單側忽略患者之護理

Nursing Care of Unilateral Neglect Patients

單側忽略於中風急性與復健單位的盛行率分別高達82%、69%，其阻礙患者的日常生活功能與生活品質，患者通常不會覺知忽略的行為，因不認為自己沒有看到患側的人、事、物，故不會主動報告其忽略的症狀，使得單側忽略在臨床上常不被注意、也未被處理的健康問題，是一個安靜的症狀。本文介紹單側忽略的定義、理論、症狀、復健方法與護理重點，期能增加臨床專業人員對單側忽略的認識，進而主動評估忽略的症狀並積極給予復健，以降低忽略對患者的負面衝擊，提升其日常活動功能能力。

The prevalence of unilateral neglect among stroke patients has risen to 82% and 69%, respectively, in acute wards and rehabilitation units. Neglect may restrict the activities of patients and reduce their quality of life. Patients are often unaware of their neglect behavior and of their inability to see or feel persons or objects on their affected side. Healthcare providers should pay greater attention to the signs of neglect behavior in patients. Neglect is a silent syndrome for both patients and healthcare providers. This article reviews the definition of unilateral neglect as well as its associated characteristics, theoretical interpretations, rehabilitation, and nursing care. The authors hope that the contents of this article may help healthcare professionals assess and provide care to patients with neglect problems in order to decrease the negative impacts of neglect on patients and improve their daily functions.