- 期刊
運用關懷理論照護一位腎盂腎炎孕婦之加護經驗
A Nursing Experience of Applying Watson's Caring Theory to a Patient with Pregnancy in ICU
摘要
本文探討照護一位腎盂腎炎孕婦經歷插置氣管內管、早產及提早中止妊娠住加護病房的護理經驗，筆者經由直接照顧、會談及觀察以進行整體性評估後，發現個案在生理層面有感染、發燒與疼痛；心理層面有焦慮及害怕、哀傷及失落；社會層面有經濟來源缺乏等健康問題，針對個案護理問題藉用Watson關懷理論，以進行護理評估、護理計劃並評值成果，持主動關懷的態度與個案建立良好的助人信任關係，協助搜尋可利用的資源，緩解疾病引起的不適感，並以同理心陪伴個案面對新生兒的早產，慢慢緩解哀傷過程，與個案及家屬一同渡過急性期及哀傷的階段，除了急重症病患最主要的生理問題，同時兼顧到心理及社會層面的問題，秉持以病人為中心的理念，提供個案真正需要的照護。冀望藉由個案報告分析，分享護理經驗，做為往後類似個案照護之參考。
並列摘要
This report describes the nursing experience in caring for a patient with pyelonephritis and gestation in the intensive care unit. In the process, she underwent the endotrachea tube insertion and premature delivery. Information was collected by care taking, observation, communication and performing physical skill tests. Five main domains on health problems were determined: ”infection, fever” and ”pain”, ”anxiety and fear”, ”sad and grieving; and ”poor social support system”. We used Watson's caring theory for nursing assessment, intervention and evaluation with mutual confidence foundation, and providing individual protective nursing. We actively provided care and offered our concern at the appropriate time for the patient to get through this time of grief with her relatives. Not only did we take care of the major physiological problems, but also the mental and the social problems, while providing the care she really needed. Nursing experience will be shared as reference for those who might deal with a similar situation in the future.
延伸閱讀
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