一位獨居中年男性心臟衰竭之照護經驗

Care Experience of a Solitary Middle-aged Male with Heart Failure

江慈慧(Tsz-Huei Jiang) ； 林艷霞(Yen-Hsia Lin) ； 陳繪竹(Hui-Zhu Chen) ； 鄭雅方(Ya-Fang Cheng)

《高雄護理雜誌》 38卷2期 (2021/08) Pp. 127-139

https://doi.org/10.6692/KJN.202108_38(2).0011

摘要

本文為一位51歲獨居男性，因罹患心臟衰竭併肺水腫住加護病房之照護經驗，護理期間為2018年1月14日至2月01日。筆者藉由開放性會談、觀察及身體評估等收集相關資料，並依生理、心理、社會和靈性等層面進行整體性評估與分析，發現個案有體液容積過量、活動無耐力及家庭運作過程失常等健康問題。照護過程中，運用傾聽、主動關懷，鼓勵個案說出心中感受，了解造成心臟衰竭之主因後，進而提供具體的限水措施，將飲食控制及運動落實於生活中，提升個案對心臟衰竭自我照護的技能，以增強心臟衰竭病人返家後自我照顧能力，因個案自少年即離開在外，導致家庭運作失常，透過團隊共同討論，及時召開家庭會議，並引導家屬參與陪伴與照顧，達到全人及全家的安適模式，讓個案盡早恢復原有的生活品質。

關鍵字

心臟衰竭 ； 心臟復健 ； 家庭運作失常

並列摘要

This article is about the care experience of a 51-year-old solitary male who due to suffering from heart failure and pulmonary edema was living in an intensive care unit. The period of nursing care was from January 14 to February 01, 2018. The author collected relevant data through open-ended discussions, observations, and physical assessments, and conducted a comprehensive assessment and analysis at the physical, psychological, social, and spiritual levels. The case was found to have the health problems of fluid volume excess, activity intolerance, and dysfunctional family processes. In the care process, listening and active care were used to encourage the case to speak about his feelings and understand the main causes of his heart failure. Subsequently, specific fluid restriction measures were provided, diet control and exercise were incorporated into his daily life, and the case’s skill in heart failure self-care was improved to enhance his self-care ability after returning home. The case had left home when he was a juvenile, leading to dysfunctional family processes. Through group discussions and holding timely family meetings, the family was guided to participate in the companionship and care process, achieving a model of wellness for the whole person and the whole family, and helping the case's quality of life return to normal as soon as possible.

並列關鍵字

Heart failure ； Cardiac rehabilitation ； Dysfunctional family

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