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一位重積性氣喘發作病人之急診護理經驗

A Status Asthma Attack of Emergency Nursing Experience of Patients

摘要


本文是探討一位氣喘重積狀態老年個案之急診護理經驗,筆者運用會談、觀察及理學檢查結果等方式收集資料進行整體性護理評估,確立個案有低效性呼吸型態、焦慮及特定知識缺失等主要護理問題。在急診護理過程中,予以尊重病人不願氣管插管的意願,給予雙正壓呼吸器使用取代氣管插管以改善其低效性呼吸型態,並藉由症狀護理、提供疾病照護之護理指導及運用同理心等幫助病人克服此次氣喘重積狀態之危機及提升個案自我照護能力,以改善病人及其家屬之生活品質及達到良好的病情控制。

並列摘要


The report describes the emergency nursing experience of a Status Asthma attack elderly male patient. The patient's condition was assessed by interviews, observations, physical assessment and chart review. Nursing problems concluded from the assessing data were ineffective respiratory pattern, anxiety, and knowledge deficit. During the nursing period, we respected his will to choose Biphasic Positive Airway Pressure (Bi-PAP) mask instead of endotracheal tube intubation, which would facilitate effective ventilation. The other nursing care included symptoms care, disease-related health education, and empathy application. Finally, by helping the patient to overcome this crisis and learn self-care of asthma disease, the quality of life and asthma control for the patient and his families could be improved.

並列關鍵字

Status asthma emergency nursing

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