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| 題 名 | 照顧一位愛滋病合併肺囊蟲感染個案之加護護理經驗=Nursing Experience in Caring for a Patient with Acquired Immunodeficiency Syndrome Complicated by Pneumocystis jirovecii Pneumonia |
|---|---|
| 作 者 | 高上雅; 林秋燕; 朱璧岑; | 書刊名 | 嘉基護理 |
| 卷 期 | 25:2 2025.12[民114.12] |
| 頁 次 | 頁53-65 |
| 分類號 | 419.8232 |
| 關鍵詞 | 愛滋病; 肺囊蟲肺炎; 俯臥通氣治療; Acquired immunodeficiency syndrome; Pneumocystis jirovecii pneumonia; Prone positioning; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本文描述一位 24 歲男性罹患愛滋病合併肺囊蟲肺炎感染,接受俯臥通氣 治療的護理過程。護理期間為 2022 年 4 月 26 日~5 月 30 日,藉由身體評估、 直接觀察、病歷查閱及會談等收集資料,進行生理、心理、社會及靈性層面評 估,確定主要健康問題為:氣體交換功能障礙、皮膚完整性受損及焦慮。照護 期間介入專業醫療團隊,執行俯臥通氣治療改善氧合,並提供特殊減壓輔具改 善壓力性損傷。此外,個案首次行氣切造口術,於呼吸訓練過程產生焦慮,筆 者提供個別性護理,以減輕焦慮程度,成功脫離呼吸器,轉至病房接受愛滋病 個案管理照護,最後康復返家。期望藉此成功案例的分享,提供日後重症護理 人員臨床實務之參考。 |
| 英文摘要 | This article describes the nursing experience of caring a 24-year-old male who underwent prone ventilation for Acquired Immunodeficiency Syndrome and Pneumocystis jirovecii Pneumonia. During the nursing care period between April 26 to May 30, 2022, data were collected through physical assessment, observation, the patient's physiological, psychological, social, and spiritual aspects. The identified health problems included impaired gas exchange, and anxiety. During the nursing period, a professional medical team was involved, providing prone positioning to improve oxygenation, and special decompression tools to improve pressure injuries. In addition, the patient had a tracheotomy for the first time, and anxiety appeared during respiratory training, The author provided individualized nursing care to reduce the patient's anxiety. Finally, the patient was successfully weaned from mechanical ventilation, transferred to the general ward for AIDS case management, and was eventually discharged home in stable condition. This successful case aims to serve as a valuable reference for critical care nurses in clinical practice. |
本系統中英文摘要資訊取自各篇刊載內容。