- 期刊
照顧一位疑似感染新冠肺炎病人於負壓隔離室引發焦慮之護理經驗
Nursing Experience of Caring for a Patient Suspected Infecting with COVID-19 Developed Anxiety in Isolation Room
摘要
本文敘述一位疑似感染新冠肺炎入負壓隔離室個案之護理經驗，住院期間面臨生理不適、疾病認知不足、擔心自己確診及隔離中所產生的不安與害怕，導致個案處於極大的壓力與焦慮中，故引發筆者撰寫動機。照護期間自2020年2月3日至2月5日，筆者經由直接照護、觀察、傾聽、身體評估及會談，運用羅氏適應模式確立個案護理問題有「呼吸道清除功能失效」、「焦慮」及「知識缺失」。依個案疾病發展過程及家庭互動模式，提供個別性護理措施，如：（1）使用衛教影片教導個案如何噘嘴式呼吸、提供小枕頭抱於腹部，降低咳嗽所產生的不適，利於痰液排出減緩呼吸道清除功能失效問題；（2）運用視訊通話與個案即時溝通並鼓勵個案使用視訊通話與家人聯絡改善因隔離產生的分離焦慮感；（3）提供疾管署網址讓個案了解正確疾病資訊，協助調適與面對疾病的壓力，解決焦慮不安問題，使其獲得適當的護理。解決其身、心理之護理問題，進而順利完成治療並出院。2月10日電訪個案表示現已恢復健康回歸日常生活並瞭解預防疾病復發及居家確實清潔的重要性。希望藉由此次護理經驗分享、提供護理同仁照護類似個案時能提供個別性護理照護，以提升日後護理品質。
並列摘要
This article described the nursing experience of caring for a patient suspected infecting with COVID-19 developed anxiety in the isolation room. During hospitalization, the patient experienced severe fears and disturbance due to lack of knowledge of the disease and worried of infected with COVID-19, at the same time separated from her 5-year-old daughter. Resulting in massive pressure and anxiety on the patient, which triggered the author to write this article. During the hospitalized period from February 3rd to February 5th, 2020, the author evaluated the patient by providing direct care, observation, listening, physical assessment, and using Roy's Adaptation Model to established the nursing diagnosis of "ineffective airway clearance," "knowledge deficit," and "anxiety. "To address the nursing diagnosis, the author provided individual care plans, including videos of pouting breathing techniques to minimize the discomfort when coughing, encouraging the patient to video call family to keep the social engagement, gaining knowledge of the disease by providing accurate COVID-19 information. The author visited and communicated with the patient frequently to acknowledge her needs and providing emotional support. By delivering the appropriate nursing care, the nursing diagnosis had been fulfilled, and the patient was successfully discharged. On February 10th, the author followed up with the patient and was able to receive feedback. The patient has fully recovered from her illness and has shown disease prevention awareness.When facing a pandemic, it is essential for the front-line medical workers to be emotionally and physically prepared. By sharing the nursing care observation of this case, the author wants to provide her experience for front-line medical workers and enhance the nursing quality in the future.