運用羅氏適應模式於一位左手截肢患者之護理經驗

Nursing Experience of a Patient with a Left Hand Amputation Using Roy’s Adaptation

本篇個案報告是協助一位因工作意外導致左手截肢患者，面臨身體外觀及功能改變時，其生、心理調適過程之護理經驗。照護期間筆者以直接觀察、傾聽、會談等技巧收集資料，並運用「羅氏適應模式」評估及確立健康問題，發現個案有：疼痛、身體心像紊亂、自我照顧能力缺失∕穿著或修飾等健康問題。在筆者深入探討、關懷協助下，提供個案個別化及合適之護理措施，使個案能有信心面對創傷，並解決住院期間的不適，以及積極學習後續照護方法，以祈求返家後能享有自我照顧能力，維持更佳的生活品質。

This report describes nursing experience when assisting a patient who had undergone a left hand amputation caused by an occupational accident. The patient suffered from an altered body image and functional disabiliy. Over the nursing period, the author applied the skills of observation, listening and conversation to collect data and also used Roy's adaptation model to assess and improve the patient's health issues. The results showed that there were pain problems, body image disturbance and self care deficits in dressing and grooming. Through this process, it was possible to provide individual and appropriate nursing interventions that helped the patient to face his disability and supported him as he learned how to care himself at home. Thus, it was possible to promote his self-care abilities and improve his quality of life.