一位慢性阻塞性肺疾病個案居家護理經驗－個案報告

個案為80歲男性，因慢性阻塞性肺疾病反覆性呼吸困難而住院。護理期間2020年9月29日至12月1日，以Gordon十一項健康功能評估，確立個案有呼吸道清除功能失效、身體心像紊亂、焦慮健康問題。藉由出備銜接跨專業團隊，居家護理師、醫師、營養師、呼吸治療師、語言治療師等，居家訪視協助留置管路照護、深呼吸及咳嗽技巧、肺部復健運動及改善呼吸道清除能力；以氣切發聲閥說話，寫字板及手語溝通，重拾信心與正向面對管路。居家醫療結合長照，依護理措施提供整體性照顧，於居家吞嚥訓練，使個案參與決策，提升生活品質與尊嚴。

關鍵字

居家訪視；吞嚥訓練；肺部復健運動

並列摘要

The case was an 80-year-old man who was hospitalized because of chronic obstructive pulmonary disease and recurrent dyspnea. The Gordon's 11 health functions were used to evaluate the patient from September 29, 2020 to December 1, 2020 and the patient was confirmed to have respiratory clearance failure, body image disturbance, and anxiety. Home visits with an interdisciplinary team comprising home care nurses, physicians, nutritionists, respiratory therapists, and speech therapists were carried out to support indwelling line care for enhancing deep breathing and cough skills, pulmonary rehabilitation exercises, and improvement of respiratory clearance. The patient communicated by speaking through the tracheal cut, clipboard, and sign language. He regained confidence and faced the tubing positively. The combination of home medical care and long-term care offers holistic care based on nursing measures. The patients can carry out swallowing training at home and join-making decisions to improve their life quality and dignity.

並列關鍵字

home visits ； swallowing training ； pulmonary rehabilitation exercises

參考文獻

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