- 期刊
照顧一位皮傑氏症候群患者併發腸套疊的護理經驗
Nursing Experience Caring for a Patient Suffering from Peutz-Jeghers Syndrome with Intussusception
摘要
本文描述一位皮傑氏症候群患者併發腸套疊入院行緊急手術的護理經驗。照護期間發現個案態度淡漠，當醫師查房或執行護理衛教時，個案大多沉默不語、冷漠及被動，鮮少主動詢問病情。筆者於2009年8月1日至8月12日護理期間，運用羅氏適應模式為評估指引，藉由身體評估、會談、溝通、傾聽等方式進行資料收集並確立問題。發現個案健康問題有急性疼痛、無望感、知識缺失、長期性低自尊。照護期間給予關懷，主動提供疾病正確資訊，並鼓勵個案抒發負向情緒感受，協助個案與家人互動，在家人的支持中重新尋找希望，肯定自我價值，進而主動參與自我照顧，有信心面對未來的生活。期望藉此護理經驗與護理人員分享皮傑氏症候群及其疾病所引發的身心問題，以達完整性之照護，進而提升護理品質。
並列摘要
This paper aimsd to present the nursing experience of a patient who was diagnosed with Peutz-Jeghers syndrome (PJS) with intussusceptions and then emergent surgery was carried out. The patient often kept silent and appeared indifferent with a passive attitude toward his health condition and progress, even when the doctor made the rounds of wards or nurses carried out routine care. The nursing period was twelve days, from Aug 1(superscript st) to Aug 12th, 2009, and the nursing assessment was developed within the framework of the Roy adaptation model to identify the problems based on the functional evaluations and to collect the related data from the patient, including health assessment, interview, communication, and listening etc. Because the patient suffered from both physical pain and mental difficulties such as hopelessness, long-term low self-esteem and lack of knowledge, the author therefore provided not only good nursing care, but also voluntarily offered updated and related information of PJS to the patient. Furthermore, the patient was also encouraged to express his negative mood feeling while staying in hospital. In addition, family involvement and support was crucial to the patient's success in this case. The interaction between the patient and his family was also arranged in order to receive support from his family, harbor or raise the patient's hopes, and obtain the patient's self-confidence and self-value to his future. It is expected that the psychological and physiological nursing experience of caring for a PJS patient can shed light on understanding the nursing process of a patient and enhance the quality of nursing.
延伸閱讀
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