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運用Watson理論於一位成骨不全症幼童手術及其主要照顧者之護理經驗

The Nursing Experience of Applying Watson's Theory on an Osteogenesis Imperfect Child and Primary Caregiver

摘要


本文為一位成骨不全症幼童骨折手術及其主要照顧者之護理經驗,運用Watson關懷理論為措施指引,評估個案需求。護理期間為2013年11月3日至2013年11月12日,透過評估確立問題有:術前:(一)害怕/因手術、與母親分離及對環境不熟悉、術中:(二)潛在危險性傷害/手術臥位、異物留置體內及手術電刀使用、術後:(三)急性疼痛/手術傷口引起;主要照顧者方面(母親):照顧者角色緊張/對手術資訊不足、壓力、缺乏照顧自信及相關資源的提供與支持。護理期間與個案及案母建立信任感,增進案母熟悉照顧要點及加入病友協會,透過病友、病家間分享減輕案母照顧壓力。

並列摘要


The article described the nursing experience of a osteogenesis imperfecta child who underwent fracture surgery and his primary caregiver. The nursing period lasted from November 3 to 12, 2013. Watson's theory was used as a guideline to assess the patient's needs. After evaluation, the following issues were identified: In preoperative phase, the patient was in fear of surgery, separa-tion from his mother and unfamiliarity to the environment; in intro operative phase, risk of injury from surgical positioning, foreign body retention and the application of electric knife; in postoperative phase, acute pain induced by the surgical wound; primary caregiver stress as result of insufficient knowledge on the surgery, stress, lack of self-confidence as well as related resources and sup-port. During the nursing period, the author established a trusting relationship with the patient and the primary caregiver, enhanced the primary caregiver's familiarity with key points of care, encouraged her to join the patient association and reduce her stress by consulting other patients and caregivers.

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