一位譫妄病患的護理經驗

The Experience of Caring a Delirium Patient

本篇主探討一老年器質性譫妄個案住院期間之護理經驗。藉由良好治療性人際關係，建立個案的舒適感及信任感；並評估個案有睡眠型態紊亂、自我照顧能力缺失、思考過程紊亂和家庭因應能力失調等四項護理診斷。一個月的護理期間，提供個案個別性的護理措施，使其譫妄症與護理問題獲得改善；同時促使家屬了解照顧個案之方法。因此，照護譫妄病患最重要是護理人員的治療性關係與個別性護理措施。筆者希望提供此次照護經驗於其他專業護士參考。This article described a nursing experience of caring a hospitalized elder with organic delirium. To establish the sense of comfort and trust, therapeutic relationship was applied to the client. During one-month period, four nursing diagnoses were made, including sleep-pattern disturbance, self-care deficit, thought process disturbance and disabling family coping. The nurse planned individual interventions, taught the client's family how to manage her syndromes, and solved the client's problems. Therefore, a therapeutic relationship and individual nursing interventions are the most important things in caring a delirium client. The author would like to present this case report to other professional nurses.