協助一位中年婦女面對車禍喪偶及下肢骨折手術之護理經驗

本篇個案報告旨在協助一位中年婦女面對車禍喪偶及下肢骨折手術之護理經驗。護理期間自2011年6月10日至2011年6月16日運用Gordon十一項評估，藉由觀察、會談、身體評估等方式收集資料，在評估後發現個案主要的護理問題為急性疼痛、焦慮、哀傷及潛在危險性感染等護理問題，在此過程中藉由外科病房護理人員的關懷、接受、支持技巧與個案建立良好的護病關係，提供個案手術護理資訊與指導，協助減輕個案的疼痛和焦慮，個案於術後無感染及併發症發生，同時也提升個案對骨折的了解及相關照護能力，並在護理人員的引導及陪伴下，協助個案喪偶之哀傷調適，希望藉由此次的護理經驗，可提供外科病房護理人員照護此類似個案之參考，正視個案哀傷的問題，給予持續性的關懷照護，以提升臨床之照護品質。

關鍵字

口腔癌；無力感；家庭因應

並列摘要

This case report demonstrated the nursing care experience for a middle-aged woman suffered from lower extremity fracture and spousal bereavement in road traffic accident. The nursing care period was from June 10th to 16th of 2011. With application of Gordon's 11 Functional Health Pattern Assessment, data was collected by using interview, observation and physical assessment to provide a framework to address spiritual, physiological and psychological needs. The nursing diagnosis and care plans included acute pain, risk for infection, anxiety and grief. Prior to the surgery, nurses used the methods of caring, empathy and supportive skill to build a good nurse-patient relationship, provided psychological support, adequate information and guidance for her surgery to reduce pain and anxiety post-operatively. Through professional support, teaching, and supportive technique, all these may have contributed to successful recovery for patient without post-operative infections and complications. All these may have contributed to successful recovery for the patient. This case report described how the nurse facilitated this case and assisted the woman though the grieving process. The author helped the woman to face the grief from the loss of her spouse, to overcome the difficult adjustment to life after her spouse's death, and to establish new relationships with external support system by consoling the patient regarding her situation and providing proper advices. It is hoped that this case report will help nursing staffs to be more sensitive to provide proper grief care and assist patient to adapt to a new life.

並列關鍵字

lower extremity fracture ； acute pain ； anxiety ； risk for infection ； grief

被引用紀錄

許雯婷、李怡珍（2019）。一位全髖關節置換術老人的術後護理經驗。高雄護理雜誌，36(1)，79-90。https://doi.org/10.6692/KJN.201904_36(1).0008

黃筱瑄、郭貞嬋（2021）。一位多處肋骨併左鎖骨骨折術後病人之照護經驗。長庚護理，32(1)，93-103。https://doi.org/10.6386/CGN.202103_32(1).0008

國際替代計量

協助一位中年婦女面對車禍喪偶及下肢骨折手術之護理經驗

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