照顧一位開放性肺結核患者接受隔離之護理經驗

Nursing Experience of Caring a Open Pulmonary Tuberculosis Patient under Isolation Ward

唐蘊慧(Yun-Hui Tang) ； 蘇梅鳳(Mei-Feng Su) ； 宋琇玉(Hsiu-Yu Sung) ； 蘇淑芳(Shu-Fang Su)

《弘光學報》 54期 (2008/12) Pp. 15-25

https://doi.org/10.6615/HAR.200812.54.02

摘要

本篇是探討一位開放性肺結核診斷之個案住進負壓隔離病房後，所面臨身、心問題之護理經驗。在護理期間運用Gordon十一項健康功能型態之護理評估，發現個案有以下之護理診斷：營養狀況改變／少於身體需要、知識缺失、焦慮、睡眠型態紊亂等。筆者在95年10月4日至10月20日照護期間，藉由觀察、傾聽和運用同理心，使個案在第一時間能接受自己是一個開放性肺結核感染之事實，並同意住進負壓隔離病房。護理期間除了解決個案因疾病所帶來生理與心理問題外，也建立個案疾病之相關知識，使之配合按時服藥而完成治療，因此期望此護理經驗可作為護理人員照顧開放性肺結核患者之參考。

關鍵字

肺結核 ； 隔離 ； 護理經驗

並列摘要

This article explored the nursing experience of taking care of an open tuberculosis patient admitted to a negative-pressured isolation room who faced physical and psychological challenges. During hospitalization the author used Gordon’s 11-item nursing assessment of healthy functional styles and identified the nursing diagnoses including change of nutrition status/ less than body need, knowledge deficiency, anxiety, sleep pattern disturbance, and so on. From October 4 to October 20, 2006, the author help patient accept the truth of being infected with open pulmonary tuberculosis by observation, listening, and application of empathy. As a consequent, the patient agreed to enter the negative-pressured ward. In addition to resolving his physical and psychological problems, the author also built related knowledge of his illness, made him adhere to medication, and hence completed the treatment. This nursing experience may serve as a reference for nurses while taking care of patients with pulmonary tuberculosis patient.

並列關鍵字

pulmonary tuberculosis ； isolation ； nursing experiences

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