英文摘要 |
In this study, we describe the nursing experience of a teenage girl hospitalized for intracranial hemorrhage caused by jumping off a building in an attempt to commit suicide. She quarreled with her boyfriend because of emotional entanglements, and the two could not reach a consensus. She was driven to the brink of madness and committed suicide. The nursing period was from August 15 to August 25, 2018; we collected data through interviews, observations, listening, and direct care. Further, we adopted Gordon's eleven functional health patterns for nursing evaluation. It was confirmed that the suicide attempt caused intracranial hemorrhage, and many problems needed to be addressed during the nursing period. Considering the limited space and priority of health care needs, we only discussed three nursing issues, namely "impaired physical mobility," "ineffective coping," and "hopelessness." In the process of nursing, by arousing the willingness of the patient to participate in medical care activities, making daily exercise plans with the patient, and instructing the patient to increase movements gradually so as to enhance mobility, we enabled the patient to learn self-care skills and overcome the obstacles in her physical function. We actively expressed our concern for the patient, carefully observed the changes in her emotions and behaviors, guided her to express her inner thoughts, as well as taught her skills of stabilizing emotions, coping with stress, and facing problems positively. Through listening and companionship, guiding the patient to express her inner thoughts, providing ways of stress relief and positive support, as well as encouraging her to participate in treatment schemes and self-care, we enhanced her self-confidence, promoted self-affirmation, helped establish self-value, and relieved hopelessness. It is recommended to work multi-disciplinarily to provide and maintain proper medical care, help the patient build a good family relationship, refer the patient to relevant medical teams for subsequent care before discharge, regularly track the treatment progression, express concern for the patient's conditions, and prevent the patient from self-harming again. |