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題名 | 呼吸器脫離之護理過程--以一名車禍老年病患為例=The Nursing Process of Weaning Patients from Ventilators--An Elderly Man Who Fell Victim to a Car Accident |
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作者 | 呂怡慧; 黃美智; | 書刊名 | 榮總護理 |
卷期 | 14:3 1997.09[民86.09] |
頁次 | 頁314-326 |
分類號 | 419.73 |
關鍵詞 | 呼吸器脫離; 影響因素; 護理過程; Weaning from ventilator; Affective factors; Nursing process; |
語文 | 中文(Chinese) |
中文摘要 | 長期使用呼吸器的病人,不單對醫療系統是沈重的負擔,對病人及其家屬更是經 濟與精神上的壓力,因此如何協助長期依賴呼吸器患者脫離呼吸器,實為一大挑戰。本報告 藉由一位病患於脫離呼吸器過程中,所呈現生理、心理、整體性的準備度,顯示對病人整體 性評估對於協助病人把握最佳時機成功脫離呼吸器之重要性。本報告所使用之資料乃藉由收 集病史、身體檢查、觀察行為反應、收集各項檢查數值並與家屬會談,整體的收集相關資料 ,進而依據護理過程進行內容之整理與分析。病人主要的護理問題為呼吸器戒斷反應功能失 常,故針對影響脫離呼吸器失敗的生理與心理因素提出解決之護理措施,結果呈現當病人之 生理準備度已足夠時,對脫離呼吸器之過程仍會有停滯情形產生,唯有心理準備度亦足夠時 ,兩者間互相配合才能使脫離過程成功。 |
英文摘要 | Patients on long term mechanical ventilatory support are not only a heavy burden to the medical health care system, but also impose economical and psychological pressure to the patients themselves and their families. A successful way to assist venilatory-dependent patients by weaning them from the ventilators is a big challenge to health care providers. A comprehensive assessment of the physical, psychological and comprehensive preparation of patients undergoing the weaning process is vital in determining the best timing for taking them from the ventilators. The data used in this report was collected by taking a full history, observing physical examination behavior, collection laboratory data and interviewing family members. The data was analyzed according to the contents of the nursing process. The major problem in the process of nursing these patients is the risk of failure in actually weaning them from the ventilator. Factors affecting weaning failure and nursing procedures to solve these problems are mentioned above. Even when the paient's physical condition is well prepared for weaning, obstacles to the weaning process still appear. Only when the patient is psychologically, as well as physically prepared, can weaning from a ventilator prove successfully. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。