運用生命回顧協助一位中風老人面對無力感之護理經驗

The Nursing Experience of Helping an Elderly Stroke Patient with Feelings of Powerlessness via Life Review Method

本文在描述協助一位中風老人面對無力感之護理經驗。護理期間自95年3月14至95年5月24日止。照護期間包含住院期間照護3天、返家後居家探訪共12次。經由Gordon的11項評估進行資料收集，確立個案健康問題為活動無耐力、吞嚥功能障礙、潛在性危險性跌倒及無力感。針對無力感之護理問題，筆者於居家訪視期間運用口述歷史方式協助個案進行生命回顧，經由述說的過程中達到自我統合，表達對生命的接受，減輕無力感情形。本照護經驗可提供護理人員在面對類似個案問題時之參考。護理人員可透過生命回顧的方式，協助個案恢復內心平和、減少無力感產生。

This report describes the nursing experience of using the life review approach to help an elderly stroke patient reduce his feelings of powerlessness. The nursing care lasted between March 14th and May 24th, 2006. In the study of the nursing process, the author uses Gordon's assessment tools to gather subjective and objective information to establish the nursing problems, including activity intolerance, swallowing impairment, high risk of falling down, and powerlessness. Aiming at the nursing problem of powerlessness, the author makes use of the oral history method to conduct a life review of the client. Through the process of life reviewing, the client expressed acceptance of his life, reduced his feelings of powerlessness, and achieved the integration of his ego with his life. This case report might serve as a reference in guiding nurses to provide appropriate nursing interventions in helping clients with similar problems to obtain inner peace and reduce their feelings of powerlessness.