接受冠狀動脈繞道手術後心臟復健患者之護理經驗

Nursing Experience Involved in Caring for a Cardiac Rehabilitation Patient Who Had Received Post-operational Coronary Artery Bypass Grafting: A Case Report

李彩緣(Chai-Yuan Lee) ； 鄧慶華(Ching-Hwa Teng)

《中山醫學雜誌》 17卷1期 (2006/06) Pp. 99-108

https://doi.org/10.30096/CSMJ.200606.0011

摘要

心臟復健在國內已逐漸受到重視，應用於心臟手術患者能有效改善生理、心理及社會功能的問題。本個案報告主要在探討一位冠狀動脈繞道手術患者進行心臟復健的護理經驗。文中個案在接受心臟復健指導下，進行安全且有計劃的運動訓練，並藉由衛教的方式加強個案對疾病及心臟復健的認識，降低個案對疾病的擔心，積極參與心臟復健計畫，於醫療團隊的指導及監測下，逐漸增加活動量，從事規則運動，順利進入復原階段，改善個案手術後危險性感染、活動無耐力、睡眠型態紊亂及營養狀態改變等問題，並鼓勵個案進行日常生活活動，例如自行擦澡、外出購物，達自我照顧之目的，使個案回復正常生活及功能。

關鍵字

冠狀動脈繞道手術 ； 心臟復健

並列摘要

Cardiac rehabilitation has been gradually introduced in Taiwan. It is now used to assist patients who have undergone heart surgical operations to improve physiologically and mentally and to facilitate their return to society. Herein is reported our experience caring for a patient who received cardiac rehabilitation after coronary artery bypass surgery. The patient received cardiac rehabilitation instruction, which included training the patient how do safe exercise, strengthening the patient's understanding of the disease and the rehabilitation program, reducing the patient’s fears about the disease and encouraging the patient to actively participate in the cardiac rehabilitation project. Under the supervision of a medical treatment team, an exercise program was implemented to gradually increase the amount of exercise with the goal of allowing the patient to regain their original level of fitness. The nursing goals also sought to reduce risk of infection post-operatively, reduce intolerance towards activity, improve sleep patterns and improve the patient's eating habits. Together, these efforts served to facilitate the patient's return to independent living.

並列關鍵字

Coronary Artery Bypass Grafting ； Cardiac Rehabilitation