照顧一位腦囊蟲病患者持續癲癇發作之護理經驗

本文係描述一位因癲癇型腦囊蟲病造成癲癇發作之年輕女性患者，進出醫院多次，此次又因服藥不遵從致症狀加劇，由加護病房轉出至出院之護理經驗。筆者在主護護理期間(92年12月3日至92年12月9日)藉由系統性的觀察、會談依生理、心理、社會、發展、靈性評估等收集資料進行全人全家的整體性評估，發現個案有不遵從服藥、長期性低自尊、潛在危險性創傷等護理問題。筆者與個案建立良好的治療性關係後，積極處理生理上的問題、心理上的痛苦與無力，並提供有關癲癇的知識與諮詢，建立對癲癇的正確觀念，有效控制及預防癲癇的再度發作，同時經由有效的溝通，改善個案對疾病的負向感受並重建自尊，使個案獲得良好的生活適應。

關鍵字

腦囊蟲病；癲癇發作

並列摘要

The purpose of this study is to present the nursing experience of a young female who suffers from Cysticercosis resulting in Status Epilepsticus had passed in and out hospital many times. This time, owing to noncompliance for taking medicines on time the condition of illness turns worse.During the period of care is from December 3rd to 9th, 2003. The author assessed the holistic patient's condition through the physical, psychological, social, developmental, and spiritual assessment guide. Data was collected by systemic observation and interview. The authors found nursing problems, such as noncompliance of the medicine administration, chronic low self-esteem, risk for Trauma, etc .After established the good therapeutical relationship with the case, the author also menaged physiological problems and psychological pain powerless of patient. In order to control and prevent reaccurance of the epilepsy, the author provide the knowledge and the right concept of epilepsy, to improve negative feeling of the disease by effective communication, rebuild self-respect at the same time, and develop the patient's suitable life.