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| 題 名 | 運用Swanson關懷照顧理論照顧一位初次診斷愛滋病之護理經驗=Nursing Experience from Caring for an AIDS-diagnosed Patient for the First-Time by Applying Swanson's Theory of Caring |
|---|---|
| 作 者 | 許珮盈; 趙家伶; | 書刊名 | 領導護理 |
| 卷 期 | 25:2 2024.06[民113.06] |
| 頁 次 | 頁36-51 |
| 分類號 | 415.238 |
| 關鍵詞 | 愛滋病; 肺囊蟲肺炎; Swanson關懷照顧理論; 氣體交換障礙; 情境性低自尊; 知識缺失; AIDS; Pneumocystis pneumonia; Swanson care theory; Gas exchange disorders; Situational low self-esteem; Lack of knowledge; |
| 語 文 | 中文(Chinese) |
| DOI | 10.29494/LN.202406_25(2).0004 |
| 中文摘要 | 本文描述一位初次確診愛滋病併感染肺囊蟲肺炎病人,在面臨確診後的情 緒低潮情況下,同時承受著疾病衍生的生理不適,在疾病及負面心理的衝擊下 無適當的因應方式。護理期間於 2020 年 12 月 30 日至 2021 年 1 月 29 日,藉由 直接照護、會談、觀察、身體評估、查閱病歷等方式進行資料收集,並依據 Gordon 十一項健康功能評估確立有氣體交換障礙、情境性低自尊、特定知識缺 失等健康問題。筆者運用 Swanson 關懷照顧理論,與個案建立信任的護病關 係,予傾聽、不批判態度鼓勵表達正負向感受,引導負向情緒轉念及教導自我 調適的方式,偕同跨團隊合作,提供疾病的相關照護資訊及自我照護之因應能 力,進而坦然面對疾病過程、學習共存。建議愛滋病個管師與社區相關機構需 設立雙向系統連結,達成有效的追蹤管理,以突破過往感染者回歸社會後自我 健康管理斷層的限制。希望藉此經驗分享,可作為臨床護理人員日後照顧此類 病人之參考。 |
| 英文摘要 | This article describes a patient who was diagnosed with AIDS for the first time and was infected with pneumocystis pneumonia, facing depression after the diagnosis, at the same time suffers from the physiological discomfort derived from the disease, and could not cope psychological negativities as the impact of the disease. During the nursing period from December 30, 2020 to January 29, 2021, data was collected through direct care, meetings, observation, physical assessment, medical records and hence established health problems such as gas exchange disorders, situational low self-esteem, and lacking specific knowledge, as well as per Gordon's Eleven Health Function Assessments. The author applies Swanson's Care Theory to establish a trusting relationship with the case, listen without being judgmental, encourage both expression of positive and negative feelings; guide negative emotions and teach self-adjustment methods; cooperate with cross disciplinary teams to provide disease-related care information and self-care response ability, and therefore the patient was able to face the disease process calmly and learn to coexist. It is recommended that AIDS personal managers and relevant institutions in the community to set up a two-way system for tracking management effectively to break through the limitations of self-health management of past infected people after they return to society. It is hoped that by sharing this experience, it can be used as a reference for clinical caregivers to provide care for such patients in the future. |
本系統中英文摘要資訊取自各篇刊載內容。