呼吸器脫離過程中的心身互動

Mind-body Interaction during Weaning from Mechanical Ventilation

劉惠瑚(Hui-Hu Liu) ； 陳玉敏(Yu-Min Chen)

《慈濟護理雜誌》 2卷4期 (2003/12) Pp. 22-27

https://doi.org/10.6974/TCNJb.200312.0022

摘要

對多數使用呼吸器的病患而言，脫離呼吸器是件容易、迅速的事，但對於有心、肺、中樞神經或骨骼肌肉方面之相關疾病的病患，則較為困難。面對此挑戰，醫療相關人員需清楚了解導致呼吸器脫離失敗的相關因素。在相關文獻中，可發現多為探討影響呼吸器脫離失敗之生理因素，卻忽略了病患的感受及情緒反應，然由心生互動概念，了解到生理與心理是彼此相關、互動的，且社會文化層面影響亦不容忽視，為能維持心身恆定狀態，因此本文藉由心身互動的觀點，協助臨床醫護相關人員了解呼吸器脫離過程中病患的症狀、反應及感受，以提供整體性照護。

關鍵字

呼吸器脫離 ； 心身互動

並列摘要

For most patients with ventilator support, weaning from the ventilator is easy and rapid, but it becomes more difficult for patients who suffer from the diseases of cardiovascular, pulmonary, central nerve system or muscular system. To face this challenge, medical personnel have to understand the factors relating to the failure of weaning. However, most of the literatures focus on physical factors instead of the feeling and emotional reaction of the patients. With the concept of mind-body interaction, one can realize that physical and psychological aspects are correlative and interactive, and the influence of social and cultural aspects are also very important. This article uses the view of mind-body interaction to help medical personnel understand the signs, symptoms, reactions, and feelings of patients in the process of weaning them from the ventilator. It is hoped that based on this understanding they can provide holistic care to their patients.

並列關鍵字

weaning from mechanical ventilation ； mind-body interaction