以跨領域團隊合作照護一位腦膜炎青少女之護理經驗

The Experience of Caring a Female Adolescent Diagnosed with Meningitis through Inter-Professional Practice

本文旨在探討透過跨領域團隊合作照護一位腦膜炎青少女的護理過程。護理期間從2018年12月14日至2019年1月31日，以Gordon十一項健康功能型態做為評估工具，透過會談、觀察、身體評估等方式進行資料收集，確立個案有身體活動功能障礙、自主性換氣障礙、焦慮等健康問題。照護過程透過跨領域照護團隊合作，與個案、家屬共同擬定照護計畫，帶領個案完成復健訓練，採取有效轉移焦慮情緒方法，使個案能強化呼吸肌力量進而移除氣切管路，並在出院時能於攙扶下步行返家。期望此護理照護經驗日後能提供臨床照護之參考。

This case report describes the experiences of caring a female adolescent diagnosed with meningitis through an inter-professional approach. The care period extended from December 14, 2018, to January 31, 2019, during which we utilized Gordon's 11 functional health patterns assessment to gather and analyze case data through interviews, observations, and physical assessments. The patient's health issues were identified as impaired physical mobility, compromised spontaneous ventilation, and anxiety. Throughout the nursing process, we devised a comprehensive care plan for both the patient and her family by engaging in inter-professional collaboration. Subsequently, we guided the patient through a rehabilitation program and employed effective strategies to alleviate her anxiety. These interventions aimed to strengthen her respiratory muscles and eventually remove the tracheostomy tube. Ultimately, the patient demonstrated remarkable progress, enabling her to walk home with support upon her hospital discharge. This experience serves as a valuable reference for future nursing care scenarios with similar challenges and conditions.