查詢結果分析
來源資料
頁籤選單縮合
| 題 名 | 一位小腦前下動脈梗塞中年男性之居家照護經驗=Home Care Experience of a Middle-Aged Man with Anterior Inferior Cerebellar Artery Stroke |
|---|---|
| 作 者 | 張雅婷; 葉惠玲; | 書刊名 | 領導護理 |
| 卷 期 | 26:2 2025.06[民114.06] |
| 頁 次 | 頁80-97 |
| 分類號 | 429.5 |
| 關鍵詞 | 小腦前下動脈梗塞; 感覺知覺改變; 無力感; 居家照護; 預防再次中風; Anterior inferior cerebellar artery stroke; Sensory/perceptual alteration; Powerlessness; Home care; Preventing stroke recurrence; |
| 語 文 | 中文(Chinese) |
| DOI | 10.29494/LN.202506_26(2).0007 |
| 中文摘要 | 本文描述一位中年男性右小腦前下動脈梗塞,導致右眼複視、右側肢體失 調及平衡感改變,出院後因喪失自我照顧能力,而衍生出情緒低落,且對於自 我健康管理態度消極之居家照護經驗。筆者為個案職場健康管理之護理師,於 2023 年 01 月 17 日至 2023 年 03 月 24 日照護期間,運用 Gordon 十一項健康型 態評估做為評估工具,藉由照護、觀察、進行 4 次家訪、4 次視訊及 1 次電話訪 談方式收集資料,經由整體性評估分析後,確立個案有感覺知覺改變、健康維 護能力失常、無力感的健康問題。照護過程,運用眼球運動及營養攝取措施逐 漸改善眼睛複視看不清楚;衛教預防再次中風相關知識,並協助個案每日自我 監測血壓、血糖,進而提升自我健康維護能力;安排居家平衡運動訓練及與復 健師跨團隊合作,協助個案恢復獨立行走能力,進而降低無力感。期許此次居 家照護經驗分享,可供日後護理人員照護居家類似個案之參考。 |
| 英文摘要 | This article describes caring experience of a middle-aged man with right anterior inferior cerebellar artery stroke, resulting diplopia in the right eye, right limb imbalance, and balance switch. After the patient discharged from the hospital, he lost the ability to self-caring, evolve depression as he had negative attitude towards home care experience and self-care management. The author is a nurse in casework of workplace health management and the patient was under home care from January 17 to March 24, 2023. Applying Gordon's 11 Functional Health Assessment as a tool, data were collected through care, observation, 4 home visits, 4 video interviews, and 1 telephone conversation. It was established that the case encountered health problems such as “changes in sensory perception,” “impairment in health maintenance ability,” and “powerlessness.” During the care process, eye movements and nutritional intake measures were used to gradually improve double vision and unclear vision. Health education provides relevant knowledge on preventing another stroke, and assists patient in daily self-monitoring of blood pressure and blood sugar level, thereby improving selfcare abilities. It is necessary to arrange home balance exercise training and cross-team collaboration with rehabilitation therapists to help patients regain their ability to walk independently, therefore diminish their sense of powerlessness. It is hoped that this home care experience can be used as a reference for future nursing staff when caring for similar cases at home base. |
本系統中英文摘要資訊取自各篇刊載內容。