expansion to facilitate sputum expectoration and alleviate respiratory symptoms. Collaboration with the medical team was done to develop and implement breathing training and care plans. Additionally, a trusting relationship was established with the patient, with timely expression of empathy and positive encouragement to help the patient express their inner feelings. Family members' support and encouragement were utilized to enhance the patient's self-confidence. As a result, the anxiety associated with breathing training was relieved, and the patient was successfully weaned from the ventilator and discharged home. Based on our nursing experience, we recommend that when assisting patients in ventilator weaning, it is essential to establish a positive interpersonal relationship to provide a sense of security and reduce anxiety throughout the weaning process. In cases where the patient's condition is irreversible, palliative care should be considered. Patients and their families should have the autonomy to decide their future care system, allowing for accompaniment during the final stages of life, ensuring a regret-free and dignified end-of-life experience. |
本系統中英文摘要資訊取自各篇刊載內容。