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| 題 名 | 運用Swanson關懷照顧理論行減重手術再出血個案之護理經驗=Nursing Experience of Rebleeding Cases after Bariatric Surgery Using Swanson's Caring Theory |
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| 作 者 | 陳瓊美; 鄭真佳; 趙家伶; | 書刊名 | 安泰醫護雜誌 |
| 卷 期 | 31:2 2025.12[民114.12] |
| 頁 次 | 頁29-42 |
| 分類號 | 419.821 |
| 關鍵詞 | Swanson關懷照顧理論; 減重手術術後再出血; 焦慮; 急性疼痛; 健康尋求行為; Swanson caring theory; Post-bariatric surgery rebleeding; Anxiety; Acute pain; Health-seeking behavior; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本文闡述一位25歲女性因病態性肥胖接受減重手術後再出血之照護經驗。照護期間發現因術後傷口及管路留置導致疼痛,且再次開刀術後預後不確定感到焦慮,並對術後自我照顧認知準備度不足,引發探討動機。護理期間於2022年09月09日至2022年09月14日,藉由病歷查閱、觀察、會談及身體評估等方式並運用Gordon十一項功能性健康模式進行護理評估,確立有急性疼痛、焦慮、健康尋求行為等健康問題。筆者運用Swanson關懷照顧理論,在止痛藥物控制及放鬆技巧下分散注意力,緩解疼痛。引導說出感受並澄清疑慮,調整呼吸使情緒放鬆減緩焦慮。參與減重照護計畫、提供多元衛教工具及運動處方,提升術後照護及減重認知。建議減重團隊於術前詳細解釋手術過程及注意事項,擬定適合的術後減重飲食及運動規畫,宣導持續回診之必要性,使為了健康而團聚的戰友們綻放美麗的人生。 |
| 英文摘要 | This article describes the experience of caring for a 25-year-old woman with rebleeding after bariatric surgery for morbid obesity. During the care period, it was discovered that pain was caused by the postoperative wound and indwelling tubes, and the patient was anxious about the uncertainty of the prognosis after another surgery, and was not well prepared for postoperative self-care, which triggered the motivation for discussion. During the nursing period from September 9, 2022 to September 14, 2022, through medical record review, observation, interviews, and physical assessment, and using the Gordon Eleven Functional Health Model for nursing assessment, it was established that patients had acute pain and anxiety, health seeking behavior and other health issues. The author uses Swanson's caring theory to distract attention and relieve pain under the control of analgesic drugs and relaxation techniques. Guide you to express your feelings and clarify doubts, and adjust your breathing to relax your emotions and reduce anxiety. Participate in the weight loss care plan, provide multiple health education tools and exercise prescriptions, and enhance postoperative care and weight loss awareness. It is recommended that the weight loss team explain the surgical process and precautions in detail before surgery, formulate a suitable post-operative weight loss diet and exercise plan, and promote the necessity of continuous follow-up visits, so that the comrades reunited for health can bloom a beautiful life. |
本系統中英文摘要資訊取自各篇刊載內容。