照顧一位格林巴瑞氏症候群病患之護理經驗

本文描述一位罹患格林巴瑞氏症候群婦女，因急性周邊神經病變導致突發性肢體無力入住加護病房之護理經驗。護理期間為2019年3月24日至2019年3月31日，筆者運用Gordon十一項健康功能評估，藉由直接照護、會談、觀察、查閱病歷等方式進行資料收集，確立個案有身體活動功能障礙、潛在性危險性感染、焦慮等健康問題。護理過程中，協同復健師每日進行復健物理治療、協助每兩小時更改臥位、衛教個案及家屬行關節運動，以增進身體活動功能；藉由每日觀察管路置入處及周圍皮膚情形、衛教說明導管照護及預防感染方法、每日管路照護以無菌方式消毒，以避免感染發生；經由主動關懷、傾聽與鼓勵表達內心情緒、利用親情支持系統及家中物品擺飾營造溫馨環境、衛教放鬆技巧，以減低焦慮不安，進而促進正向因應疾病進展。建議未來院內可發展關於復健運動之手機應用軟體，以利病患在無復健師或居家照護時，也能有效及正確執行復健運動。

關鍵字

格林巴瑞氏症候群；血漿置換；護理經驗

並列摘要

This report describes the nursing care experience of a patient diagnosed with Guillain-Barre syndrome who suffers from sudden limb weakness due to acute peripheral neuropathy. The period of nursing care was from March 24, 2019 to March 31, 2019. We applied the Gordon's 11 Functional Health Patterns Assessment Guide, care, interviews, observation, and review medical records to assess the nursing problem. The major health issues identified included impaired physical mobility, risk of infection and anxiety. During the period of care, the author and physical therapist conducted daily physical therapy to assist in changing positions and taught joint exercises to enhance physical activity functions. By observing the catheter insertion site and surrounding skin condition, we taught catheter care and infection prevention methods, including daily catheter care using an aseptic technique, to avoid infections. Through caring, listening, and encouraging expression, we used the family support system and home furnishings to create a warm environment. We further taught relaxation skills to reduce the sense of uncertainty and anxiety and promote a positive response to facing disease progression. We recommend developing mobile phone application software for rehabilitation exercises in the future. Such software could allow patients to effectively and correctly perform rehabilitation exercises when no physical therapist is present during home care.

並列關鍵字

Guillain-Barre syndrome ； Plasma exchange ； Nursing care experience

國際替代計量

照顧一位格林巴瑞氏症候群病患之護理經驗

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