- 期刊
運用復原力協助一位再度罹患慢性疾病青少年的護理經驗
Nursing Experience of Using Resilience in Caring an Adolescent With Chronic Disease
摘要
本文係描述一位原患有癲癇慢性疾病青少年，初次診斷第一型糖尿病之照護經驗。筆者於2021年11月21日至2021年11月29日照護期間，經由觀察、身體評估、會談、直接照護及Gordon十一項功能性健康型態進行整體性評估，確立病童有潛在危險性不穩定血糖濃度、無效性健康維護能力、身體心像紊亂等健康問題，筆者除了首以維持血糖穩定外，更運用青少年復原力五策略，引導病童反思罹病過程，激發自我覺醒、認識自己的優勢，協助病童經由了解疾病後，再以智慧連結地圖提供全面性的護理指導，引導病童克服及接受需終身監測血糖、施打胰島素；出院前建立病童、家屬與學校間的連接，幫助病童成功重返校園，終能提升病童之健康維護能力。期盼經由此照護經驗，作為日後護理人員照護之參考。
並列摘要
This article describes the author's nursing experience in caring for a teenager with epilepsy and type 1 diabetes between November 21 and 29, 2021. Data were collected through observations, physical assessments, and interviews. Gordon's 11 functional health patterns were used to identify health problems, including the risk of unstable blood glucose levels, ineffective health maintenance, and body image disturbance. The author utilized five strategies of adolescent resilience to help the patient reflect on their illness and recognize their strengths. The author provided comprehensive nursing guidance. After improving the patient's understanding of their disease, the author used a smart link map to provide comprehensive guidance with regard to blood sugar testing, insulin injections, healthy eating, and regular exercise. The author also facilitated collaboration between the patient, their family, and their school to help the patient resume their life and enhance their ability to engage in self-care. This nursing experience may serve as a care reference for those caring for similar patients.