照顧一位慢性阻塞性肺疾病病人脫離呼吸器之護理經驗

Nursing Experience of a Chronic Obstructive Pulmonary Disease Patient with Ventilator Weaning

陳美偵(Mei-Chen Chen) ； 陳淑卿(Shu-Ching Chen) ； 蔡佳憓(Chia-Hui Tsai)

《若瑟醫護雜誌》 8卷1期 (2014/08) Pp. 114-129

摘要

肺部復健運動可增加肺部通氣及活動耐受力。本篇探討一位慢性阻塞性肺疾病個案於加護病房脫離呼吸器之護理經驗。自2012年3月22日至2012年4月2日持續性的護理期間，藉由羅氏適應模式進行評估，以直接照護、觀察、同理心詢問、與家屬會談和病歷查閱等方式收集資料，確立其健康問題有：低效性呼吸型態、活動無耐力及睡眠型態紊亂，護理措施包括：肺部復健訓練，個別化復健計劃，調整環境擺設，安排安寧環境，正念思考，維持支持系統，協助個案成功脫離呼吸器。提供此次經驗分享，以利護理人員照顧此類病人之參考。

關鍵字

慢性阻塞性肺疾病 ； 肺部復健運動 ； 脫離呼吸器

並列摘要

Pulmonary rehabilitative exercise can enhance lung ventilation and activity endurance. This paper described the nursing experiences of a patient with COPD during ventilator weaning at intensive care unit. The nursing period was from March 22, 2012 to April 2, 2012 and the authors applied collected direct care, observations, empathy inquired, interviewed families, and chart review along with use of Roy's adaptation model. Results from this nursing experiences found that patients had ineffective breathing pattern, activity intolerance, and disturbed sleep pattern health problems. During the period of hospitalization, the author provided lung rehabilitation training, individualized rehabilitation program, adjusting environment arrangement, peaceful conditions, positive thinking and maintain support system to help successful weaning ventilator. This experience could be a reference for clinical care to similar patients in the future.

並列關鍵字

chronic obstructive pulmonary disease ； pulmonary rehabilitative exercise ； ventilator weaning