一位腦中風病患及其照顧者之護理經驗

Caring of a Brain Stroke Patient and His Caregiver

張秋純(Chiu-Chun Chang) ； 蔡麗雅(Li-Ya Tsai) ； 游顯妹(Hsien-Mei Yu)

《中山醫學雜誌》 18卷1期 (2007/06) Pp. 99-111

https://doi.org/10.30096/CSMJ.200706.0009

摘要

近年來，中風一直居於台灣十大死因的前三名，大多數病患中風後都會留下後遺症，在長期照護的考量下．若能提升病患自我照顧的能力，協助家屬學習照護技巧，降低角色緊張不僅可增加病患的控制感、自主性與參與感，更能減少社會成本及家庭的負擔、本文為應用Orem自我照顧理論，針對一位中風病患進行全面性的護理評估，護理期間自九十四年七月十一日至七月十五日，評估結果發現個案因疾病所導致的護理問題有：自我照顧能力缺失、高危險性傷害，照顧者角色緊張及個案的特定知識缺失等針對這些問題加強訓練病患日常生活自我照顧技巧，與家屬確認環境中易導致跌倒的危險因子，並提供主要照顧者可利用的資源，及慢性病控制的相關知識，進而提升病患自我照顧能力，預防意外事故發生，緩解照顧者之角色的緊張程度，增進病患及家屬日後照護能力，使家庭早日回歸正常生活。

關鍵字

腦中風 ； 主要照顧者 ； 自我照顧

並列摘要

In recent years, stroke has continued to be one of Taiwan's top three causes of death. When death does not occur, stroke patients often have major sequela. To promote long-term care, we can promote the patients self-care ability, teach family members nursing skills, and reduce caregiver stress. By increasing patient's self-control, independency and participation, we can also reduce the burden on society and the responsibilities borne by the family.
In this article, we discuss our experience assessing and caring of a stroke patient based on Orem's self-care theory. During the nursing period between 15 July, 2005 and 17 July, 2005, we found the patient lacking in self-care ability and at high risk of injury and the caregiver unable to cope well with stress arid lacking the knowledge need to care for the patient. Based on these problems, we strengthened the patients self-care skills, educated the family about the risk factors of falling down, and provided the caregivers with information about available resources and knowledge about chronic illness care. These interventions were found to promote the patient's self-care ability, prevented further falling, relieved caregivers stress, improved the family's care of the patient and help this patient and family return to normal life.

並列關鍵字

stroke ； caregiver ； self-care