- 期刊
一位肺纖維化反覆住院病患面對無力感之照護經驗
The Nursing Experience of Caring for a Repeatedly Hospitalized IPF Patient
摘要
本文探討一位因肺纖維化致呼吸性酸中毒併二氧化碳蓄積與肺炎之病患，因需長期依賴呼吸器及病情惡化導致身心不適及無力感的護理經驗。照護期間為2018年11月29日至2018年12月12日，運用Gordon十一項健康功能評估，採觀察、會談、身體評估及實際照護等方式收集資料，確立有氣體交換障礙、營養不均衡：少於身體需要、活動無耐力及無力感等健康問題。照護期間運用關懷、傾聽及發揮同理心，與個案建立信任的治療性護病關係，藉由專業知識與個別性的護理措施，滿足生心理之照護需求。於照護過程中結合跨領域團隊提供適切的治療，協助個案積極面對疾病所導致的不適，提升個案疾病認知及日常生活之照護能力，並預防疾病再度復發，進而改善生活品質。
並列摘要
This paper discusses the nursing experience concerning a patient suffering from respiratory acidosis complicated with carbon dioxide retention and pneumonia caused by idiopathic pulmonary fibrosis (IPF), with the patient dependent on a respirator on a long-term basis and feeling general discomfort and powerlessness due to exacerbation of the condition. Nursing care was provided from November 29th to December 12th, 2018. Assessment was made with the Gordon 11 Function Health Patterns, and data were collected through observation, interview, physical assessment and practical care, etc. Health problems including impaired gas exchange, imbalanced nutrition less than body requirements, activity intolerance and powerlessness were identified. A trustworthy therapeutic relationship between the nurse and patient was established during the nursing period by deploying care, listening, and showing empathy. Professional knowledge and individualized nursing measures were applied to satisfy the patient's physical and psychological nursing requirements. Appropriate treatments were given during the nursing process by engaging multidisciplinary teams to help the patient tackle the discomfort caused by the disease in a positive way, enhancing the patient's awareness of illness and daily care capability in order to prevent relapse, and hence improve quality of life.