運用Watson關懷理論於急性心肌炎病童之護理經驗

A nursing experience by using Watson's caring theory in taking care of an acute myocarditis child

詹雅雯(Ya-Wen Chan)

《澳門護理雜誌》 預刊文章 Pp. 1-6

https://doi.org/10.6729/MJN.202212/PP_21(1_2).001

摘要

急性心肌炎號稱為兒科殺手，臨床上少見且不易被診斷，若不提早確診及積極治療，會錯失治療黃金時期。對兒科護理人員而言，密切觀察變化及給予適當護理措施，是為當務之急。本文運用Watson關懷理論，照顧一位學齡期急性心肌炎個案及照顧者之護理經驗。藉由Gordon十一項功能性健康評估，發現個案護理問題有「心輸出量減少」、「娛樂活動受限」；主要照顧者護理問題有「照顧者角色緊張」。筆者運用關懷照護精神，作為護理措施的指引，給予情緒上的表達及支持，適時提供疾病相關資訊，與案母討論後續疾病照護重點。在整體照護中則扮演傾聽及照護者角色，協助個案及案母共同渡過疾病急性期。筆者期望藉此護理經驗分享，提供日後照護類似個案之參考依據。

關鍵字

急性心肌炎 ； 學齡期 ； 住院壓力 ； Watson關懷理論

並列摘要

Acute myocarditis is known as the most important pediatric disease and it is difficult to be diagnosed in clinic treatment. If a patient with acute myocarditis is not diagnosed and implement aggressive treatment in early stage, the golden treatment time will be missed. Therefore, it is very important for pediatric nurses to closely observe and give appropriate nursing treatment for acute myocarditis children. This article investigated the nursing caring experience of a school-age acute myocarditis child and a caregiver by using Watson's caring theory. The author found the patient had the nursing problems including 〞reduced cardiac output〞 and 〞recreational activity limitation〞 by applying Gordon 11 functional health evaluation items. In addition, the caregiver had the nursing problem of 〞caregiver role strain〞. The authors used the caring spirit of Watson theory as guidelines of nursing care to give supports of expression and emotion for the patient. The authors timely provided disease-related information and discussed the follow-up treatment on the disease with the patient's mother. Moreover, the researchers played a role of a listener and caregiver in the care process to assist the patient and his mother to live through the acute phase of the disease. The nursing experience of this case can be used as a reference for similar cases in the future.

並列關鍵字

acute myocarditis ； school-age ； hospitalized pressure ； Watson's caring theory