- 期刊
運用Watson理論於一位旋轉肌袖斷裂職業傷害個案之護理經驗
Nursing Experience Using Watson's Caring Theory in a Patient of Occupational Injury with Rotator Cuff Rupture
摘要
本文探討一位從事過度負荷勞力搬運工作30年導致旋轉肌袖斷裂，併有心血管疾病風險男性，入院行肌腱修補手術擔心無法工作而產生身心衝擊。照護期間2022年8月25日至8月29日，出院後9月22日及10月6日回診追蹤，依Gordon十一項功能性健康型態評估、身體評估、觀察、訪談及病歷蒐集資料，確立健康問題有身體活動功能障礙、焦慮、無效性健康維護能力。護理過程運用Watson關懷理論，和各專業團隊聯繫溝通，協同家屬參與照護及復健計畫，與復健團隊擬定復健方案、執行居家復健及進行復工評估，促進個案身心復原和職業復能目標，協助申請勞保職災補助以減輕焦慮；提供個別性健康維護措施，衛教正確飲食和運動方式，預防心血管疾病與工作防護知識，協助盡早返回職場。
並列摘要
The study investigated the physical and psychological impacts of absence from work for hospitalized rotator cuff repair procedures on a male porter (with 30 years of working experience in combination with cardiovascular risks) who suffered from rotator cuff tear due to work overload. The subject was admitted from August 25 to 29, 2022, and participated in follow-up visits on September 22 and October 6 in the same year, respectively. The authors used the Gordon 11 Functional Health Patterns, physical evaluations, observations, interviews and medical record reviews to collect data and determine physical disabilities, anxiety, and invalid health maintenance abilities. Then study members connected to multidisciplinary teams based on Jean Watson's theory of human caring, involved the subject's family members in his medical care, worked with the rehab team to develop recovery programs, performed home-based healthcare and assessment for resuming work to facilitate the subject's physical and psychological recovery, help him achieve occupational goals and claim compensations for occupational hazards from labor insurance, and further relieve financial stress. The ultimate objectives of the study are to provide individualized health maintenance measures, apply adequate diet plans and exercise programs, prevent from cardiovascular risks, supply with guidance on workplace safety, and help the subject resume working as soon as possible.