協助一位頭部創傷合併偏癱及失語症患者復健之護理經驗

The Nursing Experience of Assisting The Rehabilitation of One Patient with Traumatic Brain Injury Complicated with Hemiplegia & Aphasia

黃素猜(Su-Tsai Huang) ； 林美玲(Mei-Ling Lin) ； 黃采薇(Tsai-Wei Huang)

《弘光學報》 41期 (2003/05) Pp. 11-18

https://doi.org/10.6615/HAR.200305.41.02

摘要

本個案報告在探討一位頭部創傷合併右側偏癱及失語症個案復建之護理經驗。護理期間筆者採用羅式是應模式的評估重點，進行個案的護理評估，發現個案有：身体活動功能障礙、自我照顧能力缺失、言辭溝通障礙、無望感等護理問題。並協助個案及家屬暸解創傷後所需復健是長期性的，更重要的是創傷後改變所帶給整個家庭後續的問題。在此期間護理人員所扮演支持、教導與諮詢的角色，使個案身体活動功能障礙及自我照顧能力缺失、無望感等問題皆有明顯改善，但失語症造成言辭溝通障礙，屬於病理層面，短時間內無明顯改善。頭部創傷後所留下後遺症的種種問題，是需要整個醫療團隊及家屬的共同努力，盼能使個案受傷程度降至最低，並進而提昇個案生活品質。期望藉此個案報告之經驗分享，作為護理人員臨床照護上參考。

關鍵字

頭部創傷 ； 偏癱 ； 失語症 ； 復健

並列摘要

We present a nursing experience for rehabilitation of a patient who has head injury with hemiplegia and aphasia. Roy's adaptive Model is applied for nursing assessment during this period. We found that he has the problems of physical activity defect, self-care ability deficiency, poor communication and hopelessness. We make patient and his families to know that long-term rehabilitation is needed after head injury. During this period, nurses play a role in support system, education and consultation .to make significant improvement in physical activity defect, self-care ability deficiency, and hopelessness. But aphasia making communicating defect is pathologic which couldn't be improved in short period .A variety sequelaes after head injury are needed to be resolved by the whole medical staffs and families and then to lower the degree of post-traumatic brain damage.

並列關鍵字

head injury ； hemiplegia ； aphasia ； rehabilitation

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