- 期刊
一位瓣膜置換術後病人成功脫離呼吸器之重症護理經驗
A Critical Nursing Experiences of Weaning a Heart Valve Replacement Patient from a Ventilator After Surgery
摘要
並列摘要
The paper describes the nursing experience of an aortic valve stenosis patient who could not wean from a ventilator after receiving his second valve replacement. The nursing period lasted from Feb. 20th to Mar. 20th, 2014. Data were collected for holistic nursing assessment. After analysis, it was found that the patient suffered from dysfunctional ventilatory weaning response, activity intolerance, risk of infection, and hopelessness. During the nursing period, planned breathing exercise and upper and lower limb joint exercise were taught to the patient to successfully wean from the ventilator by strengthening cardiopulmanory function; wound and tube care was performed to ensure infection prevention and to establish positive patientnurse relationship. The patient was encouraged to coexist with the disease, and to willingly engage in cardiopulmanory rehabilitation, through the introduction of religion. Individualized nursing interventions were provided, utilizing the professional role and skills or the nurses, to facilitate positive coping, overcome hopelessness, and to face current predicament.
延伸閱讀
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