照顧一位巴金森氏症個案無力感之照護經驗

The Nursing Experience of Caring a Patient with Parkinson’s Disease Experiencing Powerlessness

本文描述一位65歲巴金森氏症女性於家中跌倒造成頭部外傷入院，面對疾病的退化進展，日常生活須仰賴他人，對人生感到絕望，而產生強烈無力感。護理期間自2021/4/27-2021/5/14，藉由直接照護、觀察、會談、傾聽、身體評估等方式收集資料，並進行生理、心理、社會與靈性等層面整體性護理評估，確立健康問題有高危險性跌倒、自我照顧能力缺失、無力感。護理過程運用主動關懷及協同家屬鼓勵個案抒發情緒、表達感受，並予陪伴及正向回饋，提供疾病與治療等相關衛教，並設計個別化床邊活動與家屬協同復健，鼓勵個案參與照護以維持身體功能，以減輕對預後的不確定感，提升自我照護技能及增加控制感，進而改善無力感。

This article describes a 65-year-old woman with Parkinson's disease who fell at home and was admitted to the hospital with head trauma. Faced with the progression of the disease, she has to rely on others in her daily life. She feels hopeless in life and has a strong sense of powerlessness. During the nursing period from 2021/4/27 to 2021/5/14, data was collected through direct care, observation, interviews, listening, physical assessment, etc., and a holistic nursing assessment was conducted on the physical, psychological, social, and spiritual levels to establish health problems high-risk falls, including lack of self-care ability, and feelings of powerlessness. In the nursing process, active care and cooperation with family members are used to encourage the patient to express emotions, express feelings, accompany and give positive feedback, provide health education related to illness and treatment, and design individualized bedside activities for family members to coordinate rehabilitation to encourage the patient to participate in care. This is done in order to maintain physical function, reduce uncertainty about the prognosis, improve self-care skills, and increase the sense of control, thereby improving the sense of powerlessness.