照護一位顱內出血患者之護理經驗

Nursing Care for a Patient with Intracranial Hemorrhage

劉依鑫(Yi-Sin Liou) ； 蘇筱雅(Siao-Ya Su) ； 張惠晴(Hui-Ching Chang)

《志為護理-慈濟護理雜誌》 20卷3期 (2021/06) Pp. 117-126

摘要

本篇係描述一位71歲個案自發性顱內出血，進行開顱手術合併腦室引流管放置，主要照顧者不知如何照顧及對出院抱持否認態度的護理經驗，照護期間為2017年7月23日至8月7日，筆者運用羅氏適應模式進行整體性評估，確立個案有呼吸道清除功能失效、腦組織灌流失效、家屬照顧者角色緊張等三項健康護理問題，提供案妻相關疾病資訊、申請照服員共同照護及學習如翻身擺位、灌食等認知與技能，強化照護技能及追蹤回覆技能，提供舒壓方法，照會出院準備服務提供醫療器材租借、後續喘息服務等資訊申請，使案妻調適後以正向態度面對個案疾病變化，返家後能維持更佳的生活品質。

關鍵字

顱內出血 ； 照顧者角色功能緊張 ； 羅氏適應模式

並列摘要

This article describes a 71-year-old case of spontaneous intracranial hemorrhage. The patient had craniotomy combined with ventricular drainage tube placement. However, the main caregiver does not know how to take care of the patient to improve the caregiving experience. The care period commenced on July 23, 2017. The author used the Roche adaptation model to conduct a holistic assessment on August 7, 2017. Three healthcare problems (e.g., failure of respiratory clearing function, failure of brain tissue perfusion, and nervousness of family caregivers) were established. The service staff jointly cared and learned cognition and skills (e.g., turning over the position and feeding, strengthening nursing skills and tracking the reply skills, providing the method of relieving pressure, providing medical services rental, follow-up wheezing services, and other information applications). After adjustment, a positive attitude among caregivers was noticed and a better quality of life was maintained after returning home.

並列關鍵字

caregiver role strain ； intracranial hemorrhage ； Roy's adaptation model

參考文獻

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