頁籤選單縮合
| 題 名 | 一位馬兜鈴酸腎病變合併肺水腫病人之重症照護=The Intensive Care Experience of a Patient with Aristolochic Acid Nephropathy Complicated by Pulmonary Edema |
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| 作 者 | 林冠余; 黃琬茹; | 書刊名 | 領導護理 |
| 卷 期 | 26:2 2025.06[民114.06] |
| 頁 次 | 頁67-79 |
| 分類號 | 419.821 |
| 關鍵詞 | 馬兜鈴酸腎病變; 肺水腫; 焦慮; 跨團隊醫療照護; Aristolochic acid nephropathy; Pulmonary edema; Anxiety; Interprofessional collaborative practice; |
| 語 文 | 中文(Chinese) |
| DOI | 10.29494/LN.202506_26(2).0006 |
| 中文摘要 | 本文描述一位病人服用馬兜鈴酸成分之中草藥,引起急性腎損傷合併肺水 腫而入住重症單位,面臨疾病惡化需血液透析及置入氣管內管而感到排斥及焦 慮之照護經驗。照護期間為 2022 年 05 月 22 日至 05 月 27 日,以 Gordon 十一 項功能性健康型態評估為架構,運用臨床照護、身體評估、觀察會談及病歷查 閱等方式收集資料,分析歸納個案三個主要健康問題為體液容積過量、氣體交 換障礙和焦慮。藉由跨團隊照護,改善體液負荷及水腫情形,給予胸腔物理治 療及復健進而成功脫離呼吸器,且運用主動關懷及有效溝通,鼓勵表達內心感 受,引導正向思考,並事前與醫療團隊訂定預後目標,可增加初期對照護計畫 的信心,進而改善生理機能,並協同家人支持,使個案能積極參與復健計畫, 教導放鬆技巧,有助於減輕焦慮及適應病程進展,進而提升自我照顧能力,早 日回歸生活。期望此經驗分享提供同仁照護之參考。 |
| 英文摘要 | This study narrates the nursing experience of a patient who took herbal medicine containing aristolochic acid. Care experience of a patient who was admitted to an intensive care unit due to acute kidney injury and pulmonary edema, and experienced rejection and anxiety when the disease aggravate and required hemodialysis and endotracheal tube placement. The nursing period was from May 22 to 27 in 2022. Data was gathered by utilizing Gordon's 11 Functional Health Assessment as a framework, employing methods such as clinical treatment, physical assessments, observations, interviews, and researching medical records. The research indicated three primary health issues the patient encountered involving excessive fluid volume, impaired gas exchange, and anxiety. The team engaged as interdisciplinary care model, the body fluid load and edema had improved, provide chest physical therapy and rehabilitation to successfully make the patient wean off the ventilator. Proactive care and effective communication are employed to encourage expression of the inner feelings, guide positive thinking, and set prognostic goals with the medical team in advance. These methods enhance initial confidence in the care plan, thereby improving physiological functions. By actively engaging the rehabilitation plan, acquiring relaxation techniques, the patient collaborated with family support to alleviate anxiety and ultimately improved his/her ability to self-caring and facilitated earlier return to normalcy. It is hoped that this care experience sharing will serve as a reference for nursing colleagues. |
本系統中英文摘要資訊取自各篇刊載內容。