- 期刊
一位主動脈瓣膜狹窄合併心臟衰竭病人之護理經驗
A Nursing Experience of a Patient with Aortic Stenosis Heart Failure
摘要
本文描述一位81歲主動脈瓣膜狹窄合併心衰竭病人之照護經驗。護理期間為107年2月24日至3月16日，過程中運用Gordon十一項健康功能型態為評估工具，輔以身體評估、會談、觀察及查閱病歷方式收集資料，確立病人有體液容積過量、活動無耐力、無法藥物及飲食信守等健康問題。護理期間以病人為中心建立夥伴關係，提供個別性衛教，應用「桌遊」模式引起病人學習藥物知識興趣，安排營養師糾正飲食認知及復健師指導運動，過程中不責備並同理病人。當克服用藥及飲食錯誤認知，達到有效自我管理、穩定呼吸喘及水腫症狀，可強化病人對疾病控制的信心，及增強服藥意願與改變飲食型態的信守度。此次照護經驗後，建議未來能結合心衰竭急性後期照護團隊，提供更加完整照護計畫，提升病人自我照護能力及生活品質。
並列摘要
This article described a nursing experience of an 81-year-old patient with aortic stenosis heart failure. The author used Gordon's 11 Function Health Patterns as the assessment tool supplemented by a holistic nursing physical assessment, interview and observation from February 24th to March 16th 2018. After analysis, the major health problems identified included body fluid overload, activity intolerance and non-adherence to medication and diet. During caring for the patient, the author established a well nurse-patient relationship, providing individual health education with patient-centered care. ＂Board Game＂ learning mode was used to arouse the patient's interest to learn medication knowledge of heart failure. Besides, a dietitian was arranged to correct the patient's dietary knowledge, and a physiotherapist to teach the patient how to perform heart rehabilitation exercise. During this process, no blame was placed on the patient who was fully empathized with. When the misunderstandings of medication and diet were overcome, and effective self-management was achieved, the symptoms of heart failure were gradually stabilized and the patient's confidence in disease control was reinforced while increasing her willingness to take medication and change her dietary style. It is recommended that in the future, such a method could be included in the care team treatment of acute late stage heart failure to provide patients with a more complete care plan while improving the patient's self-care ability and quality of life.
參考文獻
延伸閱讀
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