照護一位格林－巴瑞症候群老人之護理經驗

The Nursing Experiences for an Elderly Patient with Guillain-Barre Syndrome

10.6386/CGN.201303_24(1).0009

莊依玫(Yi-Mei Juang)；韓玉蘭(Yu-Lan Han)

格林－巴瑞症候群 ； 老人照護 ； 護理 ； Guillain-Barre' syndrome ； elder care ； nursing

長庚護理

24卷1期（2013 / 03 / 01）

81 - 89

繁體中文

本文為照護一位73歲罹患罕見疾病格林－巴瑞症候群（Guillain-Barre Syndrome, GBS）老人之護理經驗。照護期間2011年6月5日至6月30日，筆者運用周全性老年評估技巧，藉由觀察、會談、身體評估等方式進行主客觀的資料收集，發現個案因神經功能喪失而出現肢體活動障礙、罕見疾病未知的預後所產生焦慮感以及家屬面對這突如其來的衝擊，產生照顧者角色緊張。護理過程中藉由主動關心及傾聽的態度，提供疾病與治療相關衛教以減輕焦慮，並漸進提昇個案對疾病與治療認知，設計個別化床邊活動及陪伴鼓勵，與家屬協同恢復期的復健活動，使個案及家庭能早日恢復正常運作，達到身心及家庭適應的狀態。藉此提供予護理人員對在老人關懷照護時之參考。

This case study is about the nursing experiences for a seventy-three year-old patient with a rare disorder, Guillain-Barre syndrome. The author cared for this patient from June 5th to June 30th in 2011. The author used comprehensive geriatric assessment to collect both subjective and objective information through observation, interview, and physical assessment. This patient experienced anxiety for limbs action dysfunction due to neuron loss and unknown prognosis of the rare disorder. Besides, the patient's relatives also experienced caregivers' role strain to deal with this sudden impact. With active attention and listening, the author provided disease and treatment-related health education to alleviate anxiety and to enhance understanding of disease and treatment. The author designed personal bedside activities and encouraged the relatives to accompany and join in rehabilitation programs in recovery phase. The author aimed to make this patient and his family return to normal life and achieve holistic and familial balance as soon as possible.