一位骨盆骨折患者行骨外固定術之手術全期護理

The Perioperative Nursing of a Patient with Pelvic Fracture and External Skeletal Fixation

本文是描寫照護一位骨盆骨折患者行骨外固定術之手術全期護理經驗。筆者於93年5月29日至93年6月13日護理期間，藉由持續性的會談、觀察及應用Orem理論進行護理評估，並以手術全期照護模式為基礎，收集個案手術前中後資料，分析並確立其健康問題。過程中發現，個案所面臨的護理問題有手術前期：急性疼痛及焦慮；手術中期：潛在危險－感染及損傷；手術後期：特定知識缺失及潛在危險性損傷。在照護過程中，筆者針對個案的問題擬訂護理計劃，協助其安全渡過手術期，並順利進入復健階段，並促進其日後自我照顧的能力。

This case report describes the perioperative nursing of a patient suffering from a pelvic fracture with external skeletal fixation. During the nursing period from May 29, 2004 to June 13, 2004, Orem’s theory and a perioperative nursing care model were used to assess the problems of acute pain, anxiety, potential risk of infection, lack of knowledge and potential dangers during the perioperative period. During the process of caring for this patient, the author designed nursing programs to cover different scenarios. This was in order to facilitate the patient surviving the surgery and the process of disability safely, and to nurture self-care, and so successfully proceed to recovery.