手術器械盤包滅菌品質改善方案

Project for Improving the Quality of Sterilization of Operation Instruments in a Central Supply Room

本文是描述一位罹患腹主動脈瘤的病人接受新興腹主動脈瘤腔內內套膜支架微創手術之手術全期照護經驗。住院照護期間:自2010/4/25至2010/5/5，筆者運用Gordon十一項健康功能評估及以觀察、傾聽、身體評估及訪談方式收集資料。護理過程中發現個案有手術前期：對特定與疾病及手術知識相關之部分知識缺失；手術中期：高危險性傷害、高危險性感染及手術後期：高危險性傷害-跌倒等健康問題。照護期間，針對個案問題提供個別性之護理計畫及措施，運用手術室護理人員之專業知識技能，協助個案安全度過手術全期，順利出院返家自我照顧。

This article reports on the nursing experience of a patient with an abdominal aorta aneurysm who received a mini invasive abdominal aortic stent graft implantation. Using Gordon's model, we identified that the patient presented health problems such as knowledge deficit, potential risk of injury, and potential risk of wound infection. We provided an individualized nursing care plan and interventions for the patient, which were implemented using the guidance of the nurses' professional knowledge and skills in the operating room. The nursing care plan and interventions helped the patient undergo the operation in a comfortable environment, thereby enabling the patient to recover earlier and regain his previous quality of life. This paper can serve as a reference for similar cases in the future.