| 中文摘要 |
本文為照護一位罹患慢性阻塞性肺疾病患者之護理經驗，個案自民國81年起即診斷為慢性阻塞性肺疾病，常因反覆呼吸道感染而住院多次，但此次因呼吸道感染而呼吸困難，首次被置入氣管內管並安排進住陌生的加護病房，而造成生理與心理的壓力及不適。因此，應用歐倫(Orem)自我照護理論進行護理評估，確立個案健康問題為：呼吸道清除功能失效、活動無耐力、焦慮與知識缺失(特定的）；並以自我照護理論為基礎，給予適當且具個別性的護理措施，協助病患順利的脫離呼吸器，提昇其自我照護能力及家屬參與照護的意願，而減少再復發機率與提升良好生活品質的目標。The article described the nursing experience of a patient with chronic obstructive pulmonary disease (COPD). The patient was diagnosed as COPD in 1992. He had ever been admitted several times due to recurrent respiratory infections. In this report, the COPD patient had dyspnea in November 2000 and was admitted in the hospitial. He received the intubation of an endotracheal tube later, and that was his first experience in receiving the treatment. Due to the strange Intensive care unit (ICU) condition, he suffered from physical and psychological discomfort and stress. Based on the Orem theory, a series of surveys were then arranged to establish his healthy problems as: loss of function of airway clearance, high risk of infection, anxiety, and poor specific knowledge. According to the Orem theory, the researcher provided him with appropriate and individualized nursing care to wean him from the mechanical ventilator, to improve his self-care capability. The final goals are to reduce recurrent rate and enhance a better life quality of the patient. |
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