照護一位多發性系統萎縮症巴金森氏症型個案之護理經驗

The Nursing Experience of a Patient with Parkinsonian Type of Multiple System Atrophy

本文為照護一位多發性系統萎縮症巴金森氏症型個案之護理經驗。筆者自2006年5月22日至6月3日藉由觀察、會談及直接照護個案的過程，進行生理、心理、社會及靈性四層面的整體性評估，並經分析歸納後確立五項護理問題，包括身體心像紊亂、潛在危險性肺吸入、便秘、自我照顧能力缺失及潛在危險性跌倒。筆者於護理期間提供個別化的護理措施，使個案達到生理活動及心理上最佳的調適。期許本文能對護理人員日後照顧此類病患，提供完整的照護經驗參考。

This article describes the nursing experience of a patient with multiple system atrophy-parkinsonian type (MSA-P). The writer collected subjective and objective information using observation, interviews, and nursing care during the time period May 22 to June 3, 2006. A holistic nursing assessment and nursing problems were established as body image disturbance, risk for aspiration, constipation and family support, self-care deficit and risk for fall. Through individual nursing intervention and family support, the patient accommodated himself to the physical activities and mental situation. We hope that this complete nursing experience can in future serve as a reference for other nurses in the MSA-P field as they assist similar patients.