- 期刊
一位植入式心臟整流去顫器病患之護理經驗
Nursing Experience of Caring for a Patient with Implantable Cardioverter Defibrillator
摘要
本文在探討一位中年婦女因心室心搏過速，經電氣生理檢查後，需植入心臟整流去顫器之護理經驗，筆者於2009年10月7日至10月15日照護期間，藉由身體評估、會談、實際照護方式收集資料，以Gordon十一項功能性健康型態表進行評估，確立個案有潛在危險性感染、焦慮、身體心像紊亂等護理問題，並針對上述問題，提供個案及家屬裝置植入式心臟整流去顫器(Implantable Cardioverter Defibrillator, ICD)衛教指導、提供相關資訊及傷口照護；主動關懷、傾聽，給予情緒的表達及諮詢，讓個案學習適應ICD生活，接受身體心像改變。建議臨床上可將衛教資訊及傷口照護標準流程做成光碟，定期舉辦病友會，緩解病患因植入ICD所造成的壓力，進而提升自我照顧能力，使生活品質獲得改善。
並列摘要
This study described the nursing experience of a patient, who had ventricular tachycardia with implantable cardioverter defibrillator (ICD). The data was collected through body evaluation, interview, and practical care, and was evaluated through Gordon scale, showing that the patient had risk of infection, anxiety, and body image disturbance. Health education of ICD and related information, and the knowledge of wound care were provided for the patient and her family. Active care, listening, encouragement of expression of emotion, and consultation were applied to enable the patient to adapt to life with ICD and accept the change of body image. It is suggested that CD-ROM of health education and standard wound care procedure be applied, and gathering of patients be regularly held to relieve the stress caused by ICD implementation, and further to promote self-care ability and improve life quality.
延伸閱讀
- 徐子華、王慧中、莊寶玉（2022）。一位放置植入式心律去顫器的病人之遠距照護經驗。台大護理雜誌，18(1)，79-91。https://doi.org/10.6740/NTUHJN.202201_18(1).0008
- 林錦津、余幸澄（2009）。一位急性心肌梗塞患者行經皮冠狀動脈成型術之護理經驗。榮總護理，26(4)，367-373。https://doi.org/10.6142/VGHN.26.4.367
- 胡芳喬、李玉蘭（2011）。一位接受跳動式冠狀動脈繞道手術病患之護理經驗。若瑟醫護雜誌，5(1)，79-95。https://doi.org/10.30145/STJHMNJ.201105.0009
- 邱元駿、蕭淑芳（2017）。一位經全吸收式心臟支架放置術後之進行性冠狀動脈心臟病患者的物理治療介入過程－個案報告。物理治療，42(2)，106-114。https://doi.org/10.6215/FJPT.PTS20170642027
- 沈鎂吟、陳昱芬（2019）。An Intensive Care Nursing Experience of a Patient with First-Time Acute Myocardial Infarction。志為護理-慈濟護理雜誌，18(1)，126-136。https://www.airitilibrary.com/Article/Detail?DocID=16831624-201902-201902200011-201902200011-126-136