執行一位慢性阻塞性肺疾病病患肺部復健之照護經驗

Pulmonary Rehabilitation for a Patient with Chronic Obstructive Pulmonary Disease

葉若文(Juo-Wen Yeh) ； 高儷娟(Li-Chuan Kao)

《馬偕護理雜誌》 1卷1期 (2007/01) Pp. 90-96

https://doi.org/10.29415/JMKN.200701_1(1).0013

摘要

此篇報告主要是在探討一位54歲慢性阻塞性肺疾病的男性患者呼吸復健之照護經驗，在民國94年8月29至9月20日的照護期間經由Gordon十一項健康功能型態評估，發現個案因疾病造成了氣體交換障礙、焦慮、活動無耐力等問題。經評估發現個案有以上適應問題後，開始給予安排漸進式活動增加活動耐受力，讓個案能重拾部份信心、減少沮喪，以適應生活模式的改變及生命中受限制部分。藉由護理人員給予完整性護理後，恢復氣體交換功能，並進行自我照護活動訓練，此外提供計畫性肺部復健運動訓練，增加個重上半身肌肉群力量、減緩呼吸困難，增加活動耐力，進而提升患者的生活品質。而在心理層面上，經由教導放鬆技巧及鼓勵表達自己意見後，個案信心增加。個案因為有家屬良好的支持，及醫護團隊給予正向回饋，故發展良好的適應。

關鍵字

慢性阻塞性肺疾病 ； 肺部復健運動 ； 活動耐受力

並列摘要

A 54-year-old man with chronic obstructive pulmonary disease was under nursing care from August 29, 2005 to September 20, 2005. As assessed by Gordon's 11 functional patterns, it was found that he had difficulty with air exchange, anxiety, and poor exercise tolerance. A progressive activity program was designed to increase his endurance, improve his self-confidence, reduce frustration, and adapt to the changes in life style and physical restrictions imposed by his disease. After completion of this nursing program, the patient's air exchange had improved and he was able to work on increasing his level of self-care. The project included exercise training for pulmonary rehabilitation, designed not only to increase upper body strength but also to decrease dyspnea, increase endurance, and improve the quality of life. Psychologically, after the patient learned how to relax and express himself properly, his confidence improved. The support of the patient's wife, and children as well as positive feedback from the medical team aided his good recovery.

並列關鍵字

chronic obstructive pulmonary disease ； pulmonary rehabilitation ； activity tolerance