- 期刊
照顧一位因腹痛長期住院青少女之護理經驗
Nursing an Adolescent Requiring Long-Term Hospitalization
摘要
此篇為照護一位因腹痛住院達三個月的十三歲青春期少女，個案過去半年的求醫經驗，導致對醫護人員的不信任。故筆者於民國2008年11月14日至12月5日期間，運用Gordon十一項功能性健康型態模式進行完整的評估，確認個案的護理問題：疼痛、營養少於身體需求和因感受障礙造成無效性健康維護能力。過程中評估腹痛的原因及利用藥物及心理的支持，減緩疼痛的不適；在營養少於身體需求的方面，讓個案有自主能力且和醫護人員共同訂定需要的熱量和食物的種類，並採漸進式的進食方式，達到身體所需的熱量；在無效性健康維護能力方面，發揮同理心、支持性和傾聽的方式，重建病患對於醫護人員的信任感，並提供適當的護理措施以符合該階段發展的需求，促進身體和心靈的安適、重建對醫護人員的信任、幫助個案重回家庭、學校及社會。
並列摘要
A 13-year-old girl was hospitalized for 3 months with abdominal pain. During the preceding 6 months, she had seen a number of doctors who were unable to manage her problem. As a result, she had difficulty trusting medical providers. The author cared for her for 2 weeks. Based on Gordon's 11 functional health patterns, three nursing problems were indentified: pain, inadequate nutrition to meet body requirements, and a cognitive-perceptual problem because of ineffective health care. An assessment of the etiology of the abdominal pain, use of medications, and psychological support decreased the patient's pain. We encouraged her sense of autonomy by having her participate in the setting of nutritional goals with regard to needed calories, the choice of food groups, and methods of intake in order to meet her body's metabolic demand. Her distrust of health care providers was addressed by empathy, encouragement, and listening. We also provided appropriate nursing interventions to meet the patient's physical and spiritual developmental needs, to rebuild a trust relationship with medical providers, and to prepare the patient to return to home, school and community.