英文摘要 |
This article described a nursing experience of postoperative care for a lung transplant patient. This 62-year-old man received lung transplantation due to advanced pulmonary fibrosis. The challenge of postoperative nursing care was to help the patient rapidly recover from the physiological, psychological and other unexpected disturbances resulting from transplantation. During the period of postoperative care from October 24 to December 8, 2017, the author used Gordon's 11 Functional Health Patterns Assessment tool to evaluate the health problems. The essential information was collected from actual nursing care, daily physical assessment, patient/family interviews, and chart reviews. The major nursing problems included wound pain, weakness, lacking activity endurance, risks of advanced infections, and a feeling of helpless. The author developed an individualized care plan to help solve the major nursing problems, including skillful emotional supports, non-pharmacological methods of pain relief, and an individualized rehabilitation program. The care plan also included holding several forums in the hospital, inviting lung transplant patients to share their experiences in the physical and psychological recovery from lung transplantation. The author observed that this experience-sharing forum among lung transplant patients could provide some emotional supports to these patients. The postoperative care in lung transplantation is in fact complicated. The medical team needs to solve immediate problems in a timely manner and introduce a rapid recovery plan, both physical and psychological. We presented a fairly comprehensive nursing plan for caring lung transplant patients. The plan also helps our colleagues to be more confident in caring critical patients postoperatively. |