- 期刊
照顧一位格林－巴瑞症候群患者之護理經驗
A Nursing Experience of Client with Guillain-Barre' Syndrome
摘要
本文探討照顧一位格林－巴瑞症候群(Guillain-Barre' syndrome)患者之護理經驗。護理期間自2008年10月29至11月14日，筆者藉由觀察、會談與身體檢查與評估等方法收集資料，基於Gordon十一項健康功能型態評估發現個案出現肢體障礙活動問題，更對從未聽過的疾病與治療預後產生未知的焦慮與害怕，歸納共三個主要護理問題：身體活動功能障礙、知識缺失（特定於此罕見疾病之相關知識）、焦慮。筆者藉由提供疾病與治療相關衛教訊息，並設計床邊活動與心理支持，進而提昇個案對疾病與治療認知，減輕焦慮產生。後期協同安排恢復期的復健活動，降低殘障的發生，提升個案在住院中之安全照護。
並列摘要
This article discusses nursing care experiences of a client diagnosed with Guillain-Barre' syndrome. During the period of caring, methods such as observation, interview, and physical examination were used to collect clinical data. The patient exhibited difficulty in movement of limbs and fear of treatment and prognosis of this rare disease that the client had never heard before. Based on the Gordon's eleven Function Health Patterns Assessment, this author generated three nursing diagnoses: (1) Impaired physical mobility. (2) Knowledge deficiency (specifically lacking knowledge related to this rare disease). (3) Anxiety. Nursing interventions included supplying educational teaching that focused on disease process and treatment plan, scheduling nursing activities at bedside, providing mental support, and consulting for rehabilitation. The client recognized the disease process and treatments, experienced reduced anxiety and disability, and client's physical function was promoted during hospitalization.
延伸閱讀
- 張家瑜（2019）。一位格林－巴利症候群患者併無望感病人之加護照護經驗。領導護理，20(4)，55-67。https://doi.org/10.29494/LN.201912_20(4).0005
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- 黃維淑（2010）。照顧一位巴拉刈中毒病患之護理經驗。高雄護理雜誌，27(2)，44-54。https://doi.org/10.6692/KJN-2010-27-2-5
- 林小萍、呂沛晴（2014）。一位格林－巴瑞症侯群病人面臨突發性身體活動功能障礙之護理經驗。馬偕護理雜誌，8(1)，62-75。https://doi.org/10.29415/JMKN.201401_8(1).0006
- 羅子涵、陳芷萱、金瑞美、陳虹如、林佩儀（2021）。Nursing Experience of Caring for a Young Woman with Guillain-Barré Syndrome。馬偕護理雜誌，15(2)，23-34。https://doi.org/10.29415/JMKN.202107_15(2).0003