一位史蒂芬強森症候群病人臨終照護經驗

Nursing Experience in Dying Patient of Steven-Johnson Syndrome

蔡靜蜜(Ching-Mi Tsai) ； 陳素燕(Su-Yen Chen)

《榮總護理》 25卷1期 (2008/03) Pp. 79-84

https://doi.org/10.6142/VGHN.25.1.79

摘要

本報告是探討一位史蒂芬強森症候群末期的患者入住加護病房期間生理變化與臨終心理的衝擊，筆者以Gordon健康功能型態進行評估，發現個案有自主性換氣失能、組織完整性受損、疼痛及預期性哀傷四個問題。筆者除給予個案生理照護外，並運用溝通技巧，同理支持使其勇於表達內心感受，以減輕哀傷反應及心靈困擾。經由鼓勵案家一起做生命回顧，促使家庭成員陪伴個案安詳走完人生最後一段路。

關鍵字

史蒂芬強森症候群 ； 預期性哀傷 ； 加護病房 ； 臨終照護

並列摘要

This report intended to research the psychological and physiological shock of a patient who was in the last phase of Stevens-Johnson Syndrome in an Intensive Care Unit. Physical assessment was guided by the Gordon functional health status. There were five problems including inability to sustain spontaneous ventilation, impaired tissue integrity, pain, anticipatory grieving and spiritual distress. The author gave the patient the psychological nursing care and communicated with her. The author supported what the patient thought, so the patient could bravely express her ideas. The family members could then face the death of the patient. Furthermore the patient could peacefully face her own coming death. It is hoped this report can give other colleagues a reference of for giving care in similar situation.

並列關鍵字

Stevens-Johnson Syndrome ； anticipatory grieving