運用自我效能理論護理一位全膝關節置換術後病人之經驗

Nursing Experience of Using Self-Efficacy Theory to Care for a Patient Undergoing Total Knee Replacement

10.6142/VGHN.202303_40(1).0007

李柏勳(Po-Hsun Lee)；林思親(Sic-Hing Lin)；蕭詠勳(Yung-Hsun Hsiao)

全膝關節置換術 ； 自我效能 ； 復健 ； total knee replacement ； self-efficacy ； rehabilitation

榮總護理

40卷1期（2023 / 03 / 01）

66 - 73

繁體中文;英文

本篇病人報告分享運用自我效能理論，護理一位接受全膝關節置換術後病人之經驗，照護期間自2020年10月5日至10月12日止。筆者藉由觀察、身體評估及會談等方式蒐集資料，依據五大層面進行整體性評估，確立主要健康問題有急性疼痛、身體活動功能障礙及焦慮；護理期間以Bandura的自我效能理論為核心概念，透過與病人、家屬及跨團隊醫療照護，共同討論疼痛控制、制訂居家復健計劃及確保安全的居家環境，成功激發病人復健動機，並降低可能受傷的心理焦慮，再透過家訪及電訪持續追蹤及鼓勵病人持續自我照顧。期望能運用此護理經驗，提供日後臨床護理人員照顧膝關節置換病人之參考。

This article describes our experience of using self-efficacy theory to care for a patient who underwent total knee replacement. The nursing period was October 5 to 12, 2020. Observation, physical assessment, and interviews were conducted to collect data for major nursing assessments. Three major health problems were noted: acute pain, impaired physical mobility, and anxiety. Our medical team designed a care plan with the patient and their family. This plan focused on providing pain relief, home-based care and rehabilitation, and a safe home environment to facilitate patient participation in rehabilitation programs and reduce their anxiety. During follow-up, home visits and telephone interviews were conducted to evaluate the patient's self-efficacy and encourage the patient to maintain self-care. Our findings may guide clinical nursing care for patients undergoing total knee replacement.

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