照顧初次罹患腦血管意外病患之護理照護經驗

A Nursing Experience of Caring for a Patient with Cerebrovascular Accident

本篇個案報告在於探討一位初次罹患腦中風，而導致身體功能障礙患者之護理經驗。筆者自2010年1月8日至1月25日護理期間應用Gordon之11項功能性健康型態評估為工具，運用觀察與會談技巧收集資料，個案主要呈現的護理問題為：1.身體活動功能障礙／與肌肉力量無力有關；2.焦慮／健康狀態改變有關；3.自我照顧能力缺失／與疾病導致肢體無力有關；4.排便型態改變／與活動不足有關。筆者在護理照護過程中以同理心的照護方式主動關懷，並耐心傾聽病人的照護問題，且積極提供醫療照護相關訊息及疾病衛教，與個案及主要照顧者建立良好的護病關係，進而協助個案以及主要照顧者能順利渡過疾病與復健治療過程。藉此護理經驗的分享，希望能提供護理人員照護類似病患之臨床照護參考資料。

This report describes a nursing experience for a patient with functional impairment secondary to cerebrovascular accident. The nursing period was from January 8 to 25, 2010. The author applied Gordon's 11 functionality healthy state appraisal as the tool for data collection and analysis. The four identified major nursing problems were (1) impaired functional activities related to muscle weakness; (2) anxiety associated with the change in heath status; (3) incapability of self-care due to loss of body function; and (4) altered bowel movement associated with insufficient activity. The author, with full empathy, attentively listened to the patient's needs and provided healthcare information for patient education. Through a good therapeutic relationship with the patient and caregivers, nurses were able to assist the patient in coping with the disease and receiving rehabilitative process. The author shares this nursing experience and hopes it may be used as a reference for the nurse taking care of the patient with stroke in the future.