- 期刊
運用Swanson關懷理論照護一位顱內動脈瘤破裂病人之護理經驗
A Nursing Experience of Applying Swanson's Caring Theory to an Intracranial Aneurysm-Ruptured Postoperative patient
摘要
本文探討一位腦動脈瘤破裂造成蜘蛛膜下腔出血術後加護病房照護之護理經驗。護理期間自2015年5月10日至5月24日，以Swanson關懷理論為架構，利用直接照護、家屬會談收集資料並進行整體性之護理評估。術後有顱內壓上升、神經功能受損問題，且缺乏親情支持有緊張、焦慮等情緒，確立個案護理問題有：腦組織灌流改變、身體活動功能障礙、焦慮。給予降低顱內壓之護理措施，因面臨身體活動功能障礙，缺少家屬關愛與支持，而產生焦慮害怕之負向情緒，運用Swanson關懷照護理論，擔任情感關係之橋樑，強化親情支持系統，鼓勵以正向態度面對問題減輕心理衝擊，增強復健訓練，增進自我照顧的能力。冀望藉此護理經驗，提供面對顱內動脈瘤破裂出血患者照護上之借鑒。
並列摘要
This article describes the nursing experiences of caring for a postoperative patient with subarachnoid hemorrhage caused by cerebral aneurysmal rupture in an intensive care unit. applying Swanson's caring theory as the nursing framework, the caring period was from May 10 to May 24, 2015, the information was collected via direct care, interviews with the patient's family members, as well as the implementation of a holistic nursing assessment. After surgery on the cerebral aneurysmal rupture, there was increased intracranial pressure, which also impaired nerve function, and because of the lack of family care and support, nervous sentiment and anxiety appeared in the patient. Based on the above, the major health problems were identified as including change in brain tissue perfusion, motor function impairment, and anxiety. In addition to the need to provide a nursing care plan to reduce intracranial pressure, the patient faced disease-induced physical activity dysfunction, lack of family care and support, and negative emotions of extreme anxiety and fear. Consequently, we applied Swanson's care theory to understand the thoughts of the patient and family members, served as a bridge between their relationships, strengthened the family support system, and encouraged the patient to face problems with a positive attitude to alleviate psychological shocks and empower herself, and then she became more motivated in rehabilitation and improved in ability of self-care. We hope to share this nursing experience as a reference concernign caring for intracranial aneurysm-ruptured patients.
參考文獻
延伸閱讀
- 周昭伶、高秀娥（2015）。照護一位顱內動脈瘤破裂術後脫離呼吸器個案之護理經驗。澄清醫護管理雜誌，11(2)，43-51。https://www.airitilibrary.com/Article/Detail?DocID=18136702-201504-201504100022-201504100022-43-51
- 林慧芳、林心怡（2018）。運用Swanson理論照護一位非預期性流產個案之急診護理經驗。領導護理，19(4)，87-102。https://doi.org/10.29494/LN.201812_19(4).0007
- 黃煒修、吳佩芝（2022）。運用Swanson關懷理論照護一位初次診斷馬凡氏症候群併主動脈剝離病人之護理經驗。護理雜誌，69(6)，108-114。https://doi.org/10.6224/JN.202212_69(6).14
- 李垣漢、許翠華（2022）。運用Swanson關懷理論照護一位接受冠狀動脈繞道病人之照護經驗。志為護理-慈濟護理雜誌，21(3)，112-122。https://www.airitilibrary.com/Article/Detail?DocID=16831624-202206-202206270015-202206270015-112-122
- 李燕娟、戴瑞芬（2023）。Nursing Experience of Applying Swanson Caring Theory to Caring for a Woman after Leukemia Transplantation。高雄護理雜誌，40(1)，105-116。https://doi.org/10.6692/KJN.202304_40(1).0009