運用長照資源協助一位股骨骨折獨居病人返家之護理經驗

Nursing Experience of Using Long-Term Care Resources to Assist a Patient Living Alone With Femoral Fracture

10.6142/VGHN.202309_40(3).0003

劉月純(Yueh-Chun Liu)；吳香勳(Hsiang-Hsun Wu)

股骨骨折 ； 長照資源 ； 焦慮 ； femoral fracture ； long-term care resources ； anxiety

榮總護理

40卷3期（2023 / 09 / 01）

248 - 254

繁體中文;英文

本文是照護一位69歲獨居女性因跌倒致左側股骨骨折住院返家之護理經驗，護理期間自2020年10月12日至10月15日並電訪追蹤至11月13日，以Gordon十一項健康功能型態評估，確立病人有「急性疼痛」、「身體活動功能障礙」、「焦慮」等健康問題。提供護理衛教，教導採取舒適擺位、冰敷患部與芳香療法，藉以改善急性疼痛，並與跨團隊物理治療師和營養師共同擬定復健及營養攝取計畫，透過陪伴、關懷及傾聽，教導病人使用手機將引發焦慮事件記錄與醫療團隊討論，並協助連結社區醫療照護系統，使病人出院時順利銜接長照資源，以得到整體性照護，降低獨居返家自我照顧焦慮感，使長者安心終老，落實在地老化。

This article explores the experience of caring for a female patient aged 69 years who lived alone after returning home from the hospital with a femoral fracture due to a fall. The nursing period was from October 12 to 15, 2020, and telephone follow-ups were continued until November 13, 2020. On the basis of Gordon's 11 Functional Health Patterns, acute pain, physical activity dysfunction, and anxiety were identified. In addition to providing information regarding comfortable positioning, ice therapy, and using aromatherapy to alleviate her acute pain, we developed rehabilitation and nutrition plans with physical therapists and dietitians from the hospital's interprofessional team and taught the patient how to use their mobile phone to record anxiety events and discuss them with the medical team who provided companionship and listening. We also helped the patient connect with the community medical care system to enable her to smoothly connect with long-term care services after discharge. The patient received holistic care resources to reduce the anxiety involved in self-care when living alone after returning home, enabling her to maintain peace of mind and age in place.

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