- 期刊
一位老年心肌梗塞患者行心導管術後之加護經驗
Experience of Intensive Care for an Elderly Patient with Myocardial Infarction after Cardiac Catheterization
摘要
本文敘述一位心肌梗塞接受心導管手術入住加護病房的老年個案之護理經驗。護理期間為2018年2月12日至2018年2月16日，透過觀察、會談等方式，運用Gordon11項功能性健康模式進行資料收集，發現有組織灌流改變、焦慮、睡眠型態紊亂等健康問題。經由心導管治療及密切護理介入以改善個案組織灌流，且未發生出血、動脈血栓等合併症；藉由護病關係之建立，主動提出關懷，運用GAS量表及AIS量表評估其焦慮及失眠程度，提供符合個案需求之護理措施，並會同醫師主動告知病情進展及治療方向，提供疾病相關的護理指導，改善個案焦慮及失眠的指數，並提升其返家自我照護之信心；分享心肌梗塞老年個案照護經驗予護理人員，對臨床實務有所助益。
並列摘要
The paper presents the nursing experience for a case of an elderly patient with myocardial infarction in the ICU after having received cardiac catheterization surgery. The nursing period was from February 12, 2018 to February 16, 2018. Through observation and interview, the paper used Gordon's 11 Functional Heart Pattern Model to carry out data collection, and found that the patient exhibited health problems of tissue perfusion change, anxiety and sleep disorder. After cardiac catheterization treatment and intensive care intervention, the tissue profusion problem of the case improved, and bleeding and arterial thrombosis did not occur again. Through establishment of the nurse-patient relationship, the researcher offered concern, and used Goal Attainment Scaling (GAS) and the Abbreviated Injury Scale (AIS) to evaluate the degree of anxiety and insomnia of the case, and then provided nursing measures meeting the needs of the case. The researcher, together with the doctor, also informed the patient about the development of the disease and the direction of treatment, gave her guidance on related care for the disease, improved her indices of anxiety and insomnia, and increased her confidence in self-care after returning home. Sharing the nursing experience for this case of an elderly patient with myocardial infarction would be helpful to clinical practice.