頁籤選單縮合
| 題 名 | 一位產後周產期心肌病變病人使用左心室輔助器之加護護理經驗=Intensive Care Experience of a Postpartum Patient with Peripartum Cardiomyopathy Using a Left Ventricular Assist Device |
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| 作 者 | 邱以翎; 蘇筱雅; 葉惠玲; | 書刊名 | 志為護理 |
| 卷 期 | 24:6 2025.12[民114.12] |
| 頁 次 | 頁91-100 |
| 分類號 | 419.83 |
| 關鍵詞 | 周產期心肌病變; 左心室輔助器; 心輸出量減少; 焦慮; 母乳哺餵中斷; Peripartum cardiomyopathy; Left ventricular assist device; Reduced cardiac output; Anxiety; Breastfeeding interruption; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 一位18歲女性產後一個月因胸痛診斷周產期心肌病變,入住加護病房使用左心室輔助器,因危及生命感到焦慮引發筆者書寫動機。照護期間自2023年11月2日至11月18日,運用五大層面整體性護理評估收集資料,確立病人有心輸出量減少、焦慮及母乳哺餵中斷健康問題。重症期間監測生命徵象及藉由左心室輔助器維持正常心臟組織灌流,每日30分鐘踩腳踏車之心肺復健,使心輸出量大於2.4升/分,順利脫離左心室輔助器;提供疾病實證文獻提升疾病認知緩解焦慮;藉由關懷照顧建立母乳哺餵信心,積極正向面對治療。建議單位制定孕產婦放置左心室輔助器之標準照護指引,提升重症護理人員照護此疾病指引。 |
| 英文摘要 | An 18-year-old woman was diagnosed with peripartum cardiomyopathy due to chest pains one month post-delivery. She was admitted to the intensive care unit and a left ventricular assist device (LVAD) was implanted. She felt anxious because the disease was life-threatening, which motivated the author to write the report. During the care period from November 2nd to 18th, 2023, five levels of holistic nursing assessments were used to collect data. It was confirmed that the patient had health problems, such as reduced cardiac output, anxiety, and interruption of breastfeeding. Vital signs during critical illness were monitored and normal perfusion of cardiac tissue was maintained via the LVAD. Cardiopulmonary rehabilitation by cycling for 30 min per day was planned to be performed to increase the cardiac output to more than 2.4 l/min and successfully wean off the LVAD. In addition, evidence-based literature on the disease was provided to the patient to improve disease awareness and relieve anxiety, while confidence in breastfeeding was built through caring and face treatment positively. Formulate standard care guidelines are recommended and the guidelines for critical care nurses caring for similar patients. |
本系統中英文摘要資訊取自各篇刊載內容。