一位青少年動靜脈血管畸形併腦出血之護理經驗

Nursing Experience of Caring An Adolescent with Arteriorvenous Malformation and Brain Hemorrhage

丁淇平(Chi-Ping Ting) ； 陳淑華(Shu-Hwa Chen) ； 周嫚君(Man-Chun Chou)

《長庚護理》 30卷4期 (2019/12) Pp. 569-578

https://doi.org/10.6386/CGN.201912_30(4).0013

摘要

本文探討一位17歲少年因動靜脈畸形併腦出血術後恢復期之護理經驗，筆者於2017年8月10日至8月19日以觀察、身體評估、會談等技巧進行資料收集。採Gordon十一項健康功能型態作為評估指引。確立有：1.身體活動功能障礙。2.自我照顧能力缺失。3.身體心像紊亂等護理問題。過程提供復健方案，指導自我更衣沐浴方式，提升自我照顧能力並預防跌倒，同時更引導其正向接受外觀改變。未來建議轉介系統整合校園健康中心，持續輔導訪視及追蹤，協助校園適應及生活品質。盼藉此護理經驗分享，提供護理人員照護類似病人之參考。

關鍵字

動靜脈畸形 ； 腦出血 ； 青少年

並列摘要

This article described the nursing experience of caring a 17-year-old boy during the recovery period after experiencing cerebral hemorrhage resulting from arteriovenous malformation. The caring period was from August 10 to 19, 2017. Data were collected through observation, physical assessment, and conversation. Gordon's functional health patterns were used as assessment guidelines. The nursing problems were identified as physical activity dysfunction, self-care deficit, and body image disturbance. In the nursing care process, a rehabilitation program and an intervention program of teaching patient change clothes and take a bath by himself was implemented. Finally, self-care ability of patient was improved and the risk of fall was reduced. Patient could finally accept the appearance change positively. It is suggested that a referral system can integrate the campus health center to achieve continuous counseling and follow-up visits and improve the patient's quality of life.

並列關鍵字

arteriorvenous malformation ； brain hemorrhage ； adolescent

參考文獻

邱盈熒、陳香蘭、陳淑卿(2014)。照顧一位腦動靜脈畸形青少年接受開顱手術之重症護理經驗。馬偕護理雜誌。8(2)，61-72。

林嘉華、陳淑賢(2010)。照護一位青少年罹患腦中風護理經驗。長庚護理。21(2)，247-255。

林慧玲、楊麗玉(2014)。一位動靜脈畸形併腦出血青少年術後恢復期之護理經驗。志為雜誌。13(4)，118-128。

金瑞美、鄭青青、余文彬陳淑卿(2016)。一位青少年期腦中風病人的護理經驗。長庚護理雜誌。27(2)，285-295。

洪啟偉、邱偉嘉、陳岑佩、蘇世斌、王家聲(2012)。中老年腦梗塞與年輕人腦梗塞之流行性病學與臨床表現之比較。台灣家庭醫學雜誌。22(4)，198-210。