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| 題 名 | 運用家庭復原力協助一位初次腦中風病人適應之加護經驗=The Intensive Nursing Experience of a First-Time Stroke Patient by Using Family Resilience to Adaptation |
|---|---|
| 作 者 | 林汝純; 嚴美華; 陳欣華; | 書刊名 | 安泰醫護雜誌 |
| 卷 期 | 31:1 2025.06[民114.06] |
| 頁 次 | 頁29-42 |
| 分類號 | 419.821 |
| 關鍵詞 | 腦中風; 家庭復原力; 家庭因應改變; Stroke; Family resilience; Disabled family coping; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本文為探討一位初次罹患出血型腦中風患者,面對疾病造成左側肢體偏癱,生活無 法自理,加上家人確診新冠肺炎及被居家隔離,出現沮喪、無力等之護理經驗。照護期 間自 2022/5/12 至 5/18,以直接照護、會談、身體評估及病歷查閱等收集資料,運用 Gordon11 項功能性健康型態評估,確立個案有身體活動功能障礙、無力感及家庭因應 能力改變三項健康問題。照護過程,與醫師、職能及物理治療師擬定復健計畫,增強左 側肌力,預防關節變形;主動關懷個案,建立信任感,訓練進食及擦澡能力,閱讀病友 激勵短文,提升復健信心;運用家庭復原力,進行遠距家庭會議,增強成員凝聚力,提 供短期看護資訊,正向面對家庭困境,使個案安心參與復建。建議醫院建置行動化衛教 影音系統,結合遠距通訊及線上衛教,增進醫病溝通。期望藉此照護經驗分享,作為類 似個案護理之參考依據,提供更完整之照護。 |
| 英文摘要 | The article describes the care experience that first-time hemorrhagic stroke in intensive care unit. After stroke, the patient caused hemiplegia and can't take care of himself, his son was diagnosed COVID-19 which his family were isolated at home, that induced the negative emotions and powerlessness. The nursing care period was from May 12 to May 18, 2022. Data collected were using observations, interviews, patient’s documentation and physical assessment. Then, physical activity dysfunction, powerlessness and disabled family coping were identified as the patient’s nursing problems. During the nursing process, the author with rehabilitation team members produced the rehabilitation planning of bedside, which the patient can move by himself, strengthened the left muscle power. Another, building a sense of trust and training the ability of self-care to increase confidence. Using the family resilience concept, conduct video conferencing to enhance the cohesion of the family, which positive attitude to regard difficulties, and peace of mind to participate in the rehabilitation activity. In conclusion, with this experience, it will provide us a comprehensive nursing care guideline for complicated patients to support their physiological and psychological requirements. |
本系統中英文摘要資訊取自各篇刊載內容。