運用跨團隊模式照護一位腦中風合併吞嚥障礙病人之護理經驗

腦中風會導致意識障礙、肢體殘障、吞嚥障礙等後遺症，病人因自身能力受到限制，影響日常生活及社交能力下降，除了生理問題外，對於心理及家庭層面也會造成相當大的打擊。本個案是一位台灣社會常見的高齡化之老人，當疾病帶來肢體及吞嚥功能障礙的衝擊，病人基本需求無法獲得滿足感，導致負面情緒。護理期間於2018年10月23日至11月20日，藉由跨團隊模式，提供符合個別的照護，運用團隊合作力量，滿足其身心需求，協助病人積極正向面對艱辛的復健之路，成功達成治療目標移除鼻胃管，滿足病人最渴望的基本需求，進而促進身體功能復原，已提升生活及生命品質。

關鍵字

吞嚥障礙；身體活動功能障礙；焦慮；跨團隊模式

並列摘要

Stroke can cause sequelae such as disturbance of consciousness, physical disability, and dysphagia. Due to the limitation of the patient's own abilities, this affects their daily life and causes their social ability to decline. In addition to physical problems, it will also cause considerable impact to their mind and family. This type of case amongst the elderly is very common in current Taiwanese society, and when the disease brings further physical and swallowing dysfunction, the basic needs of the patient cannot be satisfied, leading to negative emotions. The nursing period was from October 23 to November 20, 2018, through a cross-team model providing individual care, using teamwork to meet the patient's physical and mental needs, and assisting them to positively face the hardship of rehabilitation. The model successfully achieved the treatment goal by removing the nasogastric tube to meet the most desired basic needs of the patient, thereby improving the recovery of body function and life quality.

並列關鍵字

Swallowing disorder ； physical activity dysfunction ； anxiety ； cross-team mode

參考文獻

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