以歐倫自我照顧模式護理一位腦出血患者的經驗

Application of Orem's Model on a Patient with Cerebral Hemorrage

本文是運用歐倫自我照顧理論，照護一位腦出血患者的經驗，護理期間自93年3月1日至93年3月31日，依歐倫自我照顧理論模式評估患者，確定護理問題有：1.顱內壓上升2.肢體活動功能障礙/左側肢體乏力影響自我照顧能力3.焦慮/對疾病預後不確定感；並應用歐倫理論中護理系統－完全代償、部分代償、支持教育性護理等概念提供護理措施，包括：避免引發顱內壓升高、協助漸進性肢體復健運動、提供安全的環境、預防跌倒，增加對復健的信心，並運用家庭支持系統，協助面對及解決問題，達到自我照顧的目的。

The purpose of this study was the application of Orem's self-caring theory in caring for a patient sufferingfrom cerebral hemorrhage. The nursing problems in this case were as follows: 1. increased intracranialcerebral pressure; 2. impaired physical maintenance inducing poor self-care; 3. anxiety; The study applied inOrem's theory to the nursing system. These concepts provided all kinds of nursing implementation. Theseincluded: health-education action to avoid increased intracranial cerebral pressure, teaching step-by-step actionsand rehabilitation skills, providing a safe-environment, understanding the dangers of falling and helpingguide the patient and his family through every therapeutic and rehabilitative activity, The patient's family supportsystem was employed to face and sort out the problems. This proved to be helpful in promoting self-care.The writer hoped the experience gained will be helpful for nurses in their clinical practices.