- 期刊
運用家庭評估模式於一位老年肌少症的護理經驗
Applying the Family Assessment Model to the Nursing Experience of an Older Adult Sarcopenia
摘要
本文為運用佛萊德門家庭評估模式（Friedman Family Assessment Model）於一位老年肌少症個案的護理經驗，筆者於民國108年4月16日至5月10日照護期間，藉由訪談、評估、觀察收集資料，發現77歲的個案因小兒麻痺狀況，上下肢的肌肉無力，缺乏運動，進行肌少症篩檢後確定有肌少症現象，也發現個案平時也缺乏維生素D及蛋白質的攝取，為避免肌少症嚴重，因此提供飲食衛教使個案知道何種食物攝取能補充肌肉的合成，同時也衛教日常生活維持規律及適當的運動，能促進人體的肌肉質量，一來促進個案身體健康，進而達到良好的生活品質，二來延緩肌少症造成的跌倒、衰弱及失能，未來成為家庭照顧者的負擔。在居家環境方面，建議個案宜改善食物保存方式及廚餘清潔管理，有健康衛生的居家環境，能減少滋生果蠅衍生霍亂、傷寒等傳染病之健康問題。
並列摘要
This article is based on the nursing experience of an elderly adult with sarcopenia using the Friedman family assessment model. Interviews were conducted during the nursing period from April 16 to May 10, 2019. Further, the interviews involved observations and data collection regarding case. It was found that the 77-year-old case had poliomyelitis, muscle weakness of the upper and lower limbs, lack of exercise. Additionally, we established that the patient had a vitamin D deficiency and inadequate protein intake. To avoid severe sarcopenia, we provided necessary health education, informing the patient of a diet that could replenish muscle synthesis. Simultaneously, we encouraged health practices and proper exercise to maintain a healthy life and to promote the body's muscle mass. Good health can lead to a good quality of life. Additionally, to avoid falls, weakness and disability caused by sarcopenia, family caregivers will become burden. It is recommended that individuals improve the food preservation and maintain clean waste management methods regarding the home environment. A healthy and hygienic home environment can reduce fruit flies' breeding that can cause cholera, typhoid and other infectious diseases.