- 期刊
一位年輕型中風病人之護理經驗
Nursing care experience for a young patient with stroke
摘要
本文探討一位於壯年期致力於事業發展的男性，因無預警引發年輕型中風導致右側偏癱，對日後生活擔憂而導致無力感之照護經驗。於2015年11月18日至2015年12月8日藉由會談、傾聽、觀察等方式收集資料，運用Gordon十一項功能性健康評估，確立個案有身體活動功能障礙、自我照顧能力缺失、營養不均衡：多於身體需要及無力感之護理問題。提供整體性之照護，安排個別性復健計畫，協助認清其所面臨的壓力情境，引導正面思考，減輕其負面想法，提升日常生活照護技巧，降低依賴程度以發揮身體功能，藉由飲食計畫改善個案及家屬飲食認知及習慣，教導重新設定生活目標，適應疾病變化，以同理關懷態度給予正向的鼓勵，強化自信心以增強復健的意願，重建正向的自我以積極面對未來生活等。未來建議醫院，能成立復健整合門診，進行全面性評估，並由腦中風個管師持續的追蹤個案返家復健活動狀況，協助對重返職場做準備，使年輕型中風個案保有最佳的生活品質，期望藉此經驗分享，以提供日後護理人員照護年輕型中風病人之護理參考。
並列摘要
This paper described the nursing experience of a young adulthood man committed to career development had a stroke with warming and led to right hemiplegia. The nursing period was from November 11, 2015 to December 08, 2015. The Gordon 11- functional health assessment guide was used to assess nursing problem through interview, listening, observation. The nursing problems being identified included mobility impaired physical, loss of self-care capability, imbalanced nutrition: more than body requirements, and powerlessness. After providing holistic care, individual rehabilitation programs, help to identify and recognize the stress situation, guide to positive thinking, reducing negative thoughts, patient could enhance daily care skills, reduce the degree of dependence to play a physical function. Other strategies were recipe design to change eating habits and eating knowledge of patients and families, re-setting life goals and adapting to changes in disease, giving positive encouragement with sympathy, strengthening self-confidence to enhance the will of rehabilitation, rebuild the positive self to face the future life. We hope we can take the initiatives to provide integrated rehabilitation clinic, give comprehensive assessment, the stroke case management to keep track of patient' rehabilitation activities after returning home, and assist in returning to workplace, so young stroke patient can have best quality of life. We hope this experience can provide nurses with a reference for caring young stroke patients.