一位年輕婦女罹患深部靜脈栓塞之護理經驗

The Nursing Experience of Caring a Young Woman diagnosed with Deep Vein Thrombosis

本文在探討一位25歲外籍年輕婦女長期服用避孕藥引發深部靜脈栓塞之護理經驗。因為個案不了解長期口服避孕藥可能會導致靜脈栓塞，故引發筆者想探討此議題。護理期間自2019年5月16日至2019年5月28日。筆者運用Gordon十一項健康功能評估架構，依觀察、會談、身體評估及查閱病歷等方式收集資料，確立個案主要健康問題為焦慮、急性疼痛、知識不足。照護過程中，以主動關懷及建立良好治療性護病關係提供疾病治療方式、教導緩解疼痛方法、穿著彈性襪、抗凝藥物使用原則及避孕等相關資訊，給予正向信念，使個案病況改善，避免引發致命肺栓塞，進而緩解個案焦慮。避孕議題為非常隱私且有個別性，透過溝通會談了解彼此的價值觀，建議其他醫療團隊如出院準備服務小組及當地居住地衛生所共同合作，達到共享決策，提供正確資訊及衛教，協助病人渡過難關。

This report describes the nursing care of a 25-year-old foreign woman who developed deep vein thrombosis (DVT) following prolonged use of oral contraceptives. The patient initially lacked awareness that long-term oral contraceptive use could increase the risk of venous thrombosis, highlighting an important area for patient education and preventive care. The nursing care period spanned from May 16 to May 28, 2019. Data were collected using Gordon’s 11 Functional Health Patterns framework, incorporating observations, patient interviews, physical assessments, and medical record review. Three primary nursing problems were identified: anxiety, acute pain, and knowledge deficit regarding her condition and associated risks. During the nursing process, individualized interventions were implemented, including education on disease management, pain relief strategies, proper use of elastic compression stockings, anticoagulant therapy principles, and contraceptive options. A therapeutic nurse–patient relationship was established, fostering trust and facilitating the patient’s understanding and engagement in her care. These interventions effectively alleviated anxiety, supported recovery, and helped prevent life-threatening complications such as pulmonary embolism. Given the private and sensitive nature of contraceptive use, mutual communication was emphasized to respect the patient’s values and preferences. The authors recommend collaborative efforts among medical teams—including discharge preparation services and local health clinics—to promote shared decision-making, provide accurate health education, and support patients in managing similar health risks. This case underscores the importance of individualized, patient-centered nursing care for young women at risk of contraceptive-associated DVT. Effective education, empathetic communication, and interprofessional collaboration can improve patient outcomes, reduce anxiety, and prevent serious complications.