照護一位頸椎損傷年輕男性之護理經驗

Nursing Experience from Caring for a Young Man with Cervical Spine Injury

林思嫺(Szu-Hsien Lin) ； 蔡惠珠(Hui-Chu Tsai)

《領導護理》 25卷1期 (2024/03) Pp. 111-125

https://doi.org/10.29494/LN.202403_25(1).0009

摘要

脊髓損傷致神經性膀胱功能障礙進而反覆泌尿感染，為脊髓損傷病人常見併發症，本文為一位頸椎損傷年輕男性，因打掃泳池滑倒造成頸椎第六節壓迫性骨折，受傷後活動受限無法從事以前熱愛的運動並衍生對疾病無望感，照護期間2020年11月24日至2020年12月14日，藉由觀察、傾聽及照護收集資料，依照Gordon十一項健康功能評估工具歸納整理，確立有排尿型態障礙、身體活動功能障礙、無望感之健康問題，照護期間藉由主動關懷提供心理支持建立護病信任關係，使個案願意表達內心感受，獲得心理支持及轉移注意力；生理方面提供間歇性導尿注意事項、鼓勵參與復健，增進自我照顧技巧，重獲自我控制感，期望藉此經驗提供同仁照護此類個案參考。

關鍵字

頸椎損傷 ； 排尿障礙 ； 身體活動功能障礙 ； 無望感

並列摘要

Spinal cord injury causes neurogenic bladder dysfunction leading to recurrent urinary infections, and it is a common complication in patients with spinal cord injury. This article is about a young man with cervical spine injury who suffered a compressive fracture of the sixth section of the cervical spine when he slipped in the swimming pool while cleaning it. After injury, the activities were limited, and the inability to engage in the sport he loved before, and the feeling of hopelessness had derived. The nursing period was from November 24 to December 14, 2020. Data was collected through observations, talks, and actual care, summarized and organized according to Gordon's Eleven Functional Health Patterns Assessment tool. Health issues were identified as urinary pattern disorders, physical activity dysfunction, and feeling of hopelessness. The nursing process applied includes building trusting relationships through proactive care to provide psychological support, enabling individual cases to express feelings to obtain psychological support and divert attention. In terms of physiology, we provide intermittent catheterization precautions, encourage participation in rehabilitation, improve self-care skills, and regain a sense of self-control. Hopefully this caring experience will provide a reference for colleagues when caring for such cases.

並列關鍵字

cervical spine injury ； urination disorders ； physical activity dysfunction ； hopelessness

參考文獻

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