一位外籍流感併發重症患者之加護護理經驗

Nursing Experience in Intensive Care Unit for a Foreign Patient with Severe Complicated Influenza

根據衛生福利部疾病管制署統計，臺灣2016年流感併發重症死亡人數為近三年最高。不同的文化、語言，加上所處環境適應的改變，將使外籍患者於住院時承受更大的壓力。本文探討一位外籍流感併發重症患者之加護護理經驗。照護期間自2016年2月9日至2月18日，筆者以觀察、 會談及病歷查閱等方式收集資料，並運用整體性評估確立個案之健康問題有：呼吸道清除功能失效、體溫過高及恐懼。筆者藉由跨領域團隊合作共同擬定及介入治療計畫，改善個案呼吸道清除 功能失效及體溫過高問題；透過自繪圖卡、翻譯軟體及跨文化照顧，化解個案恐懼。期盼此護理經驗能提供加護單位照顧外籍流感併發重症患者參考。

According to the statistics conducted by Centers for Disease Control, ROC, the mortality of severe complicated influenza in 2016 was the highest in the recent three years. Different culture, language, and environmental adaptation change, will put more stress on the foreign patients during the period of hospitalization. The purpose of this article was to explore a nursing experience in intensive care unit for a foreign patient with severe complicated influenza. From February 9 to 18, 2016, data were collected through observation, interview, and chart review according to the holistic assessment. The major problems identified included ineffective airway clearance, hyperthermia, and fear. By providing interdisciplinary teamwork to jointly develop and implement treatment planning, the author improved the patient' health problems of ineffective airway clearance and hyperthermia. Through drawing figure cards, translation software, and transcultural care, the author resolved the fear of the patient. Hopefully, this nursing experience can serve as a reference for the care of such patients.