照顧行冠狀動脈繞道手術的獨居老人之護理經驗

Nurse's Experience of Nursing Care for Post Coronary Artery Bypass Graft to Lived Alone Elderly

張嘉貞(Jia-Jen Jang) ； 劉雅絃(Ya-Chord Liu)

《安泰醫護雜誌》 18卷4期 (2012/12) Pp. 57-67

https://doi.org/10.7078/TSMHMNJN.201212.0057

摘要

本篇是協助一位行冠狀動脈繞道手術的獨居老人改善術後所引發生、心理及社會問題的照護經驗。護理期間為2011年1月21日至2月12日，運用羅氏適應理論進行評估，針對個案的生、心理、社會與靈性需求，經由觀察、會談、身體評估等技巧收集資料，發現主要的健康問題有：焦慮、活動無耐力及知識缺失。筆者運用溝通技巧讓其抒發負面情緒感受，並藉由陪伴、傾聽、同理心，建立良好的護病關係，了解獨居支持系統缺乏之困難，除協助穩定生理狀況及減輕不適後，並鼓勵個案主動積極參與護理照護計劃；在病況穩定時，能與醫療團隊合作並參與出院計劃，學習返家後的自我照顧技巧，使其具備重返日常居家生活之能力；而出院後筆者定期電訪追蹤，讓個案獲得持續性的支持及關懷，得以適應返家生活。藉此將個人之護理經驗提出分享，期望有助於提升照顧此類病人的護理照護品質。

關鍵字

冠狀動脈繞道手術 ； 獨居老人 ； 護理經驗

並列摘要

The case report is the nurse's experience for post-CABG who living alone elderly to improve the psychological and social questions. Data were collected from January 21 to February 12, 2011.The author used Roy's adaptation model as the assessment guide to collect data by observation, communication and physical assessments to identify anxiety, activity intolerance, knowledge deficit as the case health problems. Used the communication skill, through accompany, listen, empathy of good therapeutic relation, understanding the difficulties of living alone lack of support systems, when the patient's condition stable, encourages to participate in care plan and cooperate with the medical team, learning the self-care skills. Used regularly communicates over telephone, lets the case earn support and caring who can recover the self-care ability. Proposing this individual nursing experience shared with everybody. Expecting it helpful to this kind of patient's nursing can improve the quality of nursing.

並列關鍵字

coronary artery bypass graft ； living alone elderly ； nurse's experience