一位無力感之腦中風患者的護理經驗

Nursing a Patient with Feelings of Powerlessness after a Stroke

本文描述一位51歲男性病患，因中風導致活動障礙，面對這突如其來的衝擊，心情沮喪，對疾病的恢復及未來感到茫然且失去信心，而產生無力感。筆者以Miller七個力量來源為中心概念做評估指引，由觀察、傾聽及會談方式收集資料，透過專業及適切性的護理過程，協助個案正視本身之無力感，鼓勵表達其感受，進而增強復健動機並參與治療來促進身體功能的恢復，提升控制感來克服生活障礙，使個案能增強力量與信心，克服無力感，進而重新找到生命的意義與價值，成功的重返職場，開創新的人生。希望藉此經驗提供護理同仁照護類似病患時，能運用及發揮護理獨特功能，引導個案克服人生的無力感，以提升照護品質。

A 51-year-old man suffered a stroke, causing physical impairment, seriously impacting his life. This led to feelings of depression, loss of confidence, and feelings of powerlessness. During the patient's hospitalization, the author applied the core concept of Miller's power resource to assess the patient's health condition through observation, interviews, and listening. Applying professional, appropriate nursing care, the author helped the patient face his feelings of powerlessness, encouraged him to express his feelings, enhanced his motivation to participate in a rehabilitation program, improved his confidence to overcome obstacles and powerlessness, and helped him find meaning and value in life. Consequently, he gained power and could care for himself well, and return to his career. This case report provides a reference for nurses taking care of patients with feelings of powerlessness. Professional nursing care was applied to achieve comprehensive care.