運用Swanson關懷理論於一位蜂窩性組織炎病人之護理經驗

本文運用Swanson關懷理論照護一位因蜂窩性組織炎導致肢體活動障礙、因病程變化導致焦慮病人之護理經驗。照護期間為2020年3月8日至2020年3月22日，經生理、心理、社會及靈性四大層面進行評估，確立病人存有現存性感染、身體活動功能障礙、焦慮之護理問題。透過Swanson關懷理論的五大關懷過程，與病人及家屬建立治療性關係後，了解病人的需求及擔憂的事情，運用傾聽、在旁陪伴給予情緒支持，並滿足其需求，鼓勵病人參與肌力訓練進而維持正向信念，並教導病人腹式呼吸、肌肉放鬆、按摩肩頸、轉移注意力等緩解焦慮、放鬆的方法，使病人能夠以正向態度去面對出院後的生活。期盼此病人照護經驗，能夠給予護理人員在照護因疾病而導致肢體活動障礙、焦慮病人之護理經驗參考及運用。

關鍵字

Swanson關懷理論；蜂窩性組織炎；身體活動功能障礙；焦慮

並列摘要

This case report describes a nursing care experience that applied Swanson's Caring Theory to a patient who was suffering from the rapid progression of cellulitis, which had impaired physical mobility and induced anxiety. The associated health problems, including infection, impaired physical mobility, and anxiety, were affirmed after an integrated physical, psychological, social, and spiritual assessment was conducted during the nursing care period, which lasted between March 8th and March 22nd, 2020. After Applying Swanson's Caring Theory through five caring processes, the therapeutic relationships with the patient and his family members were established and their concerns and care needs were well known. Emotional support was provided through listening and accompaniment. In addition, the patient was encouraged to participate in strength training to improve physical mobility and maintain a positive outlook. In line with this, diaphragmatic breathing, muscle relaxation, shoulder massage, and divided attention were used to reduce anxiety and to assist the patient to face life after discharge positively and optimistically. It is hoped that this case report provides medical staffs with a reference for providing care to patients suffering from cellulitis, physical impairment, and anxiety.

並列關鍵字

Swanson's caring theory ； cellulitis ； impaired physical mobility ； anxiety

參考文獻

林秋菊、張淑真、吳佳珍（2009）．Leventhal疾病詮釋概念於臨床之應用．護理雜誌，56（5），87–92。[Lin, C.-C., Chang, S.-C., & Wu, C.-C. (2009). Application of Leventhal “illness representation” in nursing practice. The Journal of Nursing, 56(5), 87–92.] https://doi.org/10.6224/JN.56.5.87

林湘芸、馬悅華、蔡惠華、楊式辰（2019）．運用Swanson關懷理論照護周產期哀傷家庭之護理經驗．北市醫學雜誌，16（3），262–272。[Lin, H.-Y., Ma, Y.-H., Tasi, H.-H., & Yang, S.-C. (2019). Nursing experience of family who experience perinatal grief using Swanson's theory. Taipei City Medical Journal, 16(3), 262–272.] https://doi.org/10.6200/TCMJ.201909_16(3).0009

林麗英、許敏桃（2002）．由個案觀點看焦慮：一個本土護理學的田野研究．榮總護理雜誌，19（4），379–387。[Lin, L.-Y., & Hsu, M.-T. (2002). The emic perspective on the concept of anxiety: An indigenous nursing field study. VGH Nursing, 19(4), 379–387.] https://doi.org/10.6142/VGHN.19.4.379

胡嘉桂林佩昭（2018）．運用Swanson關懷理論照護一位脊髓腫瘤復發癌症病人無望感之護理經驗．領導護理雜誌，19（3），34–49。[Hu, C.-K., & Lin, P.-C. (2018). Nursing experience in utilizing Swanson's caring theory for hopelessness in a cancer patient with recurrent intramedullary tumors. Leadership Nursing, 19(3), 34–49.] https://doi.org/10.29494/LN.201809_19(3).0004

徐莞雲、陳筱瑀（2008）．焦慮的概念分析．志為護理，7（3），65–70。[Hsu, W.-Y., & Chen, H.-Y. (2008). A concept analysis of anxiety. Tzu Chi Nursing Journal, 7(3), 65–70.] https://doi.org/10.6974/TCNJ.200806.0065

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運用Swanson關懷理論於一位蜂窩性組織炎病人之護理經驗

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