運用超連結系統理論於一位壯年期不完全性頸髓損傷個案重返職場之護理經驗

The Experience of Nursing a Young Adulthood Incomplete Cervical Spinal Cord Injury Patient Returning to Work by Using Super-link System Theory

本文為描述一位26歲男性因車禍意外導致不完全性頸髓損傷個案重返職場之護理經驗。照顧期間自2009年8月27日至10月2日止，筆者以超連結系統理論為依據執行整體性之護理照護過程，確立個案之護理問題有：身體活動功能障礙、無力感，及增進重返職場的準備度；藉由在適當的時機連結個案、家屬、跨專業復健小組與社區擬訂個別性之護理計畫，照護過程給予正向支持鼓勵，增強復健動機發揮殘餘身體功能，增加自我控制感與獨立性，並積極提供社會資源轉介，強化重返職場之準備度與信心，終使個案克服障礙，面對挑戰，提升肯定自我價值感，朝向返回職場，回歸社會之目標邁進。

This paper described the nursing experience of a 26-year-old male patient suffering from incomplete spinal cord injury. The nursing care was from August 27,2009 to October 2, 2009. In the process of holistic nursing practice based on the super-link system theory, the patient was found suffering from certain problems, including impaired physical mobility, powerlessness, and the despair of returning to work. An individual nursing care plan was made by consulting with the patient, his family members, members of the interdisciplinary rehabilitation team, and individuals from the community. Rehabilitation care and positive support were provided in order to motivate the patient to utilize his remaining ability to perform physical functions in the process of rehabilitation and to improve a sense of self-control and independence. Social service referrals were actively provided to enforce the patient's confidence and preparation of returning to work. The patient eventually overcame mental obstacles, faced the challenges, promoted a higher sense of self-esteem for a brighter outlook in returning to work, and further paved the way for going back to the society.