運用自我效能理論照護頸椎損傷病人之護理經驗

A Nursing Experience of Applying Self-Efficacy Theory to Care a Cervical Spine Injury Patient

10.6692/KJN.202408_41(2).0015

林渝苡(Yu-Yi Lin)；張玉梅(Yu-Mei Chang)；林郁(Yu Lin)

頸椎損傷 ； 呼吸道清除功能失效 ； 吞嚥障礙 ； 焦慮 ； 自我效能 ； cervical spine injury ； ineffective airway clearance ； dysphagia ； anxiety ； self-efficacy

高雄護理雜誌

41卷2期（2024 / 08 / 01）

167 - 178

繁體中文;英文

本篇運用Bandura自我效能理論，照護頸椎損傷病患，護理期間自2021年8月6日至2021年8月30日。護理過程中，藉由直接護理、觀察與會談、身體評估，發現有呼吸道清除功能失效、吞嚥障礙、焦慮等護理問題，藉由傾聽、陪伴、情感支持、衛教、溝通，建立良好護病關係。運用自我效能理論四大面向成就表現、替代學習、社會說服和情緒激發為架構，針對護理問題提供個別化護理指導，偕同跨團隊介入，並鼓勵家屬共同討論復健照護計畫，協助病人參與自我照顧，緩解負向情緒。希冀透過分享照護經驗，提供醫護人員運用自我效能理論參考，透過跨團隊照護增進病人自我效能，讓病人恢復信心，在生理、心理、社會與精神方面得到良好照護，以提升病人之照護品質。

This article used Bandura's self-efficacy theory to the care of cervical spine injury patients from August 6, 2021, to August 30, 2021. During the nursing process, through direct care, observation, interviews, and physical assessments, we found nursing problems such as ineffective airway clearance, dysphagia, anxiety. We established a good relationship with patients and their families through listening, accompanying, emotional support, health education, communication. The four dimensions of Bandura's self-efficacy theory-mastery experiences, vicarious experiences, verbal persuasion, and physiological and affective states-as a framework, individualized nursing guidance is provided to address nursing problems. This approach involves interprofessional collaborative practice and encourages family members to actively participate in discussing rehabilitation care plans, thereby assisting patients in engaging in self-care and alleviating negative emotions. This article provides a reference for medical staff to apply self-efficacy theory through sharing nursing experiences. By interprofessional collaborative practice care, patients can enhance their self-efficacy, leading to the restoration of confidence and the provision of quality care in physiological, psychological, social and spiritual aspects.

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