照護一位嚴重急性呼吸道症候群病患之護理經驗

Nursing Experience of a Patient with Severe Acute Respiratory Syndrome

嚴重急性呼吸道症群所造成的恐慌與面對死亡的恐懼，不但病人受苦，其家屬也面臨身心煎熬，本篇個案報告是敘述一位中年婦女因照顧罹患嚴重急性呼吸道症群的兒子疏於防範而引發自身發病須住院治療，於住院治療隔離期間以Gordon十一項健康功能做為身心社會的評估，使用觀察、會談等技巧，評估發現個案之主要護理健康問題包括：呼吸道清除功能障礙、睡眠型態的紊亂、知覺剝削、社交隔離、及創傷後反應，筆者於照護期間運用關懷之態度建立信任感、治療性人際關係及相關護理措施，協助病患渡過生理上及心理上之危機，由於此類個案是臨床上少數特殊的病例，以此照護經驗分享以提供同仁照護此類個案時之參考。

The fear of death caused by Severe Acute Respiratory Syndrome (SARS) was not only a suffering to the patients but also a torture to their family. This paper reported the nursing experience of a middleage SARS woman who was infected by her son. The Gordon’s functional health assessment guide was used to identify health problems. There were five major nursing health problems, including ineffective airway clearance, disturbance of sleep pattern, sensory deprivation, social isolation, and post-trauma response. Nurse-patient relationship was built up by positive caring attitude and effective nursing intervention. The woman was therefore able to improve her coping ability to her physical and psychological crisis. Because the disease is rare, this experience is useful as a reference for caring similar patients in the future.