一位腦中風患者復健期之照護經驗

A Nursing Experience for a Stroke Patient Receiving Rehabilitatino

本文為描述一位84歲罹患腦中風病人初次入院至復健期之護理經驗。筆者於病人住院期間，運用觀察、會談、傾聽等直接護理技巧收集病史，採用Gordon十一項健康功能型態為個案進行整體性護理評估，確立病人健康問題為：身體活動功能障礙、沐浴或衛生自我照顧能力缺失、潛在危險性傷害／跌倒及照顧者角色緊張等四項。在護理過程中，經由個別性的護理評估與整體性護理措施，與個案及家屬建立良好的護病關係，並協助個案面對疾病所帶來的身、心變化，同時協助主要照顧者解決照護問題。藉此護理經驗之分享，期使護理人員對類似個案有更深入的瞭解，作為日後照護之參考。

This article describes a nursing experience for an 84-year-old stroke patient receiving rehabilitation.Date were collected via patient observation and patient interview during direct patient care in the hospital. The author applied Gordon's 11-item Functional Health Pattern as an assessment tool to identify major nursing problems. These were impaired physical mobility because of neuro-musculo-skeletal impairment, self-care deficiency such as bathing and self care for daily living , potential risk for injury/fall, and role tensions as a caregiver. Through an individualized patient assessment, holistic nursing care plan, and good interpersonal relationships between the nurses and the patient and family members, the patient and the family members were encouraged to face the physical and psychological changes resulting from disease. The patient was assisted in resolving these identified care problems. The author expects that this article would be beneficial to nurses caring for patients with a similar disease in the future.