中文摘要 |
本報告為一位糖尿病、高血壓、心臟病長期慢性之患者,因深頸部感染而壓迫呼吸道並一度危及生命。深頸部感染是一急性且迅速持續性的嚴重感染症,易造成窒息、敗血症等後遺症,致死率相當高。在耳鼻喉科的領域裡,深頸部感染可說是一大急症,對醫護人員更是一大挑戰。病患住院期間,筆者運動整體性評估及護理的獨立功能:身體評估、觀察、同感心等,發現個案有高危險性窒息、疼痛、營養少於身體需要、皮膚完整性受損及照顧者角色緊張之護理問題。並對深頸部感染之護理作建議,以提供日後照顧的參考。This is a case study of an elder woman that suffered from deep neckinfection. Deep neck infection is an acute, severe infectious disease. Thedisease may threaten life due to the complications of suffocation and sepsis.The woman had suffered from several chronic diseases such as DM, hypertension, hepatitis and arthritis for many years. Deep neck infection also resulted inimpending suffocation and threatened her life during the initialhospitalization. However, she was successfully relieved without complication.This study discussed the nursing diagnoses of high risk of suffocation, pain, nutrition less than that of body requirements, impaired integrity of skin andthe strain on the caregiver and also suggested the nursing intervention and carefor the future. |