题名

獨居重症燒燙傷病人復健期併無力感之照護經驗

并列篇名

Experience of Caring a Patient with Severe Burn who was Alone and Powerless to Cooperate during the Rehabilitation Period

DOI

10.6386/CGN.202309_34(3).0012

作者

陳賢理(Hsien-Li Chen)

关键词

燒傷 ； 復健 ； 無力感 ； burn ； rehabilitation ； powerless

期刊名称

長庚護理

卷期/出版年月

34卷3期（2023 / 09 / 01）

页次

131 - 142

内容语文

繁體中文;英文
中文摘要

本文探討一位獨居重症燒傷病人復健期併無力感之護理經驗。筆者於2020年7月10日至11月14日期間，於復健期運用Gordon十一項功能性健康型態評估，藉直接護理、身體評估、觀察及會談等方式，確立個案有疼痛、活動功能障礙及無力感等健康問題；運用非藥物及藥物疼痛控制，減緩疼痛，邀請個案共同參與討論每週復健計劃，提供個別復健活動，透過跨專業團隊合作，充分溝通相互支持，建立良好護病關係，深入了解個案，引導個案表達內心無力感受，讓家屬參與護理措施及出院照護方式，增強個案自信心及勇於面對挑戰，適時提供轉介相關資源協助，最終達成出院目標，順利轉歸並銜接出院準備服務。
英文摘要

We described the nursing experience of caring a patient with severe burn patient who was alone and faced challenges in participating actively during the rehabilitation period. From July 10th to November 14th, 2020, the author was involved in the comprehensive care plan, spanning from the acute stage to the rehabilitation stage of the patient's recovery journey. We employed Gordon's 11 Functional Health Patterns to assess the patient's condition. Through careful data collection, we identified several health issues affecting the patient, including pain, physical activity dysfunction, and feelings of powerlessness. Our first step involved implementing a pain control protocol to alleviate the patient's discomfort. We also actively engaged the patient in discussions regarding weekly rehabilitation plans, tailoring them to his specific needs. Furthermore, through effective collaboration within an inter-professional team, we fostered a strong nurse-patient relationship. This was achieved by gaining a deep understanding of the patient's emotions, facilitating open communication for the patient to express his feelings, involving the family in the care process, discussing post-discharge care strategies, enhancing the patient's self-confidence for rehabilitation, and ensuring the timely referral of pertinent resources and support. We successfully achieved the goal of discharge, facilitating the patient's transfer to a community rehabilitation center.
主题分类 醫藥衛生 > 預防保健與衛生學
醫藥衛生 > 社會醫學
参考文献
  1. 林郁勳, Y. S.,林秀華, H. H.,史麗萍, L. P.,楊永健, E. K.(2016)。大面積燒傷治療。護理雜誌，63(1)，12-16。
    連結：
  2. 陳生松, S. S.(2016)。我是職能治療師，燒傷復健路上我陪你。護理雜誌，63(1)，42-48。
    連結：
  3. 溫慧敏, H. M.(2016)。迎向生命的曙光─淺談八仙塵爆事件。護理雜誌，63(1)，17-21。
    連結：
  4. 羅淑芬, S. F.(2015)。嚴重燒傷病人護理處置。護理雜誌，62(4)，82-88。
    連結：
  5. Ackley, B.-J.,Ladwig, G. B.,Makic, M. B. F.(2017).Nursingdiagnosis handbook: An evidence-based guide to planningcare.St. Louis, MO:Elsevier.
  6. Alves Silva, R.,Lima Martins Á, K.,Barreto de Castro, N.,Viana, A. V.,Butcher, H. K.,Martins da Silva, V.(2017).Analysis of the concept of powerlessness in individuals with stroke.Investigacióny Educaciónen Enfermería,35(3),306-319.
  7. Hsu, K.-C.,Chen, L.-F.,Hsiep, P.-H.(2016).Effect of music intervention on burn patients' pain and anxiety during dressing changes.Burns,42(8),1789-1796.
  8. Rothman, D. J.,Sutter, M.,Perrin, P. B.,LiBrandi, H.,Feldman, M. J.(2016).Coping styles and quality of life in adults with burn.Burns,42(5),1105-1110.
  9. 吳佳儀, C. Y.,李明濱, M. B.,吳其炘, C. S.(2015)。燒傷之身心問題與全人照護。臺灣醫界，58(8)，9-14。
  10. 李映琪, Y. C.,郭怡良, Y. L.(2016)。燒燙傷中心患者的早期物理治療。物理治療，41(4)，254-263。
  11. 莊孟蓉, M. J.,邱齡頤, L. Y.,何建良, C. L.(2020)。音樂聆聽對燒傷病人換藥疼痛與焦慮之成效 - 南部某醫學中心燒傷加護病房。醫院雜誌，53(1)，29-40。
  12. 陳美如, M. J.,鄭鈺郿, Y. M.,朱彩鳳, T. F.(2016)。獨居長者使用緊急救援系統與社會支持度之關係。北市醫學雜誌，13(4)，481-489。
  13. 衛生福利部 (2019，10 月18 日 )•107 年重大傷病醫療利用情況 •取自 https://dep.mohw.gov.tw/DOS/cp-4572-49773-113.html[Ministry of Health and Welfare (2019, October 18)•Medical utilization of major injuries and illnesses in 2018•Retrieved from https://dep.mohw.gov.tw/DOS/cp-4572-49773-113.html]
  14. 衛生福利部 (2020，6月16 日 )•108 年死因結果分析統計 •取自 https://dep.mohw.gov.tw/DOS/cp-4927-54466-113.html[Ministry of Health and Welfare (2020, June 16)•The analysis of the cause of death statistics in 2019•Retrieved from https://dep.mohw.gov.tw/DOS/cp-4927-54466-113.htm
print cancel