- 期刊
新冠肺炎重症病人隔離期間重建復原力之照護經驗
Nursing Experience in Rebuilding Resilience of a Critically Ill Patient with COVID-19 During Isolation in Care Unit
摘要
本文探討一位中年男性因新冠肺炎重症入負壓隔離加護病房治療之照護經驗，護理期間為2021年6月13至24日，以會談、傾聽、直接接觸與監視器、通訊設備觀察等方式收集資料，並運用Gordon十一項功能性健康型態進行評估，確立主要健康問題有氣體交換障礙、復原力障礙、社交互動障礙。透過醫療團隊合作進行照護計劃，採俯臥治療改善氧合，提供詳細的疾病與照護說明，讓個案和家屬共同積極參與照護計畫，並應用復原力重建之概念，滿足個別性需求，促使個案在隔離情境下，仍能感受到外界傳遞的愛與支持，減輕孤獨感受，進而產生正向的思考與心理適應力，最終脫離呼吸衰竭危機轉出負壓病室。建議未來可於隔離衣上清楚標示姓名，拉近防護衣所造成的隔閡感，促進護病的建立，藉此提升負壓隔離病人的照護品質。
並列摘要
This paper discusses the nursing experience of a middle-aged male patient who was diagnosed as having COVID-19 and admitted to the negative pressure room of the intensive care unit due to critical illness from June 13 to 24, 2021. Patient data was collected through interviews, listening, direct contact, and observation, and the study performed an overall assessment of the patient on the basis of Gordon's 11 Functional Health Patterns. Major health problems included gas exchange disorder, insufficient resilience, and social interaction impairment. The medical team cooperated in using prone position ventilation to improve oxygenation, while providing detailed information and nursing measures to positively address the disease treatment process and enhance the patient's resilience. Patients and their families are encouraged to join the care plan and provided with adequate information and individual nursing measures during the treatment. During the nursing period, protective equipment covers medical staff's expressions, which inhibits the development of doctor-patient relationship. To compensate for this issue it is recommended to mark the name on the isolation gown and interact with the patient in an enthusiastic manner. In this regard, patients can regain love and hope, finding inner strength and improving resilience, and hence enhancing the quality of care for patients.