一位創傷性脊髓損傷患者無望感之護理經驗

Nursing Experience of Hopelessness for a Patient with Spinal Cord Injury

廖芳綿(Fang-Mien Liao)

《長庚護理》 16卷2期 (2005/06) Pp. 214-225

https://doi.org/10.6386/CGN.200506_16(2).0010

摘要

本文是探討一位車禍後脊髓損傷患者無望感之照護經驗。於護理期間運用田野研究法透過觀察、會談、傾聽等技巧收集資料，完成十五篇行爲過程記錄。依據賀斯希望指標（認知／時間、情感／行爲、歸屬／關係層面）爲評估指引，確認個案有焦慮、無望感等主要護理問題。首先，在照護期間運用人性關懷與個案建立信任的護病關係，逐漸深入了解其擔心、害怕。藉由從提供社會資源、介紹成功案例，以及不斷地經予鼓勵，恢復其價值信念及希望感受，進而重新思索生命意義，最後協助個案渡過無望感。

關鍵字

創傷後反應 ； 脊髓損傷 ； 無望感 ； 靈性照護 ； 希望

並列摘要

The study described the nursing experience of caring for a patient with spinal cord injury and the subsequent hopelessness after car accident. The study employed field research method by means of observation, interview, and listening techniques to collect data. After that, fifteen processing records were completed and analyzed. In this study, Herth Hope Index (Cognitive-temporal dimension, Affective-behavioral dimension, Affiliate-contextual dimension) was adopted to identify that the patient’s major nursing problems included anxiety and hopelessness. According to human caring, the trust relationship between the patient mid the nursing staff was hence created. Moreover, the patient's worries and fears were gradually revealed by in-depth and frequent interactions. Secondly, for the purposes of maintaining value-belief and hope, the patient was successfully encouraged by introducing sonic social resources and inspirational cases. Consequently, the patient has been progressively encouraged to recover her self-confidence and consider the deeper meaning of life. Accordingly, the patient conquered the hopelessness.

並列關鍵字

post trauma response ； spinal cord injury ； hopelessness ； spiritual care ； hope