運用肺部復健運動照護特發性纖維化病人之護理經驗

An Experience of Providing Pulmonary Rehabilitation to a Patient with Idiopathic Pulmonary Fibrosis

10.6386/CGN.201903_30(1).0011

劉東霖(Tung-Lin Liu)；黃孟淳(Meng-Chun Huang)；高綺吟(Chi-Yin Kao)

肺部復健 ； 肺部纖維化 ； pulmonary rehabilitation ； pulmonary fibrosis

長庚護理

30卷1期（2019 / 03 / 01）

124 - 133

繁體中文

本文探討協助一位65歲肺纖維化病人執行肺部復健運動改善身心不適之照護經驗。護理時間自2018年5月8日至21日，筆者運用Gordon十一項功能性健康型態作為評估架構，藉由觀察、會談以及直接護理方法收集資料。確立個案的主要護理問題為：氣體交換障礙、活動無耐力、對疾病之無望感。護理期間運用個別化護理介入措施，除了監測及維持正常血氧濃度，更提供心理支持，並透過執行肺部復健運動，使個案加強呼吸肌肌力，降低氣體交換障礙與活動無耐力，進而降低病人對疾病之無望感。希望藉此護理經驗分享給醫護人員，透過注意病人的反應以及言語上的表達，建立良好的治療性關係，並藉由適當的醫療措施，協助病人面對疾病引發身心不適的照護過程。

This case report describes a nursing care experience that provided pulmonary rehabilitation to a 65-year-old patient with idiopathic pulmonary fibrosis. Data were collected via observation, interviews, and physical assessments between 5 May and 21 May 2018. We found that the patient had health problems including impairment of gas exchange, activity intolerance, and hopelessness. Pulmonary rehabilitation was applied to enhance respiratory muscle strength which assisted gas exchange and tolerated physical activity. These improvements also reduced the patient's hopelessness. This case report provides a reference for nurses caring patients with chronic respiratory diseases. Nurses could understand the importance of pulmonary rehabilitation when caring such patients. Early interventions not only improve patients' physical problems but also psychological issues.

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