一位腰椎骨折脫位之外籍看護工之居家護理經驗

本文描述一位墜樓造成腰椎骨折脫位的外籍勞工，因下肢癱瘓無法執行工作，面臨需遣送回國的居家護理經驗。護理期間自2008年12月14日至2009年7月15日止，共居家訪視15次、電話聯繫10次。筆者利用居家訪視之會談、實際觀察、身體評估及電話連繫進行資料收集，依羅氏適應理論之概念架構，發現個案主要護理問題有：身體活動功能障礙、便秘、無力感。經過漸進式的肌力、肢體活動、移位、排便訓練護理措施後，個案從只能在床上稍微翻身，到結案時個案能自行從床上移至輪椅、自行沐浴且恢復正常排便，對於未來更有勇氣面對，不再自怨自憐。因個案為外籍勞工，照護費用經由與勞工局、健保局及仲介公司相互溝通諮詢後，得以圓滿解決。希望分享此護理經驗供護理人員照護外籍勞工病患與腰椎骨折脫位患者之護理實務參考。

關鍵字

外籍看護工；腰椎骨折脫位；居家照護；活動功能障礙；便秘

並列摘要

The article described a home health nursing care for a foreign worker who suffered lumbar fracture and dislocation after fall accidentally. She was unable to perform work in the paralyzed lower limbs need to repatriate. The period of nursing was from December 14th in 2008 to July 15th in 2009. During this period, home-based visits and telephone-based interviews were totally done 15 and 10 times respectively. Data was collected by interview, direct observations, physical examination and telephone visit. Based on Roy's adaptation model, the author identified three major health problems, including physical activity dysfunction, constipation, and powerlessness. After progressive muscle strength, physical activity, shift, defecation training, the case can move from her bed to the wheelchair, take a bath independently and return to normal defecation. She was even more courage to face the future, no longer felt powerlessness. The case was foreign worker, hence, medical and care costs were satisfactorily resolved through consulting with the Labor Bureau, the National Health Insurance Bureau and the agency. This case report provides a reference for nurses taking care of patients with foreign home care worker or lumbar fracture and dislocation.

並列關鍵字

foreign worker ； lumbar fracture and dislocation ； home care ； physical activity dysfunction ； constipation

國際替代計量

一位腰椎骨折脫位之外籍看護工之居家護理經驗

未授權

主題瀏覽