英文摘要 |
This article describes a nursing experience for a patient with interstitial lung disease. The patient appeared hopeless after repeated events of endotracheal intubation. The author used Gordon's Functional Health Pattern for patient assessment. Data were collected by means of observation, interview, and physical assessment. Three identified nursing problems are impaired gas exchange and severe tissue fibrosis of the lung associated with pulmonary alveoli and microvascular change, a feeling of hopelessness and a loss of confidence due to unstable conditions and repeated intubation, and family tension resulting from care issues after the tracheostomy. During the nursing period, the patient was provided with oxygen, periodic blood gas monitoring for balance, individual breathing training, and emotional support to help with the removal of the ventilator. Discussion with the healthcare team for the treatment plan and active caring helped relieve the patient's anxiety and fear of disease, assisted the family's coping with the hopelessness, and built up confidence in the team. Assistance was provided to the family in coping with the anxiety of issues associated with tracheotomy care. This nursing article emphasizes the importance of supporting patients and family members with anxiety. A good therapeutic relationship with the patient may assist the patient and family in coping with a disease's developing process. |