月旦知識庫
 
  1. 熱門:
 
首頁 臺灣期刊   法律   公行政治   醫事相關   財經   社會學   教育   其他 大陸期刊   核心   重要期刊 DOI文章
長庚護理 本站僅提供期刊文獻檢索。
  【月旦知識庫】是否收錄該篇全文,敬請【登入】查詢為準。
最新【購點活動】


篇名
照護一位遭機械性傷害併左肘下截肢病人之護理經驗
並列篇名
A Nursing Care Experience for a Patient with Lower Left Elbow Amputation Resulting from Mechanical Injuries
作者 鍾孟齡 (Meng-Ling Chong)康瑞蘭 (Jui-Lan Kang)
中文摘要
本文為照護一位因工作時左手不慎被機器捲入,造成左肘下截肢個案的護理經驗。筆者於2014 年4 月7 日至5 月1 日在照護期間,運用觀察、會談、傾聽、查閱病歷等方式收集資料,以Gordon 十一項功能性健康模式做整體性評估,確認個案的主要健康問題有急性疼痛、現存性感染、自我照顧能力缺失及身體心像紊亂等,在護理措施包括:以聆聽音樂、深呼吸技巧及興趣的話題等護理措施來轉移疼痛的注意力;提供傷口相關照護訊息、教導傷口自我照護,來降低傷口感染以促進組織的癒合;教導自我照顧技巧,給予正向鼓勵,能儘早恢復日常生活的能力;提供社會資源相關訊息,介紹成功案例分享心路歷程,分享無四肢的演講家尼克" 半身奇跡" 用心擁抱世界的故事,來激勵個案的自信心,活出自我,儘早適應因身體心像的改變所帶來的衝擊,以助其能建立正向的身體心像。
英文摘要
This article discussed the nursing care experience for a patient with lower left elbow amputation as a result of machinery accident that dragged his left hand into the machine. During the care period from April 7th to May 1st in 2014, the author collected data through observation, interviews, listening, and patient chart review. Gordon’s 11 functional health patterns assessment was utilized to evaluate the patient, and it was determined that the case was prone to acute pain, infection, self-care deficiency and body image disturbance. The patient was provided with music, deep breathing technique, and interesting conversation topics to shift his attention to help reduce pain. In addition, education for wound care and information related to infection risk are also provided to help minimize infection, as well as to promote wound healing. The patient was trained for self-caring techniques and given positive feedback to improve his ability to resume normal daily activities. Furthermore, appropriate social support is provided, and patients with similar experience are invited to share their stories. The inspirational story of Nick Vujicic on embracing the world with a brave heart is also shared with the patient to increase his confidence and the ability to adapt to physical and mental changes caused by the injury in order to help patient restore and build a positive image.
起訖頁 613-624
關鍵詞 機械性傷害截肢身體心像紊亂machinery injuryamputationphysical and mental disturbance
刊名 長庚護理  
期數 201612 (27:4期)
出版單位 財團法人長庚紀念醫院
DOI 10.3966/102673012016122704012   複製DOI
QRCode
該期刊-上一篇 運用以家庭為中心概念照顧一位多重器官畸形兒之護理經驗
該期刊-下一篇 照顧一位裘馨式肌肉萎縮症併呼吸衰竭病人之加護經驗
 

新書閱讀



最新影音


優惠活動




讀者服務專線:+886-2-23756688 傳真:+886-2-23318496
地址:臺北市館前路28 號 7 樓 客服信箱
Copyright © 元照出版 All rights reserved. 版權所有,禁止轉貼節錄