- 期刊
急性心肌梗塞之加護病房護理照護
Nursing Care for Acute Myocardial Infarction in an Intensive Care Unit
摘要
本文探討一位39歲的年輕患者初次罹患急性心肌梗塞（Acute Myocardial Infarction; AMI）併發心因性休克，住進加護病房之護理過程。照護期間自2010年1月21日至1月26日，藉由觀察、會談、身體評估及病歷查閱等方式收集主、客觀資料，以Gordon十一項健康功能型態為評估架構確立個案有「心輸出量減少」、「焦慮」及「健康尋求行為」護理問題，照護過程藉由提供個別性護理，維持心肌輔助機器功能正常運轉及血液動力學穩定，以減輕心臟負荷；互動時採開放性溝通並鼓勵個案表達內心感受，減輕疾病所帶給個案的不確定感；提供戒菸及低膽固醇飲食等護理衛教指導，使個案能正向因應身體健康的改變，增強信心與信念，並能執行健康促進之行為，降低AMI復發率，進而提升生活品質。
並列摘要
This article describes the process of taking care a 39-year-old young patient with first-time acute myocardial infraction (AMI) complicated by cardiogenic shock admitted to intensive care unit (ICU). During the nursing period between 21nd January and 26rd January, 2010, objective and comprehensive information was collected by observation, interviews, physical assessment and chart review. Assessment based on Gordon 10 functional health patterns enabled us to identify the patient with problems of reduced cardiac output, anxiety and health-seeking behavior. The patient was provided with individualized nursing care to reduce the cardiac load by maintaining normal operations of the myocardium auxiliary equipment and hemodynamic stability. The patient was also encouraged to express feelings through interactive and open communication for reducing his uncertainty introduced by the disease. Smoking cessation guide and health education for low- cholesterol diet were offered to support him for developing positive attitude towards healthier life, to enhance his confidence and belief for the implementation of health promoting behavior in order to reduce the risk of AMI recurrence, and eventually to improve the quality of life.
延伸閱讀
- 蔡伊婷、許郁卿（2016）。一位急性心肌梗塞個案初次入住加護病房之護理經驗。若瑟醫護雜誌，10(1)，71-84。https://www.airitilibrary.com/Article/Detail?DocID=1819026x-201607-201608100011-201608100011-71-84
- 邱姿蓉、王玉女（2018）。一位急性心肌梗塞接受冠狀動脈繞道手術病患之加護護理經驗。長庚護理，29(1)，120-129。https://doi.org/10.6386/CGN.201803_29(1).0011
- 劉美玲、楊秋菊（2008）。一位急性心肌梗塞併發心因性休克病人之加護護理經驗。長庚護理，19(2)，274-283。https://doi.org/10.6386/CGN.200806_19(2).0013
- 李祐寧、林佩昭、黃麗娟（2022）。照護一位流感併發急性心肌炎病人之加護經驗。領導護理，23(1)，49-62。https://doi.org/10.29494/LN.202203_23(1).0005
- 張淑勤、李彩緣（2012）。Nursing Care of a Patient with First-Time Acute Myocardial Infarction, a Case Study。澳門護理雜誌，11(2)，38-43。https://www.airitilibrary.com/Article/Detail?DocID=16811534-201212-201401240004-201401240004-38-43