高壓氧治療重症病患之護理

Nursing Care for Hyperbaric Oxygen Therapy of Critically Ill Patients

近年來，因學術研究發表，與媒體的報導下，使得高壓氧治療從一個新奇且未知的醫療領域，漸漸被廣泛應用於臨床各種疾病，然而在各大醫院高壓艙的醫療設備越來越完善時，高壓氧治療也會成為相關重症病患（如：一氧化碳中毒、腦缺氧等）主要治療或輔助方法之一。當急重症病患因病情需要，得緊急疾受高壓氧治療時，高壓艙內有限的醫療設備與人力，在面對重症病患與異常氣壓可能帶來的病情變化，對高壓氧護理人員而言，莫不是一大挑戰。筆者就本身護理過之重症病患，從進艙前後之衛教、護理評做處置，和艙內生命監測儀器、急救設備使用，以及治療過程中應注意之事項，來提供高壓氧護理人員做參考，期許日後在照顧此類病患過程中，完整的護理評估與措施，使得病患得到更完善的護理照顧。

In recent years, due to academic and media announcements, hyperbaric oxygen (HBO) therapy which was pverionsly unknown in the medical field has become widely applied for clinical diseases. With improvements in the hyperbaric chambers of large hospitals, HBO therapy will be a main or auxiliary therapy for critical illnesses such as carbon monoxide poisoning, brain ischemia. When an emergent condition indicates a need for the therapy, limited medical equipment and manpower can be a great challenge for hyperbaric nurses who care for critically ill patients. Complete nursing including hygiene education, pre-evaluation and management for entrance to the chambers, the application of the vital monitors and urgent facilities, and the attention paid to the treatment can be a reference for obtaining better care in the future.