一位腦中風急性後期患者之照護經驗

Nursing Experience with a Stroke Patient at post-acute care stage

黃麗綺(Li-Ci Huang) ； 曾凱郁(Kai-Yu Tseng)

《高雄護理雜誌》 37卷3期 (2020/12) Pp. 108-120

https://doi.org/10.6692/KJN.202012_37(3).0010

摘要

本文探討一位96歲老年患者因再次經歷腦血管意外住院，於急性後期不配合療程而產生無力感之護理經驗。護理期間自2017年03月24日至2017年04月07日，藉由直接會談觀察、身體評估及病歷查閱方式收集資料，並運用Gordon十一項健康功能型態進行評估，發現個案主要問題有：（一）身體活動功能障礙／與肌肉功能障礙有關。（二）不遵從／與疾病認知不足無法配合治療有關。（三）無力感／與生活失去控制有關等護理問題。筆者於照護過程中建立良好護病關係，以會談瞭解不配合復健療程原因並澄清對疾病的錯誤觀念；供個別性護理，與個案共同擬定復健治療計畫，賦予自主權，提升正向思維，使個案達到自我滿足的需求。

關鍵字

腦中風 ； 復健 ； 無力感

並列摘要

This case report was a 96-year-old male suffering from secondary central brain infarction hospitalization. He experienced powerlessness and inability to cooperate with the rehabilitation during the post-acute care stage. The patient's information was collected by means of observation, interview, and physical evaluation during nursing from March 24th, 2017 to April 7th, 2017. Gordon's Eleven Functional Health Patterns were administered for the indication of evaluation. In analysis, health problems were identified as: 1. Impaired physical mobility, 2. Noncompliance, and 3. Powerlessness. During the nursing process, a good relationship was established to understand the reasons for inability to cooperate with the rehabilitation and to clarify misconceptions about the disease, in order to provide individual care, develop a rehabilitation plan specialization and centralization, empower autonomy and promote positive thinking, thereby enabling the patient to meet self-satisfying needs.

並列關鍵字

Stroke ； Rehabilitation ； Powerlessness

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