心導管檢查後腦中風個案復健之護理經驗

Nursing Experience of a Stroke Patient After Cardiac Catheterization

本文探討一位因心導管檢查後併發腦中風導致右側肢體乏力，突發性衝擊及衍生自我照顧能力缺失之照護經驗。照護期間為2017年8月22日至9月15日，運用Gordon十一項健康功能評估進行整體性系統評估，發現個案出現自我照顧能力缺失、無力感及家庭因應能力失調等健康問題。護理過程中個案經由積極物理治療及職能治療改善肌肉力量；運用傾聽及溝通技巧緩解其身體功能及自尊受損衍生之低落情緒；透過跨團隊照護協助家庭度過經濟危機，希望藉此經驗分享提供護理同仁面對腦中風病人衍生之身、心、靈、社會問題，協助病人度過疾病適應期及學習情緒管理，以做為臨床照護之參考。

This case report describes the nursing experience of caring for a woman with sudden shock and self-care deficit resulting from right limb weakness related to stroke after cardiac catheterization. The nursing period was August 22nd to September 15th, 2017. Gordon's functional health patterns were applied to assess the patient's condition. Three health-related problems were identified: self-care deficit, powerlessness, and ineffective family coping. Nursing interventions included physical and occupational therapy to improve muscle power, listening and communication to reduce the patient's depression caused by her physical function loss and low self-esteem, and collaboration among medical, nursing, and social support professionals to solve the patient's financial crisis. We share this experience of helping a stroke patient with physical, psychological, spiritual, and social problems. We helped the patient to adapt to her condition, learn emotional control, implement poststroke self-care, and maintain a high quality of life.