照顧一位長期使用避孕藥導致腦部靜脈栓塞病患之護理經驗

Long Time Use of Oral Contraceptives

本報告為照顧一位長期使用避孕讀物導致腦部靜脈桂塞中風的年輕女性之護理經驗，照顧期間發現其因突發性的身體活動功能障礙無法適應，對於未知的疾病發展深感焦慮不安，故引發筆者探討的動機。護理期間為2013年2月3日至2013年2月18日，筆者利用Gordon十一項健康功能評估架構，藉由會談、觀察、傾聽及身體評估等方式資料收集，發現個案有身體活動功能障礙、自我照顧能力缺失及焦慮等健康問題。藉由協助個案採漸進式的肢體復健、自我照顧技巧的訓練、鼓勵個案表感受與擔憂事項，給予完善的病情解釋與醫護溝通，協助個案與家屬對自我疾病與復健過程的了解，漸漸地個案身體功能恢復，且自我照顧能力漸漸提升，有較佳的生活適應。近年來中風疾病有年輕化的趨勢，護理人員應接受相關的照顧課程來提升相應對照顧能。

This article describes a young woman with stroke and cerebral venous thrombosis secondary to long-time use of oral contraceptive pills. The patient suddenly suffered from a lack of physical functioning and felt deeply anxious about the unknown progress of her disease, which triggered the author's motivation for probing. The nursing period was from February 3 to 18, 2013. With Gordon's 11 functional health patterns assessment tool, data were collected through interviews, observation, listening, and physical examination. Based on data analysis, the patient's health problems included physical dysfunction, lack of selfcare ability, and anxiety. Through assistance of progressive physical rehabilitation and selfcare skills training, encouragement of self-expression of internal feelings and concerns, provision of comprehensive explanation of disease, and mutual communication, the patient and her family members better understood the disease and its rehabilitation process. The patient gradually recovered physical function and became more capable of self-care and adaptation to daily activity. In recent years, there has been a trend of stroke in the younger generations; therefore, nurses should take relevant courses for promoting the ability to take care of young stroke patients.