- 期刊
運用Swanson關懷理論照護一位COVID-19病人之照護經驗
Nursing Experience Associated With the Application of Swanson's Caring Theory to a Patient With COVID-19 Infection
摘要
本文描述照護一位男性感染嚴重特殊傳染性肺炎之經驗。照護期間為2021年5月28至6月22日，筆者以Gordon十一項健康功能型態進行整體評估，確立有氣體交換障礙、焦慮、活動無耐力等健康問題。病人因病毒感染引發呼吸衰竭，照護團隊以高流量氧氣治療、俯臥通氣與教導有效深呼吸咳嗽等獲得改善；當其面對疾病不確定感與社交隔離造成急性焦慮時，筆者運用Swanson關懷理論，以了解、在旁陪伴、為他做某些事、使他能夠及維持信念，予個別護理引導說出內心感受，使其不感到孤單；治療期間因併發腦中風造成活動耐力下降，除給予心理支持建立信心，並制定復健計劃，積極協助肌力訓練，出院時個案已能使用助行器行走。出院電訪追蹤得知也逐漸恢復正常生活。期望分享此經驗，在提供生理照護外亦應重視心理層面，藉以提升隔離病人照護品質，推廣人性關懷落實臨床實務目標。
並列摘要
This article describes the experience of caring for an older patient infected with COVID-19 between May 28, 2021, and June 22, 2021. The author used Gordon's 11 functional health patterns to conduct an overall assessment and established that the patient had health problems, such as gas exchange disorders, anxiety, and insufficient activity intolerance. The patient had a history of respiratory failure due to viral infection and had shown improvement after the introduction of high-flow oxygen therapy, prone ventilation, and effective deep breathing and coughing techniques. Swanson's Theory of Caring was applied, and the patient was provided individualized nursing guidance to express his inner feelings and reduce loneliness. The patient's activity endurance decreased due to the concurrent stroke during the treatment period. The patient was provided psychological support to build confidence and muscle strength training to complete the rehabilitation plan. The patient was able to walk with a walker at discharge. Telephonic follow-up revealed that the patient's symptoms had improved, and he has resumed normal life. This experience indicates that the quality of care for isolated cases can be enhanced by not only providing physical care but also by paying attention to the psychological level. Such a strategy would promote humanistic care and facilitate clinical practice.