一位海洛因成癮引發肺水腫病患之護理經驗

The Nursing Experience ofCaring Pulmonary Edema in a Heroin Addict

藥物濫用危害身心健康，本文針對一位吸食海洛因引發肺水腫之個案於加護病房期間的護理經驗。筆者於2006年5月4日至6月7日照顧期間，運用Gordon十一項功能性健康型態為架構，透過觀察、會談及身體評估方式進行資料收集與評估，確立個案有低效性呼吸型態、急性疼痛、無效性因應能力等健康問題。經多次給予陪伴、鼓勵、關懷、抒發情緒，並間接協助個案增進與家人的互動，使其更加強戒毒的決心。同時透過與其他醫療人員共同合作，協助安排戒毒計畫，並持續關懷、追蹤，使個案逐步脫離毒品危害，提升生命品質。期許本文能作為日後相關照護經驗之參考。Drug abuse can be detrimental to a person's physiological and psychological health. This report discusses the nursing experience of caring a pulmonary edema patient complicated by heroin addiction in an intensive care unit. Data collection and analysis from May 4 to June 7, 2006 were done within the framework of Gordon functional health pattern through observation, intervention, and physical examination. These nursing diagnoses were ineffective breathing pattern, acute pain, and ineffective coping. Based on the findings, we encourage the client abstinence from using drugs by accompaniment, encouragement, empathy, and the need to help the client to increase interaction with family. We also cooperate with other health care providers to arrange abstinence plan, continuing giving sympathy and follow-up to help the client to quit using drugs and to increase life quality. This nursing experience can be used as a good example for taking care of patients with similar problems.