運用Watson關懷理論於一位加護病房重症病患主要照顧者之護理經驗

A Nursing Experience of Applying Watson's Caring Theory to a Primary Caregiver in an ICU

本篇個案報告在於分享運用Watson關懷理論護理一位加護病房重症病患主要照顧者的過程。護理期間自民國93年4月20日至93年5月10日。筆者於加護單位藉由觀察、會談、電話訪談的方式收集主、客觀資料並分析，歸納出個案面臨案母重病住進加護病房且病情不佳，對其造成的主要護理問題有焦慮感、預期性哀傷及社會支持功能不足。運用Watson理論中關懷照護的精神，針對上述的護理問題，與個案在互信的基礎上，提供個別性的護理措施，來減輕個案的焦慮感、促進建設性的哀傷行為，並提供符合個案需求的社會資源系統，以緩和個案所面臨身、心、社會的壓力。

The authors present a case study of a nursing experience applying Watson's caring theory to a critical patient's primary caregiver in the intensive care unit. Data were collected by observation, discussion, and telephone interviews between 20th April and 10th May 2004. Major nursing problems were: (1) anxiety, (2) anticipatory grieving, and (3) poor social support system. The authors describe the details of the primary intervention effort, using Watson's caring theory in accordance with the spirit of nursing as conducted by the Mutual Confidence Foundation, providing individual protective nursing, reducing the caregiver's anxiety, facilitating constructive anticipatory grieving, and providing appropriate social resources. This relieved the caregiver's stress caused by physical, mental, emotional and social factors.