| 英文摘要 |
This paper described the nursing experience of using therapeutic hypothermia and percutaneous transluminal coronary angioplasty (PTCA) in an emergency intensive treatment for an out-of-hospital cardiac arrest patient after the return of spontaneous circulation (ROSC). During the caring period (06/09/2013–06/18/2013), Gordon’s 11 item functional health patterns were applied as the assessment framework. Data were collected using observations, interviews, and physical assessments, and multidisciplinary team discussions were conducted to confirm the health problems (i.e., hypothermia, impaired gas exchange, decreased cardiac output, and anxiety). When employing therapeutic hypothermia, the author rigorously prevented the complications caused by physiological changes, cautiously assessed the signs of hypoxia, and maintained sufficient oxygenation to alleviate impaired gas exchange. During PTCA, the cardiac perfusion function was closely monitored and the myocardial load was decreased to reduce the cardiac output. The author empathetically listened to the patient, provided guidance and psychological support and offer information related to the disease and surgical operations to alleviate the patient’s anxieties. In addition, comprehensive discharge planning was provided to facilitate the return of the patient to regular life. This rare but practical experience improve the quality of professional care following a post emergency resuscitation. |
