- 期刊
一位接受膝上截肢青少年手術後之護理經驗
Nursing Experience of an Adolescent with Above-Knee Amputation Surgery
摘要
本文是描述一位右膝上截肢青少年手術後的護理經驗，筆者自2005年6月14日至7月9日護理期間，運用Gordon十一項健康型態功能評估作爲指引，收集資料並確立問題，發現個案有疼痛、身體心像紊亂、身體活動功能障礙及知識缺失等健康問題。照顧過程中藉由放鬆技巧減緩疼痛，提供主動關懷，情緒支持、宣洩壓抑的情緒，鼓勵正視身體的改變，使其面對截肢的事實並與家屬共同協助執行復健運動，進而主動學習助行器使用，逐漸減少對家屬之依賴，並衛教出院後對截肢之注意事項，使個案出院能重新適應日常生活的自我照顧，筆者期望藉此護理經驗，能提供臨床護理人員照顧青少年截肢患者之參考。
並列摘要
This article described the nursing experience of an adolescent with a right above-knee amputation surgery. The author collected the data from June 14 to July 9, 2005 by using Gorden's 11 functional health assessment tool and identified problems of pain, body image disturbance, physical mobility impairment, and knowledge deficit. The caring process included reducing patient's pain by the relaxing skill, providing active sympathy and emotional supports, revealing suppressed emotion, encouraging the subject facing the reality a change of the body, and helping him and family members perform rehabilitation together. In addition, self-care skills such as using assisted device to reduce the dependence and care about amputation after discharge were also provided to assist the patient adjusting for his daily life. The nursing experience provided an useful reference for caring adolescent patients with amputation.
延伸閱讀
- 孫培甄、林麗華、戴宏達、鄔恒斐、林曼玲（2019）。一位青少年骨肉瘤合併糖尿病行膝上截肢之照護經驗。馬偕護理雜誌，13(1)，39-49。https://doi.org/10.29415/JMKN.201901_13(1).0004
- 王芝芳、柯幸芳、陳婉宜（2011）。照護一位下肢創傷後接受膝上截肢病人之護理經驗。長庚護理，22(3)，431-440。https://doi.org/10.6386/CGN.201109_22(3).0014
- 張晶淳、郭芳秀（2016）。一位青少年因意外導致右膝下截肢之護理經驗。志為護理-慈濟護理雜誌，15(4)，116-124。https://www.airitilibrary.com/Article/Detail?DocID=16831624-201608-201608290027-201608290027-116-124
- 陳昕彤、李玉秀（2017）。Nursing Experience of Caring for an Adolescent Receiving Below-Knee Amputation Due to a Severe Burns Accident。領導護理，18(3)，52-63。https://doi.org/10.29494/LN.201709_18(3).0005
- 鍾家媛、陳惠滿（2008）。Nursing Care Experience of a Patient with a Left Knee Amputation。志為護理-慈濟護理雜誌，7(2)，111-119。https://doi.org/10.6974/TCNJ.200804.0111