- 期刊
照護一位因Zumba引發心碎症候群病人之護理經驗
Nursing Experience of a Case with ＂Broken Heart＂ Syndrome Caused by over-vigorous Zumba exercise
摘要
本文描述照護一位健康女性因執行有氧運動（Zumba）引發心碎症候群的護理經驗。護理期間自2019年7月2日至7月5日運用Gordon十一項健康功能性健康型態評估病人，發現病人有疼痛、睡眠型態紊亂及焦慮之健康問題。護理照護中，使用藥物及改善血液動力學以緩解胸痛症狀；運用調整病室內燈光以增加定向感、與提供放鬆技巧促進夜間睡眠等策略、降低噪音及亮度措施改善加護病房中的睡眠型態紊亂問題提升睡眠品質。再則，協助病人了解病程進展、耐心回答病人反覆性疑問、彈性增加會客時間以提供病人安全感，成功降低焦慮程度。鼓勵病人採用漸進性進行運動，以免造成突然的身體壓力引起的心臟功能受損。最終使病人順利轉至普通病房，並逐漸恢復健康。
並列摘要
This article is about the caring experience of a healthy woman without past medical history who had Takotsubo cardiomyopathy caused by Zumba (a Latin dance aerobic system of vigorous exercise). The caring period was from July 2 to 5, 2019, with the patient being assessed by Gordon's 11 functional health patterns and it was found that she had problems of pain, sleeping disorder and anxiety. Use of complementary medicine and improvement of hemodynamics was offered in order to release chest pain. Several strategies were provided to help the patient work through the sleeping disorder problem, such as adjusting the lighting to regain reality orientation, using relaxation techniques to improve night-time sleep, while minimizing voice volume and brightness in the ICU to improve sleep quality during her stay. Furthermore, the patient was helped to understand the progression of illness by answering her repeated questioning and establishing a flexible meeting schedule to make her feel secure, in order to reduce her anxiety levels. Also, she was encouraged to exercise gradually and progressively to avoid impaired heart function caused by sudden physical stress. Finally, the patient was transferred to the general ward and successfully recovered gradually.