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| 題 名 | 照護一位心臟衰竭病人不遵從行為之護理經驗=Clinical Experience from Nursing a Heart Failure Patient with Noncompliance |
|---|---|
| 作 者 | 吳佳蓉; 林東右; | 書刊名 | 領導護理 |
| 卷 期 | 26:2 2025.06[民114.06] |
| 頁 次 | 頁113-125 |
| 分類號 | 419.8235 |
| 關鍵詞 | 心臟復健運動; 心臟衰竭飲食控制技巧; 不遵從行為; Cardiac rehabilitation exercise; Dietary control strategies for heart failure; Noncompliance; |
| 語 文 | 中文(Chinese) |
| DOI | 10.29494/LN.202506_26(2).0009 |
| 中文摘要 | 本文探討一位老年心臟衰竭病人,因不當飲食習慣及未規則服藥,使病況 持續惡化而住院治療。護理期間為 2023 年 5 月 10 日至 5 月 20 日,透過身體評 估、會談、觀察、檢閱病歷及電話訪視收集資料,並在生理、心理、社會及靈 性四大層面整體護理評估,確立有體液容積過多、活動無耐力、不遵從等健康 問題。藉由主動關懷和傾聽,理解患者不遵從行為原因後,衛教心臟衰竭飲食 控制技巧,並制定漸進式心臟復健運動計劃,提升心肺功能。鼓勵家屬參與照 護計劃,透過陪伴增強患者對疾病控制的信心。出院後,電話追蹤確認患者能 遵循衛教重點進行自我照顧。此經驗分享旨在提供心衰竭患者個別性護理方 案,提升生活品質並減少反覆住院的機率。 |
| 英文摘要 | This article discusses the case of an elderly patient with heart failure whose condition progressively deteriorated due to poor dietary habits and irregular medication adherence, ultimately requiring hospitalization. The nursing care period spanned from May 10 to 20, 2023. Data were collected through physical assessments, interviews, observation, chart reviews, and telephone follow-ups. A comprehensive nursing assessment was conducted across physical, psychological, social, and spiritual domains, identifying the complications of excessive fluid volume, activity intolerance, and noncompliance. Through active engagement and attentive listening, attempted to understand the reasons behind the non-compliance patient, provide education on dietary control, strategies for heart failure and develop a progressive cardiac rehabilitation exercise plan to enhance cardiovascular function. Family involvement in the care plan was encouraged to enhance the patient’s confidence through supportive companionship. Post-discharge telephone follow-ups ensured that the patient could adhere to self-care practices as instructed. This case study aims to provide personalized nursing strategies for heart failure patients, improving their quality of life and reducing the likelihood of repetitive hospitalizations. |
本系統中英文摘要資訊取自各篇刊載內容。