照顧ㄧ位脊髓梗塞病人之護理經驗

本文為描述ㄧ位75歲女性脊髓梗塞導致雙下肢癱瘓病人之護理經驗。護理期間2020年2月16日至3月24日，透過Gordon十一項健康功能型態評估，藉由實際參與照顧，運用觀察、溝通技巧，對個案身、心、靈與社會持續性的評估，確立個案的主要健康問題為：身體活動功能障礙、自我照顧缺失（沐浴、穿衣、如廁）、無力感、照顧者角色緊張。於護理過程中，協助個案漸進式的肢體活動訓練，增加自我照顧能力，並透過關懷、同理心，鼓勵個案表達自我感受，使個案能正向面對疾病；提供出院準備服務相關資源，降低照顧者緊張，提升個案生活品質。建議護理人員除了病人生理層面的照護，亦需關懷心理層面及照顧者照護壓力，重視出院後的照護銜接，讓病人獲得連續性照護。

關鍵字

脊髓梗塞；身體活動功能障礙；自我照顧缺失；無力感；照顧者角色緊張

並列摘要

This article describes the nursing experience of a 75 year old female patient with bilateral lower extremity paralysis caused by spinal cord infarction. The period of nursing was from February 16 to March 24, 2020. Used the assessment of Gordon's eleven patterns by nursing care, observation and communication skills for collecting the data of the body, mind, spirit, and social support systems. The main health problems were: impaired physical mobility, self-care deficit (bathing, dressing, toileting), powerlessness, and caregiver role strain. In the nursing process, assist patients with progressive physical activity training to increase self-care ability, and encourage patients to express their feelings with caring and empathy, so that patients can face them positively; provide resources related to discharge planning services for reducing caregiving strain, and improve the quality of life of the case. It is recommended that nurses not only provide physical care for the patient, but also care for the psychological problems and the strain of the caregiver, and pay attention to the patients, which can obtain continuous care.

並列關鍵字

spinal cord infarction ； impaired physical mobility ； self-care deficit ； powerlessness ； caregiver role strain

參考文獻

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照顧ㄧ位脊髓梗塞病人之護理經驗

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