照顧一位慢性阻塞性肺疾病病人的護理經驗

The Nursing Experience for a Patient of Chronic Obstructive Pulmonary Disease

此報告主要是在探討一位60歲慢性阻塞性肺疾病的男性病人，在民國90年01月03日～90年01月17日照護期間經由羅氏適應護理模式評估，發現個案因疾病造成了氣體交換障礙、活動無耐力、營養狀態改變及無望感等問題。經由筆者計劃性護理之後，呼吸不暢的情形得以改善，恢復氣體交換功能，個案能坦然面對自己的疾病，並經由簡單的自我照顧活動訓練，增加活動耐受力，以達到提昇日常生活自我照顧能力，減少疾病復發。個案於出院時活動耐力仍顯不足；在心理方面，個案產生的無望感雖經由鼓勵後，信心增加，但隨病程變化，仍會反覆產生沮喪，故須透過持續護理以增加病人的信心。

This article described the nursing experiences of a 60 years old male patient with chronic obstructive pulmonary disease (COPD). The patient was assessed by Roy's Nursing Care model from the third of Jananury to the 17th in 2001. The patient presented COPD induced gas exchange impairment, activity intolerance, nutrition alteration, and hopeless feeling. The function of gas exchange has been improved after an appropriate nursing plan was provided. The patient was trained for caring himself to face the reality of the disease, to increase tolerance of activity, to improve his ability to function daily activities normally, and to reduce the chance of COPD relapse. Upon being discharged, insufficient of increasing tolerance of activity was found and repeated depression still presented. Continuing supportive program to increase his confidence was suggested to ensure a better prognosis of this patient.