運用羅氏適應模式於一位腦下垂體腫瘤患者之護理經驗

Nursing Experience of Using Roy's Adaptation Model on a Pituitary Tumor Patient

蔡佳君(Chia-Chun Tsai) ； 蔡富棉(Fu-Mian Tsai)

《榮總護理》 25卷1期 (2008/03) Pp. 85-91

https://doi.org/10.6142/VGHN.25.1.85

摘要

本文旨在探討一位腦下垂體腫瘤患者術前焦慮及術後遭遇尿崩的護理過程，筆者於照護期間95年4月16日至4月27日，運用同理心、陪伴和關懷建立良好護病關係，並以羅氏適應模式為護理概念架構，評估病患並確立健康問題為：焦慮、潛在危險性跌倒及尿崩症照護，針對影響病患適應程度的行為及導因，提供適當護理措施，使病患心理及生理上的不適獲得改善，以及適應返家後尿崩的相關照顧。

關鍵字

腦下垂體腫瘤 ； 尿崩症 ； 焦慮 ； 羅氏適應模式

並列摘要

This article is to study the nursing process of pituitary tumor patient feeling anxiety in pre-surgery and contracting diabetes insipidus in post-surgery. The nursing period was from 4/16 to 4/27 in 2006. By using observation and direct nursing, performed with empathy, companion, and care to establish a good nursingpatient relationship. Roy's Adaptation Model was as used structure of nursing concepts to evaluate the patient and determine the nursing problems. This showed the condition of anxiety, potential danger of falls, and the lack of diabetes insipidus knowledge. According to the behavior and root causes influencing the patient, proper nursing process was applied to this case. This improved the patient's mental and physical states, and helped take care of diabetes insipidus after returning home. This nursing experience can be a reference for nursing staff in the future clinical nursing cases.

並列關鍵字

pituitary tumor ； diabetes insipidus ； anxiety ； Roy's adaptation model