照顧一位行納式手術個案之照護經驗

Nursing Experience in Caring for a Patient Undergoing Nuss Surgical Procedure

唐如昕(Ju-Hsin Tang)；賴昱伶(Yu-Ling Lai)；林芷伃(Jhih-Yu Lin)

漏斗胸 ； 納氏手術 ； 護理經驗 ； nursing experience ； Nuss procedure ； pectus excavatum

志為護理-慈濟護理雜誌

21卷3期（2022 / 06 / 01）

134 - 144

繁體中文

本文探討一位年輕男性因診斷漏斗胸行納氏手術之護理經驗，護理期間為2020年6月1日至2020年6月9日。筆者以羅氏適應模式評估為指引，及運用臺灣版世界衛生組織生活質量問卷的心理範疇面向，來評估病人心理適應情形，並藉由觀察、會談及查閱病歷收集資料，發現個案有：急性疼痛、身體活動功能障礙及身體心像紊亂等健康問題。筆者與個案建立良好護病關係，給予緩解疼痛方法，協助採漸進式復健活動，並運用同理心給予陪伴支持，進而增進個案自信心接納自己的不完美，以正向態度面對疾病。希望藉由此護理經驗之分享，提供日後護理人員臨床照護之參考，並且達到身心靈的全方位照護。

This study discusses the nursing experience of a young man who underwent Nuss procedure for the diagnosis of a pectus excavatum. The patient was hospitalized from 2020/6/1 to 2020/6/9. Guided by the Roy's adaptation model, the psychological aspects of the Taiwanese version of the World Health Organization Quality of Life Questionnaire-brief (WHOQOL-brief) were used to assess the psychological adaptation of the patient. The author collected data through observation, interview and case consultation. The patient's problems were found to include acute pain, physical dysfunction and body image disturbance. The author established a good nursing relationship with the patient, provided pain relief methods, and assisted in adopting progressive rehabilitation activities. Empathy, companionship and support were given to enhance the patient's self-confidence, acceptance of their own imperfections, and face the disease with a positive attitude. It is hoped sharing this nursing experience can provide future clinical reference for nursing staff, and help achieve all-round physical and mental care in similar patients.

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