一位行腹腔鏡脾臟切除術的海洋性貧血青少女之護理經驗

Nursing Experience For An Adolescent With Thalassemia And Post The Operation of Lapascopic Spleenectomy

本文係探討一位中度海洋性貧血的青少女患者，在接受腹腔鏡脾臟切除術後，所面對的自我照顧及主要照顧者的壓力調適過程。筆者於7月28日至8月10日，運用Gordon十一項健康功能評估，經收集資料分析整理後發現，個案有恐懼、害怕，潛在危險性損傷、急性疼痛、健康尋求行爲、照顧者緊張之護理問題。筆者除提供生理照顧外，還扮演支持者、諮詢者與傾聽者角色，引導其訴説其擔心及害怕的事，提供相關知識，協助個案及家屬面對問題、尋求協助、熟悉新技能以增進自我照顧，提供整體性護理措施，使個案能逐漸調適疾病所帶來的之身心問題，有故的緩解住院與疾病對個案反家屬所造成的壓力與衝擊。

The case study was a nursing experience for the self care and family adjust to caregiving stresses of a adolescent with thalassemia and lapascopic spleenectomy during the period of 7/28/93 to 8/10/93. Data collected by observation, interviews, physical examination, and Gordon's function assessment. The result of major nursing problems for both the care receiver and caregiver were: individual case had fear, injury, risk for, pain, health-seeking behaviors, caregiver rolestrain. After offering physical care, supporter, consultant and listener, the patient and family could face up the problems and the stresses of the disease. The finding could offer the references by the others.