- 期刊
一位氣喘與肺阻塞重疊急性惡化個案之急診照護經驗
Nursing care experience on an emergency room patient with acute exacerbation of Asthma-chronic obstructive pulmonary disease overlap syndrome (ACOS)
摘要
本文描述一名48歲男性因氣喘與肺阻塞重疊急性惡化之急診照護經驗，照護期間自2018年2月25日至2018年2月26日，經由直接照護、會談、身體評估、理學檢查及病歷回溯等方式收集資料，運用Gordon十一項功能性健康型態歷程評估，發現個案有低效型呼吸型態、潛在危險性活動無耐力及不遵從等健康問題。筆者在照護過程中透過呼吸型態評估、教導呼吸技巧與肺部復健，並配合醫囑給予藥物與氧療使用，緩解個案呼吸困難之立即性問題，在護理期間透過身體上照顧、關懷及心理支持，與個案建立良好的護病關係，鼓勵表達不規則就醫原因，協助找出對策並衛教疾病惡化危險因子與規則返診重要性，使個案可以學習如何與疾病共存，並增強自我照顧能力，期望藉由此護理經驗提供護理同仁臨床照護之參考。
並列摘要
An emergency care experience on a patient with acute exacerbation of asthma-chronic obstructive pulmonary disease overlap. This article described an emergency care experience for a 48-yearold man with acute exacerbations of asthma-COPD overlap. The period of care was from on February 25, 2018 on February 26, 2018. Data were collected through direct care, interviews, physical examinations and assessments, and retrospective investigation on medical records. Using Gordon's eleven functional health history assessments, the author found that the case had several health problems, including inefficient breathing patterns, potentially dangerous activities, no endurance and non-compliance. In the process of care, the author alleviated the immediate problem of dyspnea through evaluation of the breathing pattern to teach breathing techniques and lungs rehabilitation, and cooperation with the doctor to give medication and oxygen therapy. During the period of care, the author, through physical care and psychological support, established a good relationship with the case, encouraged the case to figure out the cause of irregular medical concerns, helped the case to identify the countermeasures for the cause, and provided health education about the risk factors of the disease to worsen and the importance of regular check-ups. The case finally learned how to coexist with the disease and enhanced self-care ability. It is expected to provide with this nursing experience for reference to clinically nursing care of nursing colleagues.
參考文獻
延伸閱讀
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- 江素維、胡彩華、蔡宜蓁、洪淑文（2017）。一位肺炎併發急性呼吸窘迫症候群患者之照護經驗。長庚護理，28(2)，324-335。https://doi.org/10.3966/102673012017062802012
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