運用清醒俯臥照顧一位重症COVID-19個案之照護經驗

Nursing Experience of Awake Prone Position in a Severe COVID-19 Case

陳宜倩(Yi-Chien Chen)；陳伶芬(Ling-Fen Chen)

COVID-19 ； 清醒俯臥 ； 氣體交換障礙 ； awake prone position ； COVID-19 ； impaired gas exchange

志為護理-慈濟護理雜誌

22卷3期（2023 / 06 / 01）

126 - 134

繁體中文;英文

本文描述一位確診COVID-19個案，經歷死亡威脅之照護經驗，照護期間為2021年6月4日至24日，以Gordon十一項功能性健康型態評估，確立健康問題有：氣體交換障礙、活動無耐力、焦慮及持家能力障礙等護理問題。照護期間筆者運用清醒俯臥護理改善低血氧，個案因擔心疾病及標籤化而產生焦慮感受，又因自身財力及家庭系統支持不足，出院後面臨經濟困境，筆者主動連繫家中成員，讓家中成員感情再次凝聚，會診社工師尋找社會資源。建議隔離個案可配戴智能手環並連線上傳數據資料，讓醫護人員能夠減少曝觸在高風險的環境，亦能隨時監測生命徵象變化。

This article describes the nursing experience of a patient diagnosed with COVID-19 and who suffered from death anxiety. The nursing period was from June 4 to 24, 2021. Gordon's 11 Functional Health Patterns were used to assess the patient's health status. The nursing care problems included impaired gas exchange, activity intolerance, anxiety, and impaired home maintenance. Care included the application of awake prone position to improve the oxygenation in the case during the nursing period. In terms of psychological status, anxiety symptoms were caused because the case worried about his illness and labeling, insufficient financial resources and family system support, and facing financial difficulties after discharging from hospital. To address these issues, the author actively contacted the patients family members so that his family members could restore a strong family bond with him, and consult with social workers to find social resources. It is also recommended that isolated cases can wear a smart sports bracelet which will keep uploading data and information. Thus, medical staff can reduce the exposure to high-risk environments and can also monitor the changes of vital signs of the case at any time.

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