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| 題 名 | 運用Swanson理論於一位頸髓損傷病人之急診照護經驗=Emergency Care Experience from Application of Swanson's Theory of Care for a Patient with Cervical Cord Injury |
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| 作 者 | 莊雅琪; 黃靜敏; | 書刊名 | 領導護理 |
| 卷 期 | 25:4 2024.12[民113.12] |
| 頁 次 | 頁121-135 |
| 分類號 | 419.821 |
| 關鍵詞 | 脊髓損傷; 身體活動功能障礙; 急性疼痛; 焦慮; Cervical cord injury; Physical activity impairment; Acute pain; Anxiety; |
| 語 文 | 中文(Chinese) |
| DOI | 10.29494/LN.202412_25(4).0009 |
| 中文摘要 | 本文是以Swanson關懷理論於一位婦女因車禍導致頸椎壓迫性損傷的急診照護經驗。個案因獨居,突如其來的意外導致四肢輕癱,個案及家屬面臨照顧人力不足,及對未來復原程度的不確定感,而對生活造成巨大衝擊,護理期間自2021年12月19日20:40至12月20日18:50,運用身體評估及生心理、社會及靈性四大層面等方式收集資料,確立個案有身體活動功能障礙、急性疼痛及焦慮等健康問題。護理過程中以關懷的態度與個案建立良好護病關係,聆聽個案需求,正確使用頸圈固定避免二次損傷及減緩因創傷帶來的疼痛不適感;建立良好的雙向溝通管道,提供疾病相關諮詢;引導家屬及個案表達內心感受,降低個案對疾病預後之擔憂。期盼本文分享能提供臨床護理人員在照護此類個案之參考。 |
| 英文摘要 | This paper describes the emergency care experience from application of Swanson's Theory of Caring to a female patient who suffered cervical compression injury due to a car accident. The case lived alone, the car accident caused accidental quadriplegia, lack of caregiver faced by the patient and her family members, sense of uncertainty about future recovery, all of those caused huge impact upon the life of the patient. The care period was from December 19, 20:40 to December 20, 18:50, 2021. The author utilized physical assessment to collect data in four major aspects: physiological, psychological, social, and spiritual to establish that the patient experienced health issues such as physical activity impairment, acute pain, and anxiety. During the care period, the author established a good nurse-patient relationship with the patient sympathetically, listened to the needs of the patient, correctly used the cervical collar to avoid secondary injury, and relieved the pain and discomfort caused by trauma. Moreover, the author established a good two-way communication channel, provided disease-related consultation, guided the family members and patient to express their inner feelings, and reduced the patient's concerns about the prognosis of the disease. Hopefully, by sharing this study, it can provide a reference for clinical nurses to take care of similar patients. |
本系統中英文摘要資訊取自各篇刊載內容。