運用Orem理論照顧一位急性胰臟炎患者之護理經驗

A Nursing Experience of Applying Orem's Theory to the Care of a Acute Pancreatitis Patient

蘇曉琪(Hsiao-Chi Su) ； 鍾若男(Ruo-Nan Jueng)

《志為護理-慈濟護理雜誌》 10卷4期 (2011/08) Pp. 85-95

https://doi.org/10.6974/TCNJ.201108.0085

摘要

本文旨在描寫一位初次罹患急性胰臟炎患者之護理經驗。照護期間爲2009年2月16日至2月20日，護理過程筆者藉由會談、觀察、臨床檢驗數據及家屬訪談等收集資料，經由歐倫(Orem)護理理論之評估，確立個案有「疼痛／因胰臟發炎導致組織損傷有關」；「知識缺失／缺乏接觸正確訊息的機會」；「個人因應能力失調／與經濟壓力增加及家庭支持系統缺乏有關」等問題；以完全代償、部份代償及支持教育護理等概念提供個案各項護理措施，藉由傾聽自覺感受予心理支持，最後增進個案對急性胰臟炎之知識，尋求正向管道紓發情緒壓力，不再藉由飲酒作爲情緒出口進而傷害健康。

關鍵字

歐倫理論 ； 急性胰臟炎 ； 壓力調適

並列摘要

This case report describes the application of Orem's Self-Care Theory to care of an acute pancreatitis patient. During the caring period (2/16/2009 to 2/20/2009), the author used face-to-face interviews and observation to collect the data. The results showed that the patient had a acute pain of pancreatitis, knowledge deficit, ineffective coping. The author used Orem's Nursing Theory, including the wholly compensatory system, the partially compensatory system and supportive education, to provide a number of nursing care interventions. These consisted of making an individualized brochure of health education to promote knowledge of the disease, setting up an abatement schedule for alcohol consumption, relieving the patient's anxiety by listening and providing mental support, enhancing the patient's knowledge about and ability to control their acute pancreatitis and life quality. The overall aim was to improve the patient's drinking habit and maintain their health. The author hopes that this case report may provide a reference for health professionals who are taking care of this type of patient.

並列關鍵字

acute pancreatitis ； Orem's theory ； self care