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| 題 名 | 照護一位新冠肺炎病人重症加護之護理經驗=Nursing Experience of Caring for a COVID-19 Patient in an Intensive Care Unit |
|---|---|
| 作 者 | 藍一紘; 湯梅芬; 鄭巧蘭; 林孟璇; 蕭沛琳; 劉予臻; | 書刊名 | 新臺北護理期刊 |
| 卷 期 | 27:1 2025.03[民114.03] |
| 頁 次 | 頁144-153 |
| 分類號 | 419.821 |
| 關鍵詞 | 新冠肺炎; 氣體交換障礙; 活動無耐力; 焦慮; Coronavirus disease; Impaired gas exchange; Activity intolerance; Anxiety; |
| 語 文 | 中文(Chinese) |
| DOI | 10.6540/NTJN.202503_27(1).0013 |
| 中文摘要 | 本文描述一位年輕女性感染新冠肺炎,因病情惡化導致呼吸衰竭,而入住重症加護病房的護理經驗。護理期間自2021年6月6日至2021年6月30日止,以觀察、傾聽、會談及身體評估方式收集資料,運用Gordon 11項健康功能評估確立個案健康問題:氣體交換障礙、活動無耐力與焦慮。筆者藉由跨醫療團隊合作,偕同醫師說明治療方向,透過主動關懷,與個案建立信任感,鼓勵其表達心中感受,並引導案弟書寫卡片及手機視訊,以緩解個案的焦慮情緒,降低個案罹病隔離的不安及威脅感;另即時給予插管,維持足夠氧合濃度,改善其氣體交換障礙狀況,成功的協助個案脫離呼吸器,且與物理治療師共同制定復健活動計劃,利用多媒體教學影片指導個案復健活動,有效的改善其活動無耐力問題。新冠肺炎為高風險呼吸道傳染疾病,罹病需要以高規格隔離,易讓個案產生孤單與焦慮的情緒,無法立即給予適切的護理為照護上最大的限制,因此,建議可建置與照護相關的多媒體教學影片,以提升護理指導成效,且可運用宗教信仰力量,緩和重症個案之焦慮情緒,並適時安排心理師介入關懷,以提供重症個案更盡完善的身心靈照護,期望藉此照護經驗之分享,能推廣人性關懷落實於臨床實務,以提升個案於因病隔離期間的照護品質。 |
| 英文摘要 | This article describes the nursing experience of a young woman infected with COVID-19 who was admitted to the intensive care unit due to her worse condition and respiratory failure. During the nursing period from June 6 to June 30, 2021, data were collected through observation, listening and physical assessment, and Gordon's 11-item functional health assessment was used to determine the case problems: gas exchange disorder, activity intolerance and anxiety. Through cross-medical team collaboration, such as explaining the treatment direction with the doctors, guiding the patient's younger brother to write cards, making video calls on his mobile phone to relieve the patient's anxiety, reducing the uneasiness and threat in isolation period, and promptly intubating the patient to maintain sufficient oxygenation concentration, the patient was successfully weaned from the ventilator, and the gas exchange disorder improved. The patient worked with physical therapists to develop rehabilitation plan activities, used multimedia teaching videos to guide rehabilitation activities, and effectively improved the activity intolerance problems through building a sense of trust with the patient, encouraging the patient to express feelings, and guiding the patient to write cards and make video calls on his mobile phone to relieve the patient's anxiety and reduce the patient's sense of uneasiness and threat in isolation due to illness. COVID-19 is a high-risk respiratory infectious disease, which requires high-level isolation, which can easily make patients feel lonely and anxious. The biggest limitation in care is the inability to provide immediate and appropriate care. Therefore, it is recommended that multimedia teaching videos related to care can be built to improve the effectiveness of care guidance. The power of religious beliefs can be used to ease the anxiety of severe cases. Psychologists can be arranged to intervene in time to provide more complete care for severe cases. In terms of physical, mental and spiritual care, it is hoped that sharing of care experience can promote the implementation of humanistic care in clinical practice, so as to improve the quality of care for patients during isolation due to illness. |
本系統中英文摘要資訊取自各篇刊載內容。