協助一位確診肺結核青少年調適身心問題之經驗

本文為協助一位確診肺結核的高中女生調適身心問題之經驗，照護期間自2019年8月2日至9月1日，依生理、心理、社會文化進行資料收集及歸納，確立有疼痛、社交隔離、焦慮健康問題，護理措施包括調整止痛措施、透過視訊與同儕互動、提供心理支持及居家照護衛教。在個案表達對返校的擔心時，引導討論如何面對遭到排擠或傳染給他人的情境。出院後電話追蹤，個案已能適應返校後的新生活。照護青少年肺結核個案時，除解決生理問題外，更需注重心理調適，期望此個案報告能提供類似個案照護的參考。

關鍵字

青少年；肺結核；調適；身心問題；護理經驗

並列摘要

This article is a nursing experience of a 17-year-old high school girl diagnosed with tuberculosis. The nursing period was from August 2 to September 1, 2019. Data were collected and inducted to the domain of physiology, psychology, and social culture. The identified nursing problems were pain, social isolation, and anxiety. The nursing process included adjusting pain relief methods, interacting with peers through audiovisual devices, providing mental support, and home care health education. When the client stated her worries about returning to school, a guided discussion was conducted on how to face the situation of expelling out of the group or infecting others. Telephone follow-up after discharge confirmed that the client has accommodated the new school life. The care of adolescent diagnosed with tuberculosis is not only to resolve client's physical problem but also to concern his/her psychological adjustment. This case report is expected to provide a reference for care of similar clients.

並列關鍵字

Adjustment ； Adolescents ； Nursing experience ； Physical-psychological problem ； Tuberculosis

參考文獻

陳怡蓉、謝伶瑜(2015)．運用冰敷於胸管移除時疼痛減輕之成效-系統性文獻回顧．護理雜誌，62 (1)，68-75。https://doi.org/10.6224/JN.62.1.68

黃瀅潔、吳家麟、陳怡行、張錦標(2019)．潛伏性結核病診斷方法之探討．中華職業醫學雜誌，26 (2)，113-124。https://doi.org/10.30027/CJOM

牟大宏(2017)．心理護理在肺結核患者護理中的應用探析．當代醫學，2 3 (18)，180-181。https://doi.org/10.3969/j.issn.1009-4393.2017.18.089

張美芳(2019)．肺核疫情的預防與控制．世界最新醫學信息文摘， (56)，7。https://doi.org/10.19613/j.cnki.1671-3141.2019.56.005

趙彥清(2016)．青春期肺核患者心理特點和心理護理探討及應用．基層醫學論壇，20 (23)，3282-3283。https://doi.org/10.19435/j.1672-1721.2016.23.075

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協助一位確診肺結核青少年調適身心問題之經驗

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