- 期刊
運用歐倫理論照護一位腦中風病人之護理經驗
Nursing Care Experience of a Patient with Stroke who in Orem Self-Care Theory
摘要
本文為探討一位68歲女性腦中風病人，於住院期間面對腦中風後肢體障礙及心理衝擊過程之護理經驗，照護期間自2014年5月4日至5月20日，以觀察，會談，家屬訪談，身體評估。查閱病歷等方式進行資料蒐集，護理過程運用歐倫自我照顧理論進行整體性的評估，確立個案有皮膚完整性受損，身體活動功能障礙，自我照顧能力缺失（穿衣，進食，洗澡，如廁），無力成之護理問題，筆者以關懷及陪伴等方式與個案，主要照顧者建立良好護病關係，運用歐倫理論的完全代償性，部分代償性活動及支持教育性護理等概念提供病人個別性的照護，壓瘡傷。護理照護，以減少併發症的產生：掌握關鍵黃金復健期進行肢體復健，以改善肢體活動功能；教導及加強病人日常生活中自我照顧技巧；採主動關懷支持，積極傾聽，鼓勵病人表達內心感受及給予心理支持減輕無力感，進而改善生活品質。
並列摘要
This paper is a description of the nursing experience to a 68 years old stroke patient who suffered from physical immobility and psychological impact of handicap. Using Orem's self-care theory method, the author collected the data through careful observation, phone conversation, interview, family visit, patient's physical assessment and reviewing of patient's medical records that started from May 4 to May 20 in 2014. This particular patient suffered from pressure sore, disability, ADL dependent and depression. Author established a good nurse-patient relationship through professional care and frequent visit. The patient has been taught the skills of self-care and an aggressive rehabilitation therapy was also given. The patient has also been encouraged to express his feeling, seeking psychological support to promote quality of life.