照護一位主動脈瘤手術後病人之加護護理經驗

Nursing Experience of a Patient with Aortic Aneurysm Post-operation in the Intensive Care Unit

本文敘述照顧一位罹患主動脈瘤接受動脈瘤修補手術患者的加護護理經驗。個案因面臨突然發生之重大疾病與手術引發生理、心理、社會以及靈性等層面的問題，筆者依羅氏適應模式理論為評估架構，發現個案主要的健康問題有呼吸道清除功能失效、疼痛、潛在危險性感染及焦慮；給予直接臨床護理、相關護理指導及心理支持，運用人性化的照護，陪伴個案渡過隔離在加護病房中無助的時期，並運用支持系統的力量，使個案面對疾病及克服身、心的痛苦，進而順利轉出加護病房及出院，期望藉此護理經驗提供臨床護理人員照護此類病患之參考。

This article was aimed to discuss about intensive nursing care experience of a patient withaortic aneurysm status post repair surgery. In this case, the patient experienced major disease withsurgery and suffered from physiologic, psychological, social and spiritual stress. The author usedthe Roy adapting model of nursing to evaluate this patient. The main health problems includedineffective respiratory tract clearance, pain, potential infection risk and anxiety.We gave the patientclinical nursing care, instruction of nursing care and psychological support to overcome the helplessperiod due to isolation in the intensive care unit. We also used a supportive system to help thepatient face the disease and overcome phsiological and psychological pain. Finally, the patient wastransferred to an ordinary ward and discharged as scheduled. We hoped that our intensive nursingexperience may be a reference for further clinical nursing care.