- 期刊
一位藥物濫用者感染化膿性脊椎骨髓炎之護理經驗
Nursing Experience of a Drug abuser Infected with Spinal Osteomyelitis
摘要
本文為一位青壯年男性藥物濫用者反覆感染化膿性脊椎骨髓炎，引發生理症狀及心理反應之照護經驗。護理期間2019年5月27日至8月8日，運用Gordon十一項功能性健康型態評估工具，筆者以直接護理、身體評估、觀察及會談等方式收集資料，確立個案有現存性感染、身體活動功能障礙及焦慮等健康問題。以傾聽及主動關懷建立良好護病關係，提供感染和疼痛控制、術後傷口的照護指導，偕同復健團隊與照顧者參與復健運動計畫恢復肌力效能，予個別性護理減輕焦慮，緩解生理症狀與維持心理舒適。藥物濫用者常因戒斷症狀再次尋求毒品，本院無美沙酮療法，建議增設相關門診及專責個管師，予居家諮詢及電訪關心增加戒除動機，藉此照護經驗供臨床護理人員參考。
並列摘要
This article describes the nursing experience of physiological response in a male patient drug abuser with recurrent spinal suppuration osteomyelitis. The date were collected though Gordon 11 Function Health Patterns with nursing care, observation, physical assessment and conversation during May 27 to August 8, 2019. The identified nursing problems were persistent infection, physical dysfunction and anxiety. We developed a good nurse-patient relationship through enhanced listening skills and a caring attitude. Pain and infection related to post-operation were provided. The patient recovered muscle power though rehabilitation team work and family members' support. He also experienced relief of uncomfortable symptoms and decreased anxiety though specific nursing care, although this patient relapsed to drug use again owing to constant withdrawal symptoms as there is no methadone therapy treatment in our hospital; thus we suggested a consulting setting for clinical nurses who care for and support such drug abuser patients. Such patients could be encouraged though counseling and caring to decrease drug use. This paper could be used as a reference for clinical nurses caring for patients with the same diagnosis.