- 期刊
一位腹部創傷脾臟切除術後病人之照護經驗
The nursing experience of a patient after abdominal trauma and splenectomy
摘要
本文為照護一位因車禍導致脾臟撕裂傷，面臨病危並切除脾臟之個案的護理經驗。於2018年10月5日～10月23日護理期間，以Gordon十一項功能性健康型態評估，透過直接照護、觀察、會談及身體評估檢查等技巧，確認護理問題有氣體交換障礙、急性疼痛、焦慮。照護過程中，筆者與物理治療師共同規劃心肺復健，處理呼吸困難問題，期間運用同理心、傾聽、主動關懷和個案建立治療性人際關係，鼓勵表達其內心焦慮情緒，了解情緒來源，協同社工師與個案、家屬共同討論解決方法，促進個案自我調適，強化個案主要支持系統，達到全人照護，期望藉此護理經驗，提供日後照護此類病人之臨床實務參考。
並列摘要
This case report was about the experience of caring for a patient with a spleen laceration due to car accident who is facing critical illness and splenectomy. During the nursing period from October 5 to October 23, 2018, Gordon's eleven functional health assessments were conducted through direct nursing, observation, interviews, physical assessment and other skills to confirm that the nursing problems include gas exchange disorders, acute pain, and anxiety. In the care process, the author and the physical therapist plan cardiorespiratory rehabilitation together to help solve the problem of breathing difficulties. During the period, empathy, listening, and active care to establish therapeutic interpersonal relationships with the case and family members, and encourage the expression of their inner anxiety were applied. Understand the source of anxiety, and cooperate with social workers to discuss solutions with the case and family members to effectively promote the self-adjustment of patients, and strengthen the main support system of the case to achieve holistic care. It is hoped that the nursing experience can be a reference to provide future care for similar patients.