運用羅氏理論照顧一位頸椎脊髓損傷病患之護理經驗

Nursing Experience of Applying Roy’s Adaptation Theory in Caring for a Patient with Cervical Spinal Cord Injury

本文是探討一位45歲中年女性因運動不慎導致頸椎脊髓損傷，接受頸椎外科手術後之護理經驗。照護期間為93年6月2日至6月11日，護理過程由直接護理病患、運用主動關懷、觀察等技巧蒐集資料，依生理功能、自我概念、角色功能、相互依賴等四種羅氏之概念架構，發現其健康問題有：身體活動功能障礙、感覺及知覺改變、及無力感。教導被動運動及協助下床活動，維持身體皮膚的完整性，並協助重建自我價值，藉此報告之討論，期能於專業的領域中，做經驗之分享。

This article described the nursing experience for a 45 years olds female with cervical injury after operation. The duration of nursing care by author was between June 2 and June 11, 2004. The method of data collection included directive care, initiative caring, and professional observation. Based on Roy’s adaptation model, the author assessed four dimensions of the patient, including physical mode, self concept mode, role performance mode, and interdependence mode. There were three major problems identified, including impaired physical mobility, sensory perceptual alterations, and powerlessness. Nursing care plans were designed to instruct patient doing passive exercise, assist the patient with daily activities, maintain her skin integrity, and reconstruct her self-esteem. This report shared the experience of caring for spinal cord injured patients.