照護一位睡眠呼吸中止症行懸壅顎咽整形手術病人之護理經驗

本文描述一位阻塞性睡眠呼吸中止症病人配戴連續性正壓呼吸器矯正治療，因改善有限而接受懸壅顎咽整形手術治療。護理期間2019年10月24日至11月06日運用Gordon十一項功能性健康型態評估工具，藉由直接照護、會談、觀察、身體評估方法進行資料收集，確立個案主要的健康問題有急性疼痛、睡眠型態紊亂及焦慮。在照護期間提供個別性照護計畫及措施，協助個案渡過急性期生理、心理上的危機，透過語言及非語言主動關懷及親友陪伴，加上利用手機連接QR code隨時可觀看衛教指導影片，期望此篇報告之護理經驗，能提供臨床護理人員日後照護相關病人之參考。

關鍵字

阻塞性睡眠呼吸中止症；懸壅顎咽整形手術；睡眠型態紊亂；焦慮；疼痛

並列摘要

This article described a patient with obstructive sleep apnea syndrome, who had uvulopalatopharyngoplasty due to poor response under Continuous Positive Airway Pressure treatment. The patient was admitted on October 24, 2019, and was discharged on November 6, 2019. Upon admission, through primary care, interview, observation, and physical examination, in addition to Gordon's 11 Functional Health Patterns, the author confirmed that the patient had several health issues, such acute pain, sleep disturbances, and anxiety. With our personalized planning and utmost care, as well as the company of friends and family, the patient did not only overcome the physical discomfort but also psychological problems. In addition, patient education videos are available at any time by scanning the QR code with personal smartphone. We are hoping that nursing experiences in this case will provide references for others who will take care of similar cases.

並列關鍵字

acute Pain ； anxiety ； obstructive sleep apnea syndrome ； sleeping disorders ； uvulopalatopharyngoplasty

參考文獻

吳依蘋、唐國民、洪麗珍(2016)．人工膝關節及髖關節置換術病人術後疼痛之分析．領導護理，17 (2)，80-93。https://dx.doi.org/10.29494/LN.201606_17(2).0008

吳純怡、陳瑞貞(2019)．運用「靜默時刻」以提升加護病房患者睡眠品質．臺灣醫學，23(5)，632-639。https://doi.org/10.6320/FJM.201909_23(5).0009

李凱琳、吳雪紅、王瓊瑛、羅翊邦(2018)．運用多媒體提升護理人員痔瘡手術前後護理指導認知正確率與完整率之改善專案．源遠護理，12 (2)，41-49。https://doi.org/10.6530/YYN/201807_12(2).0005

林麗卿、邱艶芬、林碧珠(2017)．家屬叮嚀方案對減輕加護病人焦慮和非計畫性拔管之成效．護理雜誌，64 (5)，41-49。https://doi.org/10.6224/ JN.000067

洪瑄曼、江曉菁(2017)．孕期相關睡眠障礙的非藥物處置．護理雜誌，64 (1)，112-119。https://doi.org/10.6224/JN.000015

國際替代計量

照護一位睡眠呼吸中止症行懸壅顎咽整形手術病人之護理經驗

全文下載

主題瀏覽