照護一位因藥物濫用致感染性心內膜炎患者之護理經驗

Experience of Caring for Infective Endocarditis in a Female Drug Addict

洪慧蘋(Hui-Ping Hung) ； 劉慧玲(Hui-Ling Liou) ； 陳淑銘(Shu-Min Chen)

《高雄護理雜誌》 25卷1期 (2008/05) Pp. 61-71

https://doi.org/10.6692/KJN-2008-25-1-6

摘要

本篇個案報告是敘述一位25歲女性因藥物濫用致感染性心內膜炎於住院期間所引發生理、心理相關健康問題之過程，筆者於照護期間(2005/6/30-7/6)以Gordon十一項健康功能型態評估，並運用觀察、會談及查閱病歷等技巧收集資料，發現個案有呼吸道清除功能失效、現存性感染、個人因應能力失調等健康問題。在護理過程運用多層面之護理措施，並藉良好的支持系統予以鼓勵、陪伴，引導其抒發負面情緒，以增強個人調適能力並增加戒毒的決心。希望藉由此護理經驗，提供護理同仁照顧類似病患時，除了不以異樣眼光看待外，亦要能以同理心深入了解心理層面，以達個別性之照護。

關鍵字

藥物濫用 ； 感染性心內膜炎 ； 重症護理

並列摘要

This article describes the nursing experience in caring for a 25-year-old female patient who was hospitalized with infective endocarditis due to habitual drug addiction. Upon admission, she suffered from numerous physical and psychological problems. Data were collected using intensive observation, individual interviews, and chart review between June 30(superscript th) and July 6(superscript th), 2005. The major health problems identified using Gordon's 11 Functional Health Assessment were ineffective airway clearance, risk for infection, and ineffective individual coping. During the caring process, the authors utilized multiple nursing interventions, including enhancement of support from family members, giving supportive encouragement and helping in release of negative emotion, improving individual coping skills, and increasing confidence of drug withdrawal. By sharing this caring experience, it was expected that nurses who take care of other drug-addicted patients can devote their time in understanding the psychological aspects of the patients. Instead of stigmatizing drug-addicted patients, nurses need to use empathy to provide individual care.

並列關鍵字

drug addict ； infective endocarditis ； intensive nursing care