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| 題 名 | 一位急性呼吸窘迫症候群個案其家屬決定撤除維生醫療之加護經驗=Intensive Care Experience for a Patient with ARDS that the Family Decided to Withdraw Life-Sustaining Treatment |
|---|---|
| 作 者 | 黃柏軒; 紀巧玲; 粘雅淨; | 書刊名 | 志為護理 |
| 卷 期 | 24:6 2025.12[民114.12] |
| 頁 次 | 頁113-122 |
| 分類號 | 419.8232 |
| 關鍵詞 | 急性呼吸窘迫症候群; 氣體交換功能障礙; 抉擇衝突; 撤除維生醫療; 預期性哀傷; ARDS; Gas exchange impairment; Decisional conflict; Withdraw life-sustaining treatment; Anticipatory grief; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 本文為一位因確診嚴重特殊傳染性肺炎導致急性呼吸窘迫症候群個案放置葉克膜,最終家屬決定撤除維生醫療之加護經驗。照護期間自2023年10月21日至11月13日,藉由筆談、身體評估、觀察、病歷查閱與家屬會談收集資料,運用生理、心理、社會及靈性評估,確立健康問題有氣體交換功能障礙、抉擇衝突及預期性哀傷。照護初期除醫囑給予各項處置,更緊急啟動葉克膜爭取治療時間,經過一連串醫療照護後預期死亡仍不可避免,偕同跨團隊與家屬進行完善的溝通,引導做出生命末期決策,並在協助下完成四道人生,使個案得以善終,家屬也放下心中遺憾。期望此篇可作為日後照護參考,及時發現家屬在此過程的情緒變化及需求,才能達到全人、全程、全家的整體性照護。 |
| 英文摘要 | The paper describes the experience of a family member who decided to withdraw life-sustaining treatment for a patient with acute respiratory distress syndrome post-extracorporeal membrane oxygenation (ECMO). The nursing period was from October 21 to November 13, 2023. Data was collected through communication via writing, physical assessment, observation, medical record review and interview with family. Gas exchange impairment, decisional conflict, and anticipatory grief were identified. Through regular monitoring, ECMO was placed in an emergency to gain more treatment time. As death approached, the family meeting was held to make end-of-life decisions. Guiding family to complete the four themes of life. As a result, the patient died a good death and the family members left no regrets behind. We hope this nursing experience can provide as a reference for clinical staff when caring for patients with similar conditions and help to promptly discover the emotional changes of family during the process and achieve holistic healthcare involving the patient, the process and the family. |
本系統中英文摘要資訊取自各篇刊載內容。