運用Swanson理論於一位敗血症病人引發急性譫妄之加護經驗

The Experience of Applying Swanson's Caring Theory on Sepsis Shock inducing Acute Delirium in a Patient in the Intensive Care Unit

翁敬惇(Jing-Dun Weng) ； 江欣怡(Hsin-I Chiang)

《高雄護理雜誌》 36卷3期 (2019/12) Pp. 75-84

https://doi.org/10.6692/KJN.201912_36(3).0007

摘要

本文為照顧一位敗血症病人於加護病房期間引發急性譫妄之護理經驗。照護期間為2017年12月15日至12月22日，筆者利用加護病房混亂評估表評估病人身、心、靈、社會的健康狀態並與家屬及病人建立良好的人際互動關係，針對病人急性混亂及健康問題，運用「Swanson關懷照顧理論」協助了解、在旁陪伴、為他做某事、使他能夠與維持信念等五大過程，予個別性護理，引導並鼓勵說出內心焦慮感受，使病人不感到孤單，藉由衛教、提供訊息及醫師病情解釋，了解自身病況及自我照顧能力，使病人獲得正向的回饋。期望透過此護理經驗分享，做為臨床照護參考，當有類似個案，適時除提供生理照護外亦重視心理層面，以達更好的照護品質。

關鍵字

敗血症 ； 譫妄 ； Swanson關懷照護理論

並列摘要

The report described a nursing experience of sepsis-inducing acute delirium on a patient in the intensive care unit. The nursing period was from December 15th to December 22th, 2017. Confusion Assessment Method for the Intensive Care Unit (CAM-ICU) was conducted to assess the patient's physiological, psychological, spiritual, and social health status. Besides, we applied Swanson's Care Theory to establish a trusting relationship and interpersonal relationship with the patient and family members based on five processes: knowing, being with, doing for, enabling, and maintaining belief. The interventions included giving the individual care, encouraging to express the feeling of anxiety, providing education and information about the disease, explaining the status of the disease by the physicians in order to help the patient understand his own condition, and strengthening his positive attitude so that he could enhance his self-care ability.

並列關鍵字

Sepsis ； delirium ； Swanson Care Theory

參考文獻

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