- 期刊
一位心碎症候群病人脫離呼吸器的加護照護經驗
A Nursing Care Experience of Assisting a Patient with Broken Heart Syndrome to be Weaned from the Ventilator in the Intensive Care Unit
摘要
本篇個案報告是一位69歲患多重慢性疾病女性個案，因行腎臟切除，術後第一次入住加護病房之護理經驗，術後因擔心死亡產生焦慮，出現罕見的心碎症候群引發心肺功能下降，增加呼吸器脫離的困難。護理期間自2015年2月26日至3月7日，藉由觀察、溝通及運用生理、心理、社會、靈性進行評估，確立個案的健康問題為：心肺組織灌流改變、呼吸機戒斷反應功能失常、焦慮，筆者提供個別性護理措施，減輕個案心臟負荷及耗氧量。提供關懷照護及心理支持建立良好的護病溝通，協同家屬參與照護，減少陌生感並減輕個案的壓力與焦慮，幫助病人成功脫離呼吸器。藉此護理經驗分享，提供護理人員對於心碎症候群病人照護的參考。
並列摘要
This case reported represents a 69-year-old female suffering from multiple chronic diseases; the nursing experience for the first time to stay in the intensive care unit after nephrectomy surgery. She was anxious and fearful toward death, which caused heart and lung function to decline, as complicated by broken heart syndrome because of increased difficulty of being weaned from the respirator. From February 26th to March 7th 2015, by observation and communication, assessment incorporating physical, psychological, social, and spiritual aspects, the health problems included: ineffective tissue/cardiopulmonary, ventilator withdrawal reaction dysfunction and anxiety, so the author provided individualized nursing care according to the patient's need to reduce cardiac load and oxygen consumption. Caring behaviors and mental support, building good nurse-patient communication and family member participation care, reducing the sense of strangeness, and reducing pressure and anxiety of the case, all helped support the patient's success in withdrawing from the respirator. It is expected that this case report will help nursing staff care for patients with broken heart syndrome.