一位顱內出血病患術後於加護病房之護理經驗

Nursing Experience of Caring a Patient with Intracranial Hemorrhage Post Craniotomy in ICU

本篇是敘述一位89歲男病患因為跌倒導致顱內出血，術後於加護病房之護理經驗。因腦部遭受創傷伴隨的神經損傷，影響病患之肢體活動及自我照顧能力，腸道之消化吸收、排泄及家屬之角色適應等。筆者嘗試運用Gordon十一項健康功能評估，針對病患的生理、心理、社會及靈性做整體性評估，確認病患健康問題包括營養狀況改變、排便型態改變、身體活動功能障礙、自我照顧能力缺失、照顧者角色緊張。透過護理專業提供個別性的護理措施及指導，以減輕因疾病所致之不適，進而促使病患穩定地恢復，更改善照顧者的緊張與不安。

This case report indicating a nursing experience ofcaring a 89-years male patient with intracranial hemorrhage post craniotomy in an ICU. Due to brain injury with neurology dysfunction, it resulted in the influence of this patient, physical movement, self-care, bowel function, and family role. The primary nurse performed the assessments of health problems by Gordon model, and specializing in physical, mental, social and spiritual assessment of the patient. By the above approaches, I tried to list the health problems of this patient, including nutrition imbalance, change of bowel habits, physical impairment, deficit in self-care, and anxiety of his caregivers. To reduce this patient suffering, render his steady recovery, and ease caregivers?anxiety, individualized assistance and instruction by pro-fessional nursing experts are needed.