- 期刊
一位多發性硬化症病人行腦部立體定位切片之手術全期護理
The Perioperative Nursing Experience of Caring for a Patient with Multiple Sclerosis Undergoing Stereotactic Needle Biopsy of Intracranial Tumors
摘要
本文描寫一位34歲男性在接受腦部立體定位切片手術後確診為多發性硬化症的照護經驗。由於個案熱愛健身卻因右腳無力，導致減少運動，且為初次手術，所以術前呈現重度焦慮。因筆者感受到個案的無助，且查詢近五年國內少有多發性硬化症接受立體定位手術相關文獻，因而引發筆者的動機，照護期間為2019年5月30日至6月28日，運用Gordon十一項健康功能型態評估，確立問題為焦慮、急性疼痛、增進知識準備度、潛在危險性損傷，經由筆者提供情緒支持，並澄清錯誤資訊後，有效將其焦慮降至極輕微。最後建議照護多發性硬化症的手術病人時，需評估其症狀是否影響日常活動，並尊重喜好讓其參與照護，最終能恢復其生活形態，達到手術全期護理目標。
並列摘要
This article describes the nursing experience of a 34-year-old man who was diagnosed with multiple sclerosis after undergoing stereotactic needle biopsy of intracranial tumors. Because this was the patient's first operation, and he was worried about postoperative limb recovery, he had severe anxiety before surgery. Because the author felt the case's helplessness, and there were few domestic MS receiving stereotactic surgery-related literature in the past five years, these prompted the author's caring motivation. The nursing period was from May 30, 2019 to June 28, 2019. Using Gordon 11 Function Health Patterns, the case's problems were identified as anxiety, acute pain, readiness for enhanced knowledge, and the risk for injury. After the author provided emotional support and clarified wrong information, these measures effectively reduced his anxiety to minimal and he was discharged from the hospital. Finally, it is recommended that when caring for patients with multiple sclerosis, it is necessary to assess whether their symptoms will interfere with daily activities, and respect their preferences to allow them to participate in nursing care, and finally, they can take care of themselves after returning home.