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| 題 名 | 照護一位原發性肺動脈高壓個案的護理經驗=Nursing Experience in Caring for a Case of Primary Pulmonary Hypertension |
|---|---|
| 作 者 | 吳宇雯; 陳建皓; 葉惠玲; | 書刊名 | 志為護理 |
| 卷 期 | 24:5 2025.10[民114.10] |
| 頁 次 | 頁105-114 |
| 分類號 | 419.8235 |
| 關鍵詞 | 前列腺素類似物; 活動無耐力; 原發性肺動脈高壓; 疼痛; 焦慮; Prostaglandin analogs; Activity intolerance; Primary pulmonary hypertension; Pain; Anxiety; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本文是57歲原發性肺高壓個案須終身皮下注射前列腺素類似物治療,因右下腹部注射部位發紅腫脹產生擔憂之護理經驗。照顧期間為2022年3月15日至4月8日,以Gordon十一項功能性健康型態評估,確認個案有活動無耐力、疼痛、焦慮等健康問題。護理初期提供氧氣使血氧濃度提升,安排心肺復健增加活動耐力,治療十天後可步行30分鐘。為減緩右下腹疼痛,先更換皮下針留置部位至左下腹,爾後建議注射部位輪替。運用會談技巧使個案願意分享用藥焦慮感受,多次衛教個案用藥重要性,使個案願意繼續正向面對終身用藥。期望藉此個案報告,提供護理同仁往後照顧類似個案時之參考。 |
| 英文摘要 | This case report describes a 57-year-old patient with primary pulmonary hypertension who required lifelong subcutaneous injections of prostaglandin analogs. Nursing experience of the patient suggested worry about lower right abdomen redness and swelling at the injection site. The care period was from March 15 to April 8, 2022, and was based on the Gordon Eleven Functional Health Type Assessment. It was confirmed that the patient had health problems such as intolerance, pain, and anxiety. Oxygen was provided in the initial stage of care to increase blood oxygen concentration. Cardiopulmonary rehabilitation was conducted to increase activity tolerance. After ten days of treatment, the patient was able to walk for 30 minutes. The subcutaneous needle placement site was changed to the lower left abdomen. It was recommended that the injection site be rotated to relieve pain. Further, interviews were used to encourage the patient to share her feelings of anxiety about medication and educate on the importance of consistent medication; this would help make the patient feel positive and willing to continue to face life-long medication. This experience provides nursing colleagues with a reference when dealing with similar cases in the future. |
本系統中英文摘要資訊取自各篇刊載內容。