- 期刊
運用正向心理理論照顧一位心臟衰竭合併無望感個案之護理經驗
Nursing Experience of Hopeless Patients with Heart Failure by Applying Positive Psychology Theory
摘要
本文係描述一位法洛氏四重症合併心臟衰竭的病人，因心臟衰竭症狀的不適感、加護病房的隔離空間及反覆出入醫院而引發無望感之照護經驗。照護期間2020年7月11日至2020年7月22日，筆者藉由直接護理、觀察、會談及傾聽方式，以身心靈社會四大層面為評估架構，確立病人有氣體交換功能障礙、活動無耐力與無望感之健康問題。筆者運用正向心理學理論，營造正向環境建立良好護病關係，善用正向特質改變思維正向化，獲得自信心及愉快、有意義的生活，當病人面臨疾病折磨時，對生命燃起希望並勇敢應對，藉由分享此護理經驗，建議臨床上增加「正向心理學理論」相關知識之照護指引，以作為類似病人照護參考之依據。
並列摘要
This study describes the nursing experience of a patient with Tetralogy of Fallot complication and heart failure, who experienced a sense of hopelessness due to the discomfort of heart failure symptoms, the quarantine space of the intensive care unit, and constant visits to the hospital. During the nursing period from July 11 to 22, 2020, Data were collected by observation, physical examination, unstructured interview and listening with psychological, physiological, social and spiritual aspects as the assessment framework. Hence established the patient's health issues include gas exchange dysfunction, activity intolerance, and hopelessness. By using positive psychology theory, the researcher created a positive environment to establish a good nursing relationship and makes good use of positive traits to guide the patient towards optimism which enabled him to gain self-confidence and gain a sense of achievement. As a result, when the patient faces the disease, he will have hope for life and will be brave enough to deal with it. By sharing this nursing experience, it is recommended that clinical care guidelines escalate the knowledge of positive psychology theory as a reference for caring of similar patients.
參考文獻
延伸閱讀
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