協助一位腰椎損傷個案重建排泄型態的居家護理經驗

Home Nursing Care Experience of Helping a Spinal Cord Injury Case Rebuilded Excretion

10.29494/LN.200706.0009

林美慧；謝立韋

腰椎損傷 ； 重建排泄型態 ； 居家護理 ； Spinal cord injury ； rebuilded excretion function ； Home nursing care

領導護理

8卷1期（2007 / 06 / 01）

87 - 95

繁體中文

本報告是描述一位第二腰椎損傷個案因急性尿瀦留而使用留置導尿管，由居家護理師協助照顧者重建個案排泄型態的居家護理過程。過程中運用羅氏護理適應模式發現護理問題有：排泄型態改變、照顧者角色緊張、體液容積缺乏及無望感。期間指導維持個案排便通暢、學習間歇導尿重建排尿習慣、定期追蹤檢查和觀察來預防併發症發生。同時也提供社會福利資源來減輕照顧者在體力上的負擔，協助一起以正向積極態度面對所遭遇的問題，提升照顧者的照顧知識與能力，進而降低角色緊張及緩解個案的無望感，來讓彼此都能得到完善的關注及照顧。

This article describes a nursing process, through which a home health nurse assisted a caregiver on a SCI case with complicated acute urine retention using urine catheter. By applying the Roy Adapation Model of Nursing as a tool, the patient who found to have health problems, such as excretion function changed, caregiver role strain, fluid volume deficit, and hopelessness. Through the proper deployment of the nursing process, the home health nurse taught the patient and caregiver to face the health problems, improve their knowledge, and improve their self-care abilities. Moreover, by offering the resource of social welfare, the caregiver's stress was released. Therefore, their quality of life were improved.