- 期刊
照顧一位缺血性腦中風接受血栓溶解劑治療之護理經驗
A Nursing Experience of Caring for an Acute Ischemic Stroke Patient Who Received Thrombolytic Agent Therapy
摘要
急性缺血性腦中風在黃金三小時內使用血栓溶解劑治療，能降低死亡率和殘障並減少長期照護成本。本文探討一位缺血性腦中風病人接受血栓溶解劑治療之護理經驗。護理期間2019年1月8日至1月10日。藉由實際照護、身體評估、會談等方式收集資料，評估健康問題有肢體活動功能障礙、危險性損傷、焦慮及潛在危險性感染等。個案在急性期接受血栓溶解劑治療，首重協助病人及家屬認識腦中風與注射後注意事項，筆者主動關懷及運用復原力增進個案自我照顧與患側肢體訓練，共同擬定復建計畫，提升自我照護能力。期盼短時間內能解除個案焦慮，希冀藉此照護經驗分享，提供急性缺血性腦中風施打血栓溶解劑照護之參考。
並列摘要
Thrombolytic agent therapy for acute ischemic stroke within 3 hours of the golden time can reduce mortality with disability and long-term care costs. This article describes the nursing experience of caring for an ischemic stroke patient who received thrombolytic agent therapy. From January 8 to January 10 in 2019, the assessment included interview, observation and physical assessment strategies. The confirmed major nursing problems were impaired physical mobility, risk for injury, anxiety and risk for infection. The first priority was to assist the patient and patient's family to understand stroke and the precautions of thrombolytic agent therapy with the aim of elevating relevant knowledge and ability of caring in the acute stage. Through drawing up the rehabilitation programs with patient and family to enhancing the patient's self-care ability, we aimed to relieve the patient's anxiety in a short time, and increase resilience which can be used to improve the patient's self-care and side limb training. The author hopes that this article can serve as a clinical care reference for other nurses taking care of similar cases in the future.