英文摘要
|
This article described the nursing experience of caring a 58-year-old female patient with a left basal ganglia hemorrhage. After undergoing a craniotomy, the patient was evaluated by an integrated post-acute care team. She was found to be in stable condition and referred to the hospital for rehabilitation. The nursing care period was from February 22 to March 26, 2019. During this time, Gordon's Eleven Functional Health Patterns framework was used for assessment and data analysis. Data were collected through direct care, interviews, active listening, physical assessment, and analysis of medical records. The patient was found to have dysphagia, self-care deficit, and anxiety. In an effort to prevent aspiration pneumonia during hospitalization, the patient received swallowing training by an interdisciplinary team. To prevent nutritional imbalances, a nutritional assessment was overseen and the patient's daily nutritional needs were met. The patient also received regular rehabilitation to increase mobility. Additionally, the patient's anxiety was alleviated by establishing a mutually-trusting therapeutic relationship through active care and listening, effective communication, encouraging her to express her feelings, counseling, and by providing relevant social welfare resources. We hope nursing professionals dealing with similar situations may benefit from the publication of this experience.
|
参考文献
|
-
吳昌政, C. C.,邱靜如, C. J.,黃湘閔, H. M.,呂宗學, T. H.(2018)。臺灣中老年人中風後身體功能變化歷程之性別差異探討。健康科技期刊,2018(Special Issue),80-92。
連結:
-
林嘉燕, C. Y.(2018)。照顧一位腦中風合併吞嚥困難病人之護理經驗。若瑟醫護雜誌,12(1),99-110。
連結:
-
張思鈴, S. L.,李佩佳, P. C(2017)。照顧一位年輕型腦中風合併吞嚥困難之護理經驗。領導護理,18(2),67-79。
連結:
-
黃婷, H.,張瑛瑛, Y. Y.,廖若伶, J. L.,黃春佈, C. P.,廖月鳳, Y. F.,施美伶, M. L.(2018)。提升腦中風病人執行吞嚥訓練自我練習完整率。榮總護理,35(3),314-321。
連結:
-
錢駿, J.,鍾芷萍, C. P.(2018)。缺血性腦中風的分類。臨床醫學月刊,81(2),72-76。
連結:
-
駱冠蓁, K. C.,陳佳鎂, C. M.(2018)。照顧一位腦中風病人之護理經驗。長庚護理,29(4),602-611。
連結:
-
An, S. J.,Kim, T. J.,Yoon, B. W.(2017).Epidemiology, risk factors, and clinical features of intracerebral hemorrhage: An update.Journal of Stroke,19(1),3.
-
Arnold, M.,Liesirova, K.,Broeg-Morvay, A.,Meisterernst, J.,Schlager, M.,Mono, M. L.,El-Koussy, M.,Kägi, G.,Jung, S.,Sarikaya, H.(2016).Dysphagia in acute stroke: Incidence, burden and impact on clinical outcome.Plos One,11(2)
-
Perna, R.,Temple, J.(2015).Rehabilitation outcomes: Ischemic versus hemorrhagic strokes.Behavioural Neurology,2015
-
何怡慧, Y. H.,劉秀月, H. Y,黃純德, S. T.(2014)。復建期腦中風病患咀嚼吞嚥障礙盛行率及初步篩檢徵象之探討。護理雜誌,61(2),54-62。
-
陳儀倩, Y. C.,陳妤靜, Y. J.,呂孟倫, M. L.(2018)。協助一位腦中風個案出院準備服務的經驗。高雄護理雜誌,35(1),150-160。
-
曾玉卿, Y. C.,賴淑貞, S. C.,陳淑暖, S. N.(2016)。提升居家護理人員執行老人吞嚥功能篩檢執行率。北市醫學雜誌,13(2),199-208。
-
溫馨喬, H. C.,唐浩偉, H. W.,彭昶仁, C. R.,陳冠霖, K. L.,蕭靜旻, C. M.,林仲哲, C. C.(2015)。中風後急性/亞急性期吞嚥困難病患鼻胃管拔除之相關因子研究。台灣復健醫學雜誌,43(4),217-223。
-
韓德生, D. S.,林家瑋, C. W.,盧璐, L.,蕭名彥, M. Y.,吳爵宏, C. H.,梁蕙雯, H. W.,張凱閔, K. V.,潘信良, S. L.,王亭貴, T. G.,張權維, C. W.(2016)。臺灣腦中風復健治療指引。台灣復健醫誌,44(1),1-9。
-
顏阿玲, A. L.,譚蓉瑩, J. Y.,張玉鳳, Y. F.,曾勤媛, C. Y.(2013)。提升護理人員執行腦中風吞嚥功能評估能力之改善方案。領導護理,14(3),81-93。
|