一位初次腦中風病人復健過程之照護經驗

Nursing Experience from Caring a First Time Stroke Patient During Rehabilitation

陳妙菁(Miao-Ching Chen) ； 李淑真(Shu-Chen Lee) ； 熊德筠(Der-Yun Hsiung)

《弘光學報》 76期 (2015/09) Pp. 15-26

https://doi.org/10.6615/HAR.201509.76.02

摘要

本文係探討一位女性初次腦中風導致左側肢體偏癱的照護經驗。使用Gordon十一項健康功能型態為評估工具，以直接照顧、會談、觀察及身體評估等方式收集資料，確立個案主要問題有身體活動功能障礙、自我照顧能力缺失、潛在危險性跌倒及無望感等。在護理過程中引導個案表達內心感受，鼓勵儘早復健，討論日常活動功能可改善之處，激發復健動機，並藉由日常生活照護能力的進步、病友與家人的鼓勵，強化正向學習效果，進而促進健康的生活型態，期望降低中風復發機率。藉此案例分享護理經驗，提供護理人員臨床照護此類病人之參考。

關鍵字

腦中風 ； 復健 ； 無望感

並列摘要

The purpose of this study was to present the nursing experience receiving from taking care of a first time stroke patient with left-side hemiplegia. Eleven functional health patterns designed by Gordon was adopted to be an evaluation measure. Data has been collected through the following routes: providing direct care, face to face interview, observation, and physical assessment. Major problems were identified to including impairment of physical mobility, deficiency of self-care, risk of falling down, and feeling of hopelessness. During the period of providing care, patient was encouraged to verbally express inside feelings and to have rehabilitation as soon as possible; the degree of improvement on ADL scale has been also discussed with patient; patient´s confidence in self-efficacy was trying to be stronger by a few ways. Results of this case study show that decreasing recurrence of stroke should be attained by improving on daily activities function, enhancing the motivation to have rehabilitation, families and other patients´ encouragements, strengthen the positive learning effect, and living a healthy life style. This report expects to provide a preliminary outcome for care of the first time stroke patient in future.

並列關鍵字

Stroke ； rehabilitation ； hopelessness

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