中文摘要 |
本文描述一位罹患杜顯型肌肉萎縮症的患者因呼吸衰竭而入院的照護過程,照護期間自2008年5月1日至2008年5月20日,以Gordon十一項健康功能評估方式收集分析資料,歸納出個案出現的健康問題包括:低效性呼吸型態、呼吸道清除功能失效、焦慮及身體功能活動障礙等四個護理問題,並且在護理過程中以主動關懷、持續照護模式與病人及家屬建立良好的互動;配合醫護措施,擬訂個別性護理計畫,提供適切的衛教活動來協助個案改善現存性的健康問題。The article described the nursing experience of a patient with respiratory failure secondary to the Du Xianxing muscle atrophy. With the Gordon's 11 Health Function Appraisal, the data were collected and analyzed during the period of nursing care from May 1 to May 20 2008. Four identified nursing diagnosis were:low efficacy of respiratory pattern, impaired elimination of respiratory secretion, anxiety, and impaired functional mobility. The nursing interventions were implemented through proactive concern, continuity of care, and good patient-nurse interaction. The main nursing activities included the coordination of medical treatments, designation of an individualized nursing care plan, and provision of patient education to improve the existing health problems. |