運用跨領域照護一位新型冠狀肺炎病人之經驗

Experience in the Interdisciplinary care of a COVID-19 Patient

2019年底新興傳染疾病-新型冠狀肺炎（Coronavirus Disease-2019,COVID-19）襲捲而來，本文是描述一位31歲男性因出差返台後確診新型冠狀肺炎，於2020年3月9日至4月27日住院隔離期間，筆者使用Watson人性關懷照顧理論為架構，透過遠端監視器、電話或視訊軟體會談、病歷瀏覽等技巧及照會跨領域醫療團隊合作進行整體性護理評估，收集個案有焦慮、社交隔離、感覺及知覺改變之護理問題。照護此類疾病時，醫療人員須盡量減少直接接觸的時間。筆者利用視訊軟體Line增加與病人會談時間，以利於評估其生心靈社會層面問題且似面對面的互動，也是改善病人焦慮、社交隔離方法之一。因文獻不足為避免讓病人認為不重視其感受，故運用跨領域醫療團隊的專業及人力，加強關懷病人並予傾聽、共同討論疾病治療，提供個別性、具體性的護理措施外，也使得病人獲得更多的專業資訊，改善其健康護理問題及提升生活品質。照護新型冠狀肺炎病人是全新的經驗，因疫情仍持續擴散中，藉由此篇護理經驗分享於臨床護理師照顧之參考。

We describe a 31-year-old man diagnosed with the coronavirus disease-2019 (COVID-19) after returning to Taiwan from a business trip and hospitalized in quarantine between March 9, 2020 and April 27, 2020. We used Watson’s humanistic-altruistic theory as a framework to collect data on anxiety, social isolation, and sensory and perceptual changes through remote monitors, telephone or video software sessions, medical record retrospectives, and collaboration with the interdisciplinary care team to conduct a holistic care assessment. Healthcare providers must minimize direct contact time when caring for such patients. We used the video communication software LINE to increase the time spent with patients to facilitate psychosocial evaluation and face-to-face interaction, which improve anxiety and social isolation in patients. To prevent patients from assuming that their feelings are not valued, the professional and human resources of the interdisciplinary medical team were used to enhance patient care, listen and tend to the patient, and discuss disease treatment with them, providing individual and specific care measures as well as more professional information to address their healthcare concerns and enhance their quality of life. This is a novel experience in the care of COVID-19 patients, and as the pandemic is ongoing, we share this experience to provide reference for clinical nursing practitioners.