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多重慢性病患於冠狀動脈繞道手術後之疲憊現象及護理經驗

Nursing Experience of Fatigue in a Patient with Multiple Chronic Diseases after CABG

摘要


慢性病及手術後患者容易產生疲憊(Fatigue)的現象。若長期處於疲憊的狀態下,其健康狀況以及對自我的看法都會產生負面的影響,這將會阻礙病患的復健和適應。因此,疲憊是護理人員應加以確立及處理的健康問題。 本個案是一位罹患多重慢性病的患者,於冠狀動脈繞道手術後住院期間面臨疲憊的困擾。因此,筆者探討此護理問題的評估方向及護理措施。此次護理經驗中,有效減輕疲憊的護理措施包括:(1)加強病人對疲憊感的認知和自我察覺的能力(2)執行漸進性心臟復健運動(3)教導保存能量(Conservation of Energy)的技巧(4)適當的營養(5)運用社會支持以協助個人因應壓力。藉由此次臨床照護經驗的分享,期望能提供護理人員在處理此護理問題時之參考。

並列摘要


Fatigue is the most frequently reported symptom in patients with chronic illnesses and affter surgery. Long-term fatigue has impacts on health status and self perception, which then interfere with the rehabilitation and adjustment of patients. Consequently, the identifcation and management of fatigue as a health problem is an important nursing task. Here, in a patient with multiple chronic diseases after a coronary artery bypass graft (CABG) is described. During hospitalization, the patiant suffered from discomfort resulting from fatigue. Using nursing process, specific nursing interventions were implemented as follows: (1) assisting the patient to identify personal patterns of fatigue; (2) gradual cardiac rehabilitation exercises; (3) teaching techniques of energy conservation; (4) providing appropriate nutrition; (5) utilizing social supports to help the patient cope with stress. This case report highlights the clinical implications of fatigue in the nursing.

被引用紀錄


蕭慧娟(2008)。心臟手術前病人不確定感及控握信念對術後復原之影響〔碩士論文,國立臺灣大學〕。華藝線上圖書館。https://doi.org/10.6342/NTU.2008.02770

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