運用超越老化理論於急性心肌梗塞老年病患正向發展之加護經驗

Intensive Care Experience of Applying Gerotranscendence Theory (GTT) to Improve Successful Aging for Elderly Patient with Acute Myocardial Infarction

邱旅揚(Lu-Yang Chiu) ； 張文芸(Wen-Yun Cheng)

《台灣老年醫學暨老年學雜誌》 4卷1期 (2009/02) Pp. 63-76

https://doi.org/10.29461/TGG.200902.0006

摘要

本文乃運用Tornstam超越老化理論於促進老年病患面對急性心肌梗塞疾病時正向態度發展之加護病房照護經驗。過程中，研究者藉觀察、會談及個案出院後電訪收集主、客觀資料，經分析、歸納發現個案因過於憂心病情，影響原有之飲食、睡眠與活動品質，且自尊認同降低，故運用超越老化理論概念輔以懷舊療法，協助個案建構正向看法，克服危機，增進生活品質，進而發展更適切生活型態。並期望藉此歷程助益臨床醫護人員了解並有效運用超越老化概念於個別性照護，以提升照護品質。

關鍵字

超越老化理論 ； 急性心肌梗塞 ； 老年病患

並列摘要

This case study demonstrated an acute care experience of applying Tornstam's Gerotranscendence Theory (GTT) to promote positive developments of an elderly patient with acute myocardial infarction in an intensive care unit. Both objective and subjective data were collected by observations, discussions, and telephone interviews. One of the major care problems lied in his profound worry about physical morbidity, which resulted in poor quality of diet, sleep, and activity statuses, and low self esteem. Therefore the major concepts of GTT and reminiscence therapy were utilized to encourage the case to explore his life experience and prominent achievements in order to adjust his self perception, improve his life quality, and promote his aging journey successfully. Details would be discussed in the main context for the medical team members to apply GTT into individualized care with quality improvement.

並列關鍵字

Gerotranscendence Theory GTT ； acute myocardial infarction AMI ； elderly patient