- 期刊
一位肝性腹水及肝性腦病變病人的加護護理經驗
The Intensive Nursing Experience of a Hepatic Ascites Patient with Hepatic Encephalopathy
摘要
本篇個案報告旨在描述一位肝性腹水及肝性腦病變病人於加護病房之護理經驗（104.6.10-104.6.16），筆者於個案照謢期間運用會談、觀察、身體評估及查閱病歷等方式收集資料，並以Gordon十一項功能性健康型態進行整體性評估，確立個案有呼吸道清除功能失效、體液容積過量、焦慮等三個主要護理問題，筆者經由探討肝硬化常見併發症可能產生之護理問題，闡明文獻中相關之學理與概念，再透過擬定適當的護理計畫及提供適當之護理措施以改善個案的護理問題，進而提升病人生理及心理的舒適，並能於評值護理措施成效後做適時的修正，使得個案的護理問題獲得改善。期盼能藉由本文提供護理人員於臨床上照顧肝性腹水及肝性腦病變病人之參考，進而提升照護此類病人的護理品質。
並列摘要
The article discusses the intensive nursing experience of a patient who suffered from hepatic ascites and encephalopathy. During the nursing period from June 10, 2015 to June 16, 2015, Gordon's Functional Health Assessment Tool was used and pen-and-paper communication, systematic observation, as well as medical record review were utilized to collect data. According to the results of data analysis, major health problems encountered by the nurse included ineffective airway clearance, fluid volume excess and anxiety. The author clarifies the relevant theories and concepts in the literature by discussing the health problem that liver cirrhosis might cause. Physiological and psychogenic comfort were enhanced through making a complete nursing plan and offering appropriate nursing interventions; furthermore, some modifications were made to improve the health problems after evaluating the nursing interventions. This nursing experience serves as a reference for clinical nurses who care for patients with hepatic ascites and encephalopathy, thus advancing the quality of nursing.
參考文獻
延伸閱讀
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