- 期刊
照護毛毛樣血管症候群引起學齡期兒童肢體偏癱之護理經驗
Nursing Experience of Hemiplegia Caring for the Children with Moyamoya Disease
摘要
本文敘述一位學齡期病童因罹患毛毛樣血管症候群導致左側肢體偏癱，以致身體外觀改變及身體失去控制能力後，心理衍生出負向評價之護理經驗。護理期間自2015/12/18～12/25，以觀察、會談及身心靈之系統性評估確認病童有：無力感、身體心像紊亂及身體活動功能障礙等健康問題，護理過程中結合學齡期發展任務建立個別性的照護，採主動關懷陪伴，建立信任的護病關係，鼓勵病童表達身體心像改變之內心感受，使其能逐漸接受外表的改變，重新肯定自我價值；藉由同儕、家庭及醫療團隊介入，共同制訂復健計畫，發揮護理獨特功能，使其願意參與復健及後續治療，促進病童身、心、靈達到良好的恢復，以重返家庭及學校。
並列摘要
This article focuses on a school-age child suffering from Moyamoya disease. This disease resulted in left-sided hemiplegia and changes in body and outer appearance. The loss of control of the body also made the child experience depression and negative evaluation. The nursing experience was intended to help the patient reaffirm self-worth and value, with the nursing period lasting from Dec. 18th to 25th 2015. The systematic assessment of observations, talks, and body and mind changes confirmed that the child had health problems such as powerlessness, body image disturbance, and mobility-impaired physical difficulties. The nursing process focused on individual care and the development of companionship that established a relationship of trust and care with the child. The whole nursing process and the rehabilitation plan helped the child patient accept changes in his outer appearance, and reaffirm his self-worth and value. With the help of peers, family members and medical teams, the child became willing to participate in rehabilitation and follow-up treatment. A good rehabilitation plan will not only promote the recovery of body, mind and spirit of the patient but help them return to their family and school life as well.
參考文獻
延伸閱讀
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