- 期刊
腹主動脈瘤患者術後之加護護理經驗：病例報告
Intensive Nursing Experience for a Postoperative Abdominal Aortic Aneurysm Patient: A Case Report
摘要
本篇個案報告是照顧一位腹主動脈瘤患者的加護護理經驗，個案於2003年1月3日進行腹主動脈瘤人工血管重建手術後入加護病房照護，2003年1月8日轉普通病房。護理期間依Gordon 11項功能性健康型態評估個案，並運用觀察與訪談等方式收集主、客資料，確認個案護理問題有：疼痛/與腹部手術傷口及活動有關；睡眠型態紊亂/與外在環境改變有關；行為/與希望瞭解疾病相關訊息有關；焦慮/與家屬間未有效溝通及擔心被隔離。針對個案護理問題則是先與其建立信任關係，進而提供適當的護理活動，以減輕個案疼痛、改善睡眠型態，並提供疾病相關知識、促進有效溝通，減輕個案焦慮，協助其及早回歸正常生活。
並列摘要
This article described an intensive nursing experience for a postoperative abdominal aortic aneurysm patient. The case was in ICU after received the reconstructive surgery of artificial vessels for abdominal aortic aneurysm on January 3, 2003, and was in the general ward on January 8, 2003. The methods of data collection and nursing assessments during the nursing care included observation and face-to-face interview. Based on the Gorden's functional health assessment, the case's health problems included: 1) Pain/related to abdominal surgical wound and activity. 2) Sleep type disturbance/related to the external environment changed. 3) Behavior/related to understand information associated with disease. 4) Anxiety/lack of sufficient communication to family and worried to be isolated. As well established the physician-patient relationship, the researcher offered adapted nursing care to reduce the case's pain, improve the sleep, supply knowledge related to disease, increase sufficient communication, reduce the anxiety, and regress to normal life.