- 期刊
運用Watson理論照讓一位初診斷愛滋病患之護理經驗
A Nursing Experience with a Patient with Preliminary Acquired Immune Deficiency Syndromes (AIDS)
摘要
本篇是運用Watson關懷照護理論照護一位初診斷愛滋病病患之護理經驗。護理期間爲2007/04/19至2007/05/21，筆者運用觀察、會談、身體評估與醫療團隊討論方式來收集資料，並確立護理健康問題爲：營養不均衡、焦慮、社交隔離及照顧者角色緊張。護理過程是以Watson關懷照護理論作爲基礎，依據理論中的護理措施分別以建立治療性及信任的醫病闢係、鼓勵個案表達內心正負向感受、提供相關知識及訊息並提供安全且具有保護性的環境措施，協助個案渡過愛滋病診斷初期。筆者透過護理計畫，並結合醫師、專科護理師及營養師等醫療團隊解決個案的營養不均衡問題，並有效連結相關資源，適時轉介社工師及感染控制管理師，協助個案減緩經濟及心理的壓力；同時也配合其宗教信仰，會同院內全人關懷部門、傳道和志工予以關懷慰問，滿足其靈性需求，並增加其社交活動，以改善社交隔離問題。更在個案出院之後續照護以定期返診、電話追蹤、和社區衛生所電話訪問方式，追蹤個案病情及了解罹病衝擊的調適狀況。期盼以此個案報告提供日後護理人員照護此類患者之參考。
並列摘要
This article described a nursing experience with a patient with preliminary diagnosis of acquired immune deficiency syndromes (AIDS). The nursing care period was from April 10, 2007 to May 21, 2007. Data were collected through direct observation, interview, physical examination, and discussion with the medical care team. The author identified the patient's main problems, which included malnutrition, anxiety, social isolation, and the caregiver's tension. During the period of nursing care, the author applied Watson's caring theory to clinical practice. A therapeutic and trustful relationship was built up between the patient and the nurse. The patient was encouraged to ventilate both positive and negative feelings about the disease. The author provided adequate information about the disease in a safe and protective environment during the preliminary diagnostic stage. Through the designed care plan with the multidisciplinary team, including the physician, clinical nurse specialist, and dietician, the patient's imbalanced nutritional problem was resolved. With effective, relevant resources, the patient was referred to social service and infection control for emotional support and financial support, which eliminated the patient's stress secondary to the disease. In order to meet the patient's spiritual need and religious belief, the priest and volunteers' visiting schedules were arranged, which helped the patient participate in social activities and minimize social isolation. Continuous follow up on the patient's adaptation to the disease after patient discharge included return clinic appointments and telephone calls by the hospital and the public community health nurse. By sharing this personal experience, the author hoped to provide more information about caring for patients with AIDS.
延伸閱讀
- 陳麗萍、武香君、劉怡（2017）。以Watson理論運用於格林－巴瑞症候群病人之護理經驗。高雄護理雜誌，34(3)，138-149。https://doi.org/10.6692/KJN.201712_34(3).0013
- 李哲寬（2021）。運用Watson關懷理論於一位反覆入院雙向情緒障礙症病人之護理經驗。長庚護理，32(4)，118-127。https://doi.org/10.6386/CGN.202112_32(4).0011
- 鍾佩婷、武香君、胡嘉桂（2022）。運用Watson關懷理論照顧一位確診COVID-19病人之護理經驗。馬偕護理雜誌，16(1)，13-23。https://doi.org/10.29415/JMKN.202201_16(1).0002
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