照護一位重覆經歷腦血管意外病人之護理經驗

The Nursing Experience of a Patient with Recurrent Cerebrovascular Accident

林芳琪(Fang-Chi Lin) ； 黃煒淇(Wei-Chi Huang) ； 王玉真(Yu-Jen Wang)

《長庚科技學刊》 19期 (2013/12) Pp. 151-161

https://doi.org/10.6192/CGUST.2013.12.19.13

摘要

本文探討一位重覆經歷腦血管意外病人之護理經驗，照護期間自2010年1月15日至1月28日。運用Gordon功能性健康評估指引，藉由觀察、會談及身體評估方式進行資料收集，確立「營養不均衡：多於身體需要」、「身體活動功能障礙」與「無力感」之健康問題。教導病人及家屬食物選擇及熱量控制原則，以達到體重管理；協助病人執行復健運動，增強肌肉力量及維持身體平衡，亦教導病人了解腦血管意外的病因、進展和預後，重建自主性生活型態與改善無力感。未來，建議醫院能設置腦血管意外個管師，於病人返家後持續監控用藥、復健及飲食狀態，以降低復發率。

關鍵字

腦血管意外 ； 腦中風 ； 無力感

並列摘要

This article describes the nursing experience of a patient with recurrent cerebrovascular accident. The period of nursing care was from January 15th to January 28th, 2010. The Gordon's functional health pattern assessment was used to collect data through observation, interviews, and physical examinations. Three health-related problems were identified as imbalanced nutrition: more than body requirements, impaired physical mobility, and powerlessness. The author instructed the patient and family regarding food choices and calorie control principles for weight management, and assisted this patient in implementing rehabilitation exercises for increasing muscle power and maintaining body balance. The patient was also taught about the etiology, progression, and prognosis of a cerebrovascular accident in order to rebuild an autonomous lifestyle and lessen feelings of powerlessness. We suggest that in the future cerebrovascular accident case managers could be assigned to such cases, so as to monitor medication utilization, rehabilitation, and dietary status, efforts which could reduce the recurrence rate.

並列關鍵字

cerebrovascular accident ； stroke ； powerlessness

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