照護一位接受冠狀動脈繞道手術受刑人之護理經驗

Nursing Experience of Caring for a Prisoner Undergoing Coronary Artery Bypass Graft Surgery

本文描述一位接受冠狀動脈繞道手術受刑人之護理經驗，當個案面為受刑人身分，缺乏良好家庭、社會與經濟支持，面對即將接受手術之風險，感到焦慮與擔憂。筆者於2020年2月21日至3月10日照護期間，運用Gordon十一項健康功能評估，確立個案有焦慮、角色扮演失常、急性疼痛等健康問題。筆者在護理過程期間，與個案建立良好的護病關係，給予傾聽、陪伴與關懷，使用多媒體提供手術相關知識，結合醫療團隊運用受刑人家庭支持方案，協助提供社會與經濟資源，減少個案生活壓力，提升安適感。術後運用冥想及放鬆音樂協助個案緩解傷口疼痛問題，協助恢復健康。期望此次經驗可作為臨床護理師照護相關病人之參考。

This paper outlines the nursing care experience of a hospitalized prisoner undergoing coronary artery bypass graft (CABG). Since the patient had not fulfilled his responsibilities as a father and faced the upcoming coronary artery bypass surgery without social and economic support, he felt anxious and worried. Gordon’s 11 functional health patterns assessment was applied between February 21 to March 10, 2020. The nursing diagnoses identified were anxiety, acute pain and ineffective role performance. Throughout the nursing process, the author provided nursing care through active listening, companionship, and a nurturing nurse-patient relationship. Media education materials were used to enhance the patient’s knowledge of the surgery process. Meditation and relaxing music were also provided to alleviate pain sensation. Collaborative efforts from the medical team i provided the prisoner’s family with support program to alleviate social and financial stress. This nursing care experience could serve as a reference for clinical nurses caring for similar contextin the future.