- 期刊
照護一位確診COVID-19住院隔離病人之護理經驗
Nursing Experience of Caring for a Patient in Isolation with Confirmed COVID-19
摘要
本文描述一位確診COVID-19住院隔離病人之護理經驗，個案於疫情爆發時確診至檢疫所，隔離期間出現發燒及呼吸急促等症狀，入住隔離病房接受治療。初期有發燒及呼吸喘生理上的不舒服。後續在隔離病房密閉空間，獨自面對陌生的疾病，且住院期間出現腸胃道出血的症狀，進而引發焦慮不安、擔心等負面情緒，引發筆者選案動機。筆者於2021年6月15日至7月7日照護期間，運用Gordon十一項功能性健康型態評估，藉由直接護理、身體評估、遠端監視系統觀察、資料收集及電話追蹤訪談等方式，收集主、客觀資料加以分析，運用同理心技巧並主動關懷方式讓個案說出心裡感受，使用不批評態度進行會談，深入瞭解個案需求，並與醫療團隊合作，進而給予適切的個別性照護，確立護理問題有：現存性感染、危險性出血、焦慮。護理過程中，針對護理問題提供個別性護理措施，拍攝呼吸運動衛教影片及設計放大版簡易操作步驟單張、教導自我照護方法等協助病人在隔離期間盡早解除生理不適，並與個案建立良好護病關係，給予心理支持及運用音樂療法以減緩焦慮。共同擬定健康目標，提供支持與鼓勵，並獲得完善的照護。期許此照護經驗可作為臨床上照護類似案例之參考。
並列摘要
The article illustrates the nursing experience of an isolated COVID-19 patient in the hospital. This COVID-19 case was in the quarantine station during pandemic outbreak in Taiwan and then was hospitalized to the isolation ward for further treatment due to fever and shortness of breath. He initially presented with fever, dyspnea, and physical discomfort; subsequently, he faced an unfamiliar disease alone and appeared symptoms of gastrointestinal bleeding in the confined space of isolation ward. The aforementioned reactions activate the case anxiety and worries, which motivate the author to document this case. The author uses Gordon's 11 Functional Health Pattern during the nursing period from June 15th, 2021 to July 7th, 2021. The author collected subjective and objective data for analysis by patient-centered care, physical examination, remote monitoring system observation, telephone follow-up interviews and so on. The author made the case describe his feelings and provided appropriate individual planning by skills of empathy and active listening, non-critical interviews, thorough understanding of the personal demand, and team collaboration. The nursing problems are established as follows: existing infection, dangerous bleeding, and anxiety. The individual nursing interventions are offered to assist the case to relieve general malaise as soon as possible during isolation including filming a breathing-exercise video, designing an enlarged version of simplified practice leaflet, teaching self-care methods. The case can also alleviate anxiety by proper therapeutic nurse-patient relationship, adequate psychological support and musical therapy. The author expected this report as a reference of similar clinical cases.