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照顧一位開放性肺結核患者之護理經驗

Caring for a Patient with Open Pulmonary Tuberculosis

摘要


本文乃描述一位開放性肺結核病人,於住院期間面對被隔離的無奈及治療的擔心,所引發的健康問題與護理經驗。護理期間為2006年8月24日至9月6日,筆者於照護期間以身體評估、理學檢查、會談、觀察,以及醫療團隊合作討論的方式收集疾病史及相關資料,並藉由Gordon十一項健康功能評估個案,發現有:焦慮、營養不均衡/少於身體所需、社交隔離等健康問題。首先以無條件接受病人情緒的方式,獲得病人及家屬的信任,接著不斷鼓勵及支持陪伴病人渡過治療過程的辛苦,也配合家人的陪伴,不斷提昇病人接受治療之意願。讓原本充滿負向思考的病人能勇敢面對疾病,最後病人能順利返家,持續門診追蹤。藉此將個人之護理經驗與大家分享,期待提供照顧肺結核病人之參考。

關鍵字

肺結核 隔離 傳染病

並列摘要


This article discusses a pulmonary tuberculosis patient's feelings of helplessness isolation and fear of therapy. The observation period was from August24 to Sep. 9, 2006. I collected the data from physical examination, interviews, observation, and discussions with the medical team that was there during the patient’s admission. I found health problems via 11 items of Gordon health function, such as anxiety, nutrition disequilibrium, and social contact isolation. Through much patience and toleration. I was able to gain the patient' trust. I continually encouraged and accompanied the patient through the difficulties of therapy, I also encouraged the patient's family to do the same. The support of family and friends will help the patient face his illness, help him make the transition home, and help him to follow through with thither treatment. I share my nursing experience as a reference for others who might care for people with pulmonary tuberculosis.

並列關鍵字

tuberculosis isolation infectious illness

被引用紀錄


劉姿吟、陳惇杰、徐琬茵(2018)。一位中斷治療結核病病人之門診護理經驗高雄護理雜誌35(1),92-103。https://doi.org/10.6692/KJN.201804_35(1).0008

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