運用Orem理論於一位小腦橋腦角腫瘤患者之手術全期護理

Applying Orem's Theory in Perioperative Nursing to a Patient with Cerebellopontine Angle Tumor

10.6692/KJN-2011-28-1-4

陳雀姬(Chueh-Chi Chen)；林明珍(Ming-Chen Lin)；朱英蘭(Ying-Lan Chu)

Orem理論 ； 小腦橋腦角腫瘤 ； 手術全期護理 ； Orem's theory ； cerebellopontine angle tumor ； perioperative nursing

高雄護理雜誌

28卷1期（2011 / 04 / 01）

35 - 46

繁體中文

本篇個案報告為照護一位小腦橋腦角腫瘤患者，接受顱窩耳後枕骨下腫瘤切除之手術全期護理經驗。筆者於97年5月17日至5月24日期間，運用Orem自我照顧理論進行評估，確立個案在手術前、中、後所面臨的自我照顧能力缺失問題為：術前焦慮、術中潛在危險性手術情境的傷害、潛在危險性體溫不平衡及潛在危險性感染、術後傷口處理及出院後自我照顧知識缺失。照護過程中，針對個案問題擬定適當護理計畫並執行完全代償性、部分代償性及支持與教育性之護理措施，以協助其安全渡過手術全期並增進手術後自我照顧能力。

The case report describes the perioperative nursing of a patient suffering from cerebellopontine angle tumor who received presigmoid approach for tumor extirpation. During May 17 to May 24, 2008, Orem's self-care theory was used to assess the nursing problems including anxiety about ignorance of operative procedure, risk for perioperative-positioning injury, risk for imbalanced body temperature and infection, inadequate knowledge of surgical wound care, and self-care after discharge. During the perioperative nursing process, the full compensatory, partial compensatory and supportive-educative nursing systems were effectively applied to improve the patient's health problems and promote ability of self-care.