- 期刊
腦中風失語症病人接受重複性經顱磁剌激治療之護理經驗－個案報告
Nursing Experience of a Stroke Patient with Aphasia Undergoing Repetitive Transcranial Magnetic Stimulation Therapy: A Case Report
摘要
本文乃敘述一位首次腦中風失語症患者接受重複性經顱磁刺激之護理經驗。個案因中風導致失語入院復健，護理照護期間為2012年7月18日至8月17日，護理師藉由身體評估、觀察、會談等技巧，以Gordon十一項健康功能做進行整體性評估，確立健康問題為：溝通障礙、特定與疾病相關部分知識缺失和個人因應能力失調等。個案於住院期間常發脾氣、拒復健，筆者護理師運用傾聽、關懷及同理心，與個案及家屬共同制定復健計畫，除傳統語言復健外，配合輔以重複性經顱磁刺激，增進語言表達，且藉由護理指導，澄清對治療的疑問並能執行健康生活，協助個案渡過疾病調適期，學習壓力釋放；預防再次中風，重返家庭及社會。
並列摘要
This report described the nursing experience of a post-stroke-aphasia patient received repetitive transcranial magnetic stimulation therapy. A stroke patient combined with language barrier was admitted for rehabilitation therapy, the nursing period was from 18 July to 17 August 2012, through by physical assessment, observation, interview and Gordon 11 functional health patterns for holistic assessment, clinical nurse haved established the health problems as: communicated barriers, part of the knowledge associated with disease specific deletions and individual coping disorders. This patient often felt frustrated refused physical therapy, during hospitalization. The author ultilized communication skills with sympathy to explore listened to what the patient health needs with sympathy and set the treatment goals and plans with the patient and the families. Combined with the repetitive transcranial magnetic stimulation (rTMS) therapy, it can be activatione of brain cells and improve aphasia, as well as better speech performance. We also applied nursing instruction to help the patient through sickness adaptation period, acquire ability to release pressure and successfully quit smoking, in order as well as to prevent secondary stroke occure and for the patient to returning to his family and the community.
延伸閱讀
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