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一位COVID-19住院隔離病人的護理經驗

Nursing Experience of a Hospitalized Isolated COVID-19 Patient

摘要


2020年新冠肺炎(COVID-19)襲捲台灣,一位境外返台的商人被確診COVID-19,於2020年1月23日至4月12日住院。期間作者運用會談、對講機溝通、視訊及病歷查閱等方式蒐集資料,發現個案因篩檢報告陰陽反覆、媒體報導的衝擊以及環境的侷限而產生焦慮感。新型疾病及長期隔離帶給個案巨大的壓力,引起作者關注,以人性化關懷照護本質接觸隔離個案,提升其自我照顧能力,透過跨領域醫療團隊合作提供正向的調適策略及多元通訊方式減輕焦慮及社交侷限。建議隔離者之照顧更需重視心理及社會層面來深入了解其內心感受,提供隔離的正向壓力調適。

關鍵字

新冠肺炎 傳染病 關懷 焦慮 隔離

並列摘要


The Coronavirus Disease-2019(COVID-19) took its toll on Taiwan in 2020. A businessman returning to Taiwan from overseas was diagnosed with COVID-19 and hospitalized. During the nursing period from January 23^(rd) to April 12^(th) of 2020, the author used interviews, walkie-talkie communication, video calls, and medical records to collect data. It was found that the repetitive changes between negative and positive results in the screening report, the negative impact of media reports and limitations on daily living had caused the patient to develop a sense of anxiety about the disease while the emerging disease and long-term isolation had brought enormous pressure and further anxiety to him. Nursing interventions to alleviate anxiety and social limitations for improving self-care skills, interdisciplinary medical team cooperation and provision of positive adjustment strategies and multiple communication methods were introduced, leading to suggestions for caring for a quarantined person by paying more attention to psychological and social aspects. By utilizing various "care" interventions, we could more thoroughly understand the patient's inner feelings, thereby providing positive adjustment of the pressure from isolation.

參考文獻


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