- 期刊
照顧一位初診斷肺結核遊民之護理經驗
A Nursing Experience of a Homeless Person with First-Diagnosed Tuberculosis
摘要
本文主要探討一位初次診斷肺結核遊民之護理經驗。照顧期間自2013年8月8日至2013年8月30日，運用觀察、會談及查閱病歷等方式收集資料，確立個案有體溫過高、營養少於身體所需、焦慮、家庭因應能力失調等健康問題。筆者與個案建立互相信賴之治療性人際關係，以傾聽、有效溝通，鼓勵個案表達感受，運用系統性、個別性護理指導，提供完整衛教知識減輕其焦慮，並讓個案於發燒期間獲得舒適與安全感。照顧初期，家屬對疾病認知不了解且由於個案早年與家屬失去聯繫，而不願接納個案。護理人員以同理心方式，使家屬表達其內心感受，了解疾病知識及居家照護注意事項，並藉由共同參予治療計畫，讓家屬進一步包容與接納病人，使個案重新回歸家庭，持續門診追蹤。
並列摘要
This paper describes the nursing experience of a homeless person with first-diagnosed tuberculosis. During the nursing period from August 8 to August 30 in 2013, data were collected through observations, conversations, and chart review. The health problems were identified as follows: hyperthermia, nutrition imbalanced less than body requirements, anxiety, and ineffective family coping. We built mutual trust and established a therapeutic interpersonal relationship with the patient, by applying listening and effective communication skills to encourage the patient to express feelings and employing systematic nursing instruction to provide comprehensive health knowledge and relieve anxiety. We also provided individualized nursing interventions to maintain patient comfort and security during fever. In addition, due to the families' lack of disease knowledge and unwillingness to face the patient, we adopted communication skills to encourage the families to express feelings and further provided them disease knowledge and home care instructions. The co-participation in the treatment plan helped the families embrace and accept the patient, thereby facilitating the patient's return to home and follow-up care.