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頁籤選單縮合
| 題 名 | 一位行全髖關節置換術個案之手術全期護理經驗=A Perioperative Nursing Experience of a Patient Underwent Total Hip Replacement |
|---|---|
| 作 者 | 張雅婷; 王靖宜; 嚴美華; | 書刊名 | 安泰醫護雜誌 |
| 卷 期 | 30:2 2024.12[民113.12] |
| 頁 次 | 頁17-31 |
| 分類號 | 419.821 |
| 關鍵詞 | 全髖關節置換術; 手術全期護理; 手術前焦慮; 知識缺失; Total hip replacement; Perioperative nursing care; Preoperative anxiety; Lack of knowledge; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本文為43歲男性,右腳股骨頭缺血性壞死接受全髖關節置換術,因害怕術後無法正常走路而拒絕手術,引發筆者探討之動機。護理期間為2022年1月14日至19日,筆者運用Gordon十一項功能性健康型態評估,確立個案主要有焦慮、潛在危險性損傷、急性疼痛、知識缺失等健康問題。護理過程中,筆者於術前與個案建立良好治療性人際關係,以同理心陪伴與傾聽,提供成功案例,增加信心及減少術前焦慮;術中依標準流程及擺位,避免皮膚破損與神經、肌肉損傷;術後採舒適臥位與局部使用冰枕、深呼吸與漸進式肌肉放鬆技巧減輕傷口疼痛;術後提供完整的居家指導及戒酒戒菸,持續復健早期恢復,避免再次手術。建議手術相關資訊與預後及手術後注意事項製作成影片,使用QR Code條碼,在門診給予病人及家屬查閱,面對手術時能有效降低焦慮感及增加手術的信心,提升術後自我照顧能力。 |
| 英文摘要 | This article discusses a 43-year-old man who underwent total hip arthroplasty due to avascular necrosis of the femoral head of the right foot. He refused the operation because he was afraid that the right foot would not be able to restore the original function after surgery. The nursing period was from January 14 to January 19, 2022. The author used Gordon's eleven health functional assessments to collect data. The main health care issues are anxiety, dangerous injuries, acute pain, lack of knowledge. During the nursing process, the author establishes a good therapeutic interpersonal relationship with the case before the operation, accompanies and listens with empathy, provides a successful case of total hip replacement, increases the confidence in the operation and reduces the anxiety before the operation; follow the standard during the operation Procedure Perform surgical positioning to avoid skin damage and nerve and muscle damage caused by surgical positioning; assist in comfortable lying position after surgery and teach local use of ice pillows, deep breathing and progressive muscle relaxation techniques to reduce wound pain; provide complete postoperative Home-based guidance and quit smoking with drinking, allowing patients to continue rehabilitation after returning home to restore their original functions at an early stage, and avoid having to undergo joint replacement on the foot again. It is recommended that surgery-related information, prognosis and post-operative precautions be made into videos, and QR Code barcodes are used to provide patients and their family members to view them in outpatient clinics and confidence in surgery. |
本系統中英文摘要資訊取自各篇刊載內容。