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| 題 名 | 一位新冠肺炎合併呼吸衰竭病人之照護經驗=Care Experience of a Patient with COVID-19 and Respiratory Failure |
|---|---|
| 作 者 | 温竣欽; 方雀蓮; | 書刊名 | 領導護理 |
| 卷 期 | 26:2 2025.06[民114.06] |
| 頁 次 | 頁22-35 |
| 分類號 | 419.82 |
| 關鍵詞 | 新冠肺炎; 低效呼吸型態; 焦慮; 睡眠型態紊亂; COVID-19; Inefficient respiratory pattern; Anxiety; Sleep pattern disorder; |
| 語 文 | 中文(Chinese) |
| DOI | 10.29494/LN.202506_26(2).0003 |
| 中文摘要 | 本文描述一位新冠肺炎合併呼吸衰竭之照護經驗,個案因呼吸衰竭緊急放 置氣管內管治療,確診期間入住負壓加護隔離病房治療,在與外界隔離併擔憂 家人染疫,自身面對疫情情況下,進而衍生心靈不適。照護期間 2022 年 6 月 12 日至 2022 年 6 月 25 日,藉由電話代訴、視訊、觀察、筆談、身體評估、病歷 查閱及會談方式,運用 Gordon 十一項功能性健康型態評估,確立主要健康問題 為低效性呼吸型態、焦慮、睡眠型態紊亂等問題,在醫療團隊照護下,為個案 擬定肺部呼吸訓練照護表和呼吸器脫離訓練進度表,提供個別性照護,得以成 功脫離呼吸器;透過良好的護病關係,圖畫隔離衣辨別主要照護者,在需協助 時,提供創意自製搖鈴可立即從旁協助,提供每日一句鼓勵,為個案提供視訊 及新聞撥放,改善焦慮及拉近社會的距離;在精油按摩後,舒眠音樂的撥放 下,使身心靈放鬆,改善睡眠品質。未來建議建立院內關懷機制,提供多元管 道,讓醫護同仁彼此互相扶持,一起走過疫情風暴,提升對臨床照護能力與信 心,提供病人最完善的照護品質。 |
| 英文摘要 | This paper describes the care experience for a patient with COVID-19 and respiratory failure. The patient was treated with emergency intubation due to respiratory failure and was admitted to a negative pressure intensive care isolation ward for treatment during the diagnosis period. While isolation the patient was concerned about other family members being infected as the pandemic took place, the patient also faced the infection himself and experienced physical, mental, and spiritual discomfort. During the care period from June 12 to 25 in 2022, the researcher communicates with the patient's family by phone on his behalf. Data were collected using video recording, observations, written discussions, physical assessments, medical record reviews and interviews. Moreover, the researcher employs Gordon's 11 Functional Health Assessment to identify the main health issues, including inefficient breathing pattern, anxiety, and sleep pattern disorders. The medical team developed a lung breathing training care schedule and a ventilator weaning training schedule for the patient and provided individualized care to help the patient successfully wean off the ventilator. For establishing a good nurse-patient relationship, the researcher used picturesque isolation gown to identify primary caregiver. For caring the patient, the researcher provided the patient with a creative homemade rattle, which enabled the patient to shake the rattle to receive immediate assistance when required. The researchers also provide an encouragement quote a day. The patient watched videos and news broadcasts to relieve anxiety and shorten social distance. After essential oil massage, put on the lullaby to help the patient relax his body and mind, and hence improve the quality of sleep. It is advised to develop in-hospital care mechanism in the future to provide multiple channels to enable healthcare professionals to support one another, overcome the challenges of the pandemic together, increase the clinical care ability and confidence, and provide the patients with the absolute care quality. |
本系統中英文摘要資訊取自各篇刊載內容。