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| 題 名 | 運用自我管理模式照護一位初次罹患心衰竭個案之護理經驗=Nursing Experience from Applying Self-Management Model to Care for a Patient with Initial Diagnosis of Heart Failure |
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| 作 者 | 呂耘萱; 鄭妃吟; | 書刊名 | 領導護理 |
| 卷 期 | 25:3 2024.09[民113.09] |
| 頁 次 | 頁50-64 |
| 分類號 | 419.8235 |
| 關鍵詞 | 自我管理模式; 心衰竭; 心輸出量減少; 活動無耐力; 焦慮; Self-management model; Heart failure; Decreased cardiac output; Activity intolerance; Anxiety; |
| 語 文 | 中文(Chinese) |
| DOI | 10.29494/LN.202409_25(3).0005 |
| 中文摘要 | 本文為探討首次面對心臟衰個案之護理經驗,心衰竭除了生理上之疾病問題,還需改變以往飲食習慣及嚴格控制水分,致使個案失去身體控制權及對疾病不安及焦慮,故引發進一步探討。護理期間為2021年11月10日至11月29日,以Gordon十一項進行健康功能評估等方式進行資料收集,確立個案有「心輸出量減少」、「活動無耐力」及「焦慮」等健康問題。照護過程中,筆者藉由自我管理概念運用,增加心肌氧氣供應,教導個案辨識心衰竭症狀及心臟衰竭正確的照護,並與醫療團隊共同協助指導,使個案能遵照心臟復健運動及飲食控制,提升自我照顧能力,而改善生活品質,傾聽內心感受,建立溝通橋梁,提供疾病資訊、協助心理調適。建議未來臨床可依個案疾病變化程度,藉由和心衰竭個管師共同確認病人及照顧者於回診時,透過觀察、反問方式,瞭解個案及照顧者於家中的照護品質,達到完整且持續性之照護,期望藉此護理經驗之分享,作為往後護理人員照顧此類個案之參考。 |
| 英文摘要 | This article discusses the nursing experience from dealing with an initial onset heart failure case. In addition to the physical health issues, heart failure also requires changes to the past eating habits and strict control of water, which causes the patient to lose control of the body and become anxious about the disease, thus triggered further discussion. The nursing period is from November 10 to 29, 2021. Data were collected through Gordon's 11 Functional Health Assessment, and the patient's health problems were established as decreased cardiac output, activity intolerance, and anxiety. During the nursing process, the author applies the concept of self-management to increase the oxygen supply of myocardium; teaches the case to identify the symptoms of heart failure and the accurate care of heart failure; cooperates with the medical team to assist and guide the case so that the case can follow the heart rehabilitation exercise and diet control; improve self-care ability to upgrade the quality of life; listen to inner feelings, build the bridge of communication, provide disease information, and assist with psychological adjustment. It is recommended that in the future, according to the level of changes in the patient's disease, the author will jointly confirm with the heart failure case manager when the patient and the caregiver return to the outpatient and through observation and questioning, they can understand the quality of care for the case at home, so as to achieve a complete and continuous care. Hopefully, by sharing this nursing experience, it will serve as a reference for nursing staff when caring for such cases in the future. |
本系統中英文摘要資訊取自各篇刊載內容。