- 期刊
照護一位細菌性胸主動脈瘤術後併發主動脈食道瘻管個案之護理經驗
A Nursing Experience of a Patient with Mycotic Thoracic Aortic Aneurysm Complicated by Aortoesophageal Fistula
摘要
本篇個案報告是敘述一位細菌性胸主動脈瘤術後併發主動脈食道瘻管之61歲男性個案於住院期間引發之生、心理相關健康問題之護理過程。照護期間為2015年2月12日至4月2日，筆者經由直接照護、觀察、會談及查閱病歷等方式收集資料，並運用Gordon十一項健康功能型態進行評估，發現個案有現存性感染、急性疼痛與無望感等健康問題。在護理過程運用多層面之護理措施，更與多科團隊、家屬共同運用關懷、傾聽與同理心，鼓勵並支持個案自我照護，以克服無望感帶來的衝擊。筆者期望藉由照護細菌性胸主動脈瘤術後併發主動脈食道瘻管個案之護理經驗，提供未來護理同仁於臨床照護之參考。
並列摘要
The case report described the nursing experience of a 61-year-old male patient with mycotic thoracic aortic aneurysm complicated by aortoesophageal fistula and the physiological and psychological health issues that occurred during hospitalization. Data was collected using intensive observation, individual interviews and chart review during the nursing period between February 12^(th) and April 2^(nd), 2016. The major health problems identified using Gordon 11-item functional health pattern assessment were existing infection, acute pain, and hopelessness. During the nursing process, the authors utilized multilevel nursing interventions, combined with a collaborative effort with a multidisciplinary team and the patient's family using caring, listening and empathy to encourage and support the patient in self-care and in overcoming the adverse impact of hopelessness. The authors hope to provide this nursing experience of a patient with mycotic thoracic aortic aneurysm complicated by aortoesophageal fistula as a clinical reference for nursing staff when receiving similar patients in the future.
參考文獻
延伸閱讀
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