照顧一位胸椎狹窄併僵直性脊椎炎患者之護理經驗

Nursing Care Experience of a Patient with Thoracic Spinal Stenosis and Ankylosing Spondylitis

陳美玲(Mei-Ling Chen) ； 許貴英(Kuei-Ying Hsu)

《醫護科技學刊》 9卷3期 (2007/07) Pp. 222-233

https://doi.org/10.6563/TJHS.2007.9(3).5

摘要

本文是探討一位胸椎狹窄併僵直性脊椎炎患者之護理經驗，護理期間95年5月8日至95年6月7日，筆者藉由觀察、會談、身體評估、檢驗數據、護理活動等資料，以“Gorden十一項健康功能型態”爲評估架構，確立個案有便秘、睡眠型態紊亂、身體活動功能障礙、無力感等健康問題。在護理過程中筆者以同理心、真誠的態度協助個案在生理及心理的雙重衝擊下，與個案共同面對疾病所帶來的壓力，增加對疾病的認知，協助尋求可運用的社會資源，並透過宗教的靈性支持以提昇其自信心，促進積極的生活觀，讓個案能勇敢面對自己的疾病，運用有限的肢體能力來適應新生活。

關鍵字

胸椎 ； 脊椎狹窄 ； 僵直性脊椎炎

並列摘要

This article describes an experience in providing nursing care for a patient with thoracic spinal stenosis and ankylosing spondylitis. The patient received nursing care from May 8 to June 7, 2006. Assessed with Gordon function health status model, the patient was under physiological and psychological stress and exhibited health problems including constipation, sleep pattern disturbance, impaired physical mobility, and powerlessness. Nursing care for this patient focused on maintaining physical activities and availing himself social, religious, and spiritual resources. Eventually, the patient bravely faced his disease and began to adapt to his new life with limited limb morbidity.

並列關鍵字

Thoracic vertebral ； spinal stenosis ； ankylosing spondylitis

參考文獻

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