- 期刊
心臟支架術後再發心肌梗塞病人之照護經驗
Caring Experience for Patient Suffering Recurrent Myocardial Infarction After Heart Stent Surgery
摘要
本文為一位47歲男性，於心臟支架手術後25分鐘再發心肌梗塞併心因性休克之照護經驗。照護期間於2019年8月21日至8月27日，透過會談、觀察及運用Gordon十一項功能性健康型態進行整體性評估，確立個案有心輸出量減少、焦慮及自我照顧能力增進準備度等健康問題。照護過程，維持個案生命徵象穩定，監測動脈壓之變化，使其成功脫離輔助循環；運用同理心與家屬共同關懷個案，緩解個案內心焦慮；以跨團隊照護模式，擬定專屬個案的心臟復健運動和營養照護，提升個案返家後自我照顧能力。期望能藉此照護經驗分享，讓臨床護理人員對復發性心肌梗塞照護有更進一步的了解，以提升護理照護品質。
並列摘要
This article is about the nursing experience of a 47-year-old man who suffered recurrent myocardial infarction by cardiogenic shock 25 minutes after heart stent surgery. During the nursing period from August 21 to 27, 2019, a holistic assessment was conducted through interviews, observations, and the application of Gordon 11 functional health patterns assessment to establish the patient's health problems, which include the decreased cardiac output, anxiety, and Preparation for self-care. During the nursing process, we maintain the stability of patient's vital signs and monitor changes in the arterial pressure for successfully escape from the circulation auxiliary; Applying empathy to care the case with family to relieve inner anxiety; And interprofessional collaborative practice model to plan a cardiac rehabilitation program and the nutrition care for the patient to enhance his self-care ability after returning home. It is hoped that this sharing of nursing experience will enable clinical nursing staff to have a better understanding of the care of recurrent myocardial infarction, so as to improve the quality of nursing care.