以音樂控制顱內出血病患血壓及疼痛－病例報告

Music Improved the Control of Blood Pressure and Pain on a Patient with Intracranial Hemorrhage: A Case Report

紀婉玉(Wan-Yu Chi) ； 李歡芳(Huan-Fang Lee)

《南臺灣醫學雜誌》 1卷1期 (2006/06) Pp. 57-61

https://doi.org/10.6726/MJST.200606_1(1).0008

摘要

頭部損傷病人之照護重點已由過去的控制顱內壓轉為提升腦灌流壓，因此若能適當的控制血壓，將有助於腦灌流壓及顱內壓的維持。本文探討一位顱內出血患者之加護經驗，作者於患者住院期間運用會談、身體評估、連續性觀察、病歷查閱等來評估個案而重點在於心理、社會、靈性等層面之護理問題。於其中發現個案有腦灌流不足、呼吸道清除功能失效、疼痛之健康問題，予以提供個別性的照護計劃，並發現音樂於血壓控制及疼痛的成效，最後順利協助個案轉出加護病房。期望經由此照護經驗能提供臨床照護參考。

關鍵字

音樂療法 ； 顱內出血 ； 腦灌流壓 ； 顱內壓

並列摘要

The essential treatment of patients with severe head injury is to increase cerebral perfusion pressure (CPP) rather than to control intracranial pressure (ICP) in the past. Therefore, appropriately controlling blood pressure will help maintain both CPP and ICP. This article discusses the intensive care experience of a patient with intra-cranial hemorrhage. During the period the patient was hospitalized, the author used interviews, health evaluations, consecutive observations, and reviews of medical records to evaluate the patient's individual rehabilitation issues, in consideration of physiological, mental, sociological, and sychological aspects. In the study process, the patient was diagnosed with some health problems, such as ineffective cerebral tissue perfusion, ineffective airway clearance, and pain. The patient was offered with a specific caring plan which showed that music therapy improved the control of blood pressure and pain, and eventually helped the patient to be transferred out of intensive care. This experimental study hopes to provide insight on clinical care.

並列關鍵字

music ； intracranial hemorrhage ； cerebral perfusion pressure ； intracranial