- 期刊
運用舒適理論照護一位肝膿瘍患者之加護經驗
The Intensive Care Experience of Using Comfort Theory in Care of a Patient with Liver Abscess
摘要
肝膿瘍是一種潛在的致命性疾病，死亡率高達7.8～28.6%；因其突發性及多種不適症狀，包括：發燒、疼痛、呼吸困難、休克、意識障礙等，使病人易有不確定感、失眠、焦慮等情緒表現，重則導致心力交瘁、甚至死亡。本篇個案因肝膿瘍而有腹痛、體溫過高等生理不適感，因面臨反覆發燒、疑似肝癌等情況，衍生出焦慮的問題。護理期間2016/5/9至2016/5/12，運用舒適理論進行評估資料的收集與整理，確立之護理問題有急性疼痛、體溫過高、焦慮，並以舒適量表作為舒適改善程度之評估工具；護理期間除了依醫囑給藥減輕疼痛、降低體溫之外，亦提供舒適護理措施改善其身心舒適感，個案於2016/5/12轉至普通病房。盼藉本文能使護理人員更加了解舒適理論及其運用，以提升臨床照護品質。
並列摘要
Liver abscess is a potentially fatal disease with a mortality rate of 7.8 to 28.6%. Because of its suddenness and variety of symptoms including fever, pain, dyspnea, shock, disturbance of consciousness, etc., the patient is prone to feelings of uncertainty, insomnia, anxiety and other emotional distress, but this can also lead to mental exhaustion and even death. In this case study, a patient with liver abscess had abdominal pain, fever and other physiological discomfort due to recurrent episodes of fever and suspected liver cancer, which caused the patient much anxiety. During the nursing period from 2016/5/9 to 2016/5/12, we applied comfort theory to collect and analyze assessed data and confirmed nursing diagnoses as follows: acute pain, hyperthermia and anxiety. Using the comfort scale as an assessment tool for the evaluation of comfort improvement, we not only tried to reduce the patient's pain and body temperature by administering medicine, but also provided comfort interventions to improve her physical and psychological comfort. The patient was transferred to a general ward on May 12th 2016. This paper provides information for nursing staff to better understand comfort theory and its implementation to improve the quality of care in clinical practice.