Parse理論照護肺挫傷合併血氣胸及多處骨折病患之護理經驗

Nursing Experiences of a Multiple Fracture Patient with Pulmonary Contusionand Hemo and Pneumothorax

本文描述一位女性三鐵運動女選手因路況不佳經歷自行車事故，造成左側第六、七肋骨、鎖骨、尺骨骨折及左肺挫傷合併氣、血胸住院經驗。住院期間自2016年3月27日至2016年4月17日，筆者運用Parse人類轉變理論評估個案有多處骨折術後急性疼痛：尋求可以緩解的方式；面對肺挫傷後壓力的情緒：在抗拒中尋求釋放；面對無法預期移除胸腔引流管而感到焦慮：從限制中尋找能夠，再以Parse人類轉變理論中的共同超越轉變原則，進行創意另類護理措施，與患者深入交談，透過line和臉書給予關心，筆者個人特製化微電影音樂「因為你，因為我」，及古典小提琴音樂聆聽，動畫「腦筋急轉彎」中憂憂的情緒表達，加上醫師給予的好書【世界在腳下】，最後終於超越三個健康問題。期望藉此Parse理論照護經驗能提供照護這類病患之具體參考。

The following article illustrates the hospitalization and recovery of a female trilithon enthusiast after a bicycle accident with several complications. Due to poor road conditions, the athlete was involved in a bicycle accident and fractured the left side of the sixth and seventh ribs, clavicle and ulna, as well as left lung pulmonary contusion combined with pneumothorax and hemothorax. The hospitalization period was from March 27 to April 17, 2016. The author used the Parse human becoming theory to assess the needs of the patient. After the analysis, several issues were identified: the need for pain relief, the inability to manage the anxiety of the unexpected results from the removal of the chest tube, and the need to overcome physical limitations caused by the fractures. To resolve the above problems, the author used the cotranscending-transcendence principle of the Parse human becoming theory to conduct a creative and alternative nursing procedure. Such procedures included having deep conversations with the patient, communicating online through Line and Facebook, customizing a micro-film, “Because of You, Because of Me” , listening to classical violin pieces, and learning how to express oneself through the character Sadness in the animation “Inside Out”. The attending doctor also gave the patient a book titled “At the Foot of the World”. Through the efforts of the nursing staff and the attending doctors, the patient was able to overcome her three critical health issues. Such methods can be used for future reference and aid the recovery process of patients facing similar situations.