運用羅氏適應模式照顧一位心臟移植術後無力感病人的護理經驗

A Nursing Experience of a Post-Heart Transplant Patient with Helplessness by Applying Roy's Adaptation Model

林思吟(Szu-Yzn Lin) ； 蔡碧雀(Pi-Chueh Tsai)

《志為護理-慈濟護理雜誌》 12卷6期 (2013/12) Pp. 98-107

摘要

本文主要敘述照顧一位心臟移植返家後再入院的照護經驗，協助解決個案於加護病房期間所引發的生理、心理問題之護理過程，筆者護理期間為2010年5月25日至6月2日，經由觀察、會談、身體評估、傾聽等方法收集資料，並運用羅氏適應模式評估病患生理及心理需求，加以歸納分析後，確立出有營養不均衡：少於身體需要、無效性保護能力及無力感等三個護理問題，在護理過程中，運用整體評估，參考文獻資料後，提供專業具個別性之護理處置，並與醫療團隊合作，使病患在加護病房保護性隔離期間，改善因使用免疫抑制劑導致的心理與生理的不良反應，病患得以順利轉出加護病房。期望藉由此護理經驗分享，能提升心臟移植術後病患用藥安全及加強自我照顧技巧，早期發現合併症並能有正確的因應措施，進而有效改善其生活品質。

關鍵字

心臟移植 ； 無助感 ； 羅氏適應模式

並列摘要

This article described the nursing experience of a readmitted patient after receiving heart transplant surgery in an intensive care unit. The period lasted from May 25th to June 2nd, 2010. The patient's physical and psychological needs were assessed through observation, conversation, physical assessment, and Roy's adaptation model, and the major health problems were imbalanced nutrition: less than body requirements, ineffective protection and powerlessness. During the period of protective isolation, we provided professional individualized nursing care to improve the patient's adverse physiological and psychological induced by immune inhibitor. The article can serve as a reference for nursing staffs to improve the life quality of post-heart transplant patients by enhancing the medication safety and self care techniques, and detecting complications early and respond with accurate nursing measures.

並列關鍵字

heart transplant ； helplessness ； Roy's adaptation model