前十字韌帶重建手術對病人之身心影響及其照護

Bio-Psychological Impact and Nursing Care in Patients after Anterior Cruciate Ligament Reconstruction

前十字韌帶損傷是膝關節韌帶損傷中發生率最高的運動傷害，隨著國人運動風氣的盛行，發生率有增高的趨勢，骨科護理人員面對此種逐年增加的運動傷害，應具備完整的照護知識與技能。本文針對前十字韌帶損傷之受傷機轉、症狀、診斷、治療、護理及復健運動計畫做系統性介紹，期望骨科護理人員對此種運動傷害有更深入的認識，並能運用系統性護理指導、支持與教育的護理過程，促使病人增加對自我的控制與認同，提高自我照顧能力，促進身體功能早日恢復、回歸正常生活，達到最佳的生活品質。

Among all kinds of sport injuries of the knee joint, anterior cruciate ligament (ACL) is indeedthe most prevalent kind. The incidence rate becomes even higher with more people engaged insports activities. It is therefore required of the nursing staff in orthopedic departments to be equippedwith a complete knowledge about procedures in the proper care of these patients withACL injuries.This article aims at giving a systemic overviewof themechanism, symptoms and signs, diagnosis,treatment, nursing practice, and rehabilitation ofACL injuries. It is hoped that a better understandingof this type of injury will help nursing staff in better use of a systemic guidance, appropriatemental support and education while treating patients of this kind. In turn, these patients will gainhigher self-control, better self-care, and faster recovery to normal everyday life. They will enjoy abetter quality of life.