一位喪偶女性諮詢健康檢查後治療抉擇之護理經驗

劉吟祐; 張家蓁

doi:10.29494/LN.202003_21(1).0008

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P91 - 103

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.29494/LN

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一位丧偶女性谘询健康检查後治疗抉择之护理经验

Nursing Care Experience of a Widowed Woman Making Treatment Decision After Consulting Health Examination

刘吟佑(Yin‐Yu Liu) ；张家蓁(Jia-Jen Jang)

领导护理； 21 卷 1 期 (2020 / 03 / 01) ， P91 - 103

繁体中文 DOI： 10.29494/LN.202003_21(1).0008

丧偶女性；健康检查；护理经验； widowed women ； health examination ； nursing care experience

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摘要 │ 参考文献 (14) │ 国际计量

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This article describes a widowed woman with family history of chronic diseases and cancer. She was diagnosed with an intracranial aneurysm by accident after conducting health examination. The nursing experience took place because of her sorrow after becoming a widow and she had no sense of the illness and further affected her medication compliance and willingness to corporate. The caring period was from August 3 to September 22 in 2017 after customized planning a health checkup project. By means of companionship, listening and empathy to establish a good nursing relationship, collecting information and assessing by observation, interviews, medical records review, phone interview and applied Gordon's eleven functional health assessments. Establishments of the patient encountered health issues such as non-compliance, sleep disturbances, grief, and anxiety. The author applies the unique features of nursing and provides professional health care knowledge. Firstly, the case was guided to pay attention to her hypertension and improving her compliance of medication. At the same time, assistance of getting over the psychological trauma of being a widow and gradually recover her sleep quality. Subsequently applying communication skills to discuss the cause of stress, encouraging the patient to express anxiety, and provide accurate medical information before and after surgery. Hence provide care and positive feedback by introducing successful cases, thereby improving anxiety and undergoing surgery. The author was a supervisor and was not able to take care of the patient directly during hospitalization. Through multiple visits during hospitalization, and after the discharge, the follow-up and home life are continuously tracked by telephone interviews to achieve uninterrupted overall care. Site visit is also recommended before anesthesia for major surgery patient in care centers. Professional introduction of the environment and postoperative associated circuits can relieve individual anxiety before surgery. Hopefully this experience will provide caring references for similar cases in the future.

参考文献 ( 14 ) 〈TOP〉

谢美慧,王秀红(2017)。个案管理师执业范围的现况与展望。领导护理，18(3)，2-12。
连结：
Bowles, E.(2014).Cerebral aneurysm and aneurysmal subarachnoid hemorrhage.Nursing Standard,28(34),52-59.
Ebirim, L.,Tobin, M.(2011).Factors responsible for preoperative anxiety in elective surgical patients at a university teaching hospital: A pilot study.The Internet Journal of Anesthesiology,29(2),1-6.
Lo, S. H. S.,Chau, J. P. C.,Woo, J.,Thompson, D. R.,Choi, K. C.(2016).Adherence to antihypertensive medication in older adults with hypertension.The Journal of Cardiovascular Nursing,31(4),296-303.
Nseir, S.,Larkey, L. K.(2013).Interventions for spousal bereavement in the older adult: An evidence review.Death Studies,37(6),495-512.

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