一位老年患者接受全膝關節置換術的護理經驗

The Care of an Old Age Patient after Total Knee Replacement: A Nursing Experience

黃璿樺(Shiuan-Hua Huang) ； 傅家芸(Chia-Yun Fu)

《領導護理》 10卷2期 (2009/08) Pp. 70-80

https://doi.org/10.29494/LN.200908.0007

摘要

本文探討一位80歲老年患者接受全膝關節置換術的護理經驗。在個案的護理過程中，筆者運用Gorden十一項功能性健康型態評估，以觀察、會談、身體評估收集資料，確認個案有焦慮、急性疼痛、身體活動功能障礙等健康問題。針對上述健康問題，筆者依個案之個別性擬定護理計劃，並依身、心、靈三方面設計護理活動，以減輕個案的焦慮、術後疼痛、恢復其活動功能。希望藉此次的護理經驗，提醒骨科護理人員，老年人是關節重建的最大族群，應賦予更多關懷及照顧，以提昇其生活品質。

關鍵字

老年人 ； 全膝關節置換術 ； 焦慮 ； 疼痛

並列摘要

Hereby, We present a nursing experience of an 80 years old patient after total knee replacement. During this process, we used Gordon's 11 Functional Health Patterns to assess the patient, by observing, consultation and physical assetment of the patient; we collected the information wheather the patient encounter anxiety, acute pain, physical activity disturbance etc problems. Answering the above mentioned problems, We designed a caring plan in coherance to the patient characteristic, focusing on physical, psycholgical and spiritual aspects of the patient, we designed a nursing plan to reduce the anxiety, to reduce the post operative pain and to improve the activity of the patient. We wish to share this experience with other collegues, since the old age populations remained the major population receiving Total Knee Replacement, need extra care and attention to improve their life quality.

並列關鍵字

Old age ； Total Knee Replacement ； Anxiety ； Pain