- 期刊
跨團隊整合照護一位重大創傷病人之護理經驗
Interprofessional Collaborative Care in a Major Trauma Patient
摘要
本篇描述一位壯年男性，於工作中由五樓墜落地面造成右側肋骨骨折合併氣胸、肝臟撕裂傷、右側髕骨及脛腓骨骨折合併小腿撕脫傷之護理經驗。突發意外使個案面臨立即性生命威脅，肢體傷害造成日常活動功能障礙，讓未來重返職場充滿了不確定感與壓力。護理過程自2015年7月3至7月30，運用觀察、身體評估，會談技巧及查閱病歷等方式收集資料，依據生理、心理、靈性、社會四個層面進行整體性評估，歸納出個案有疼痛、身體活動功能障礙及焦慮等主要健康問題。住院期間會同環境職業醫學部醫師、社工師、營養師及物理治療師，偕同個案及家屬共同參與醫療決策，提供跨團隊整合性照護。未來建議可設立跨領域團隊視訊電子平台，提升團隊成員及時溝通之時效性。冀望藉此護理經驗提供護理同仁，面對重大創傷病人之身體疾病照護時，更應重視外傷後情緒反應及心理調適過程。
並列摘要
This case report describes the experiences of nursing an adult male patient who suffered from right rib fractures with pneumothorax, liver laceration, and right patella and tibia-fibular fractures with a degloving injury after falling from a five-story building. During the nursing period from July 3^(rd) to July 30^(th), 2015, we collected valuable data by listening, observing, and interviewing, as well as assessing physically. Based on the nursing assessment, the patient's health problems were identified as follows: pain, impaired physical mobility, and anxiety. During hospitalization, a trauma surgeon, occupational medicine physicians, nurses, social workers, dieticians, and physiotherapists provided a high quality of care for this patient. They encouraged the patient and his family to make medical decisions with the medical team members. In the future, multidisciplinary team members may create an electronic platform for sharing information to improve communication with each other. It is hoped that, by sharing this nursing experience, nursing staff may enhance their ability to assist patients with major trauma and help them maintain their quality of life.