题名 |
照護一位陣發性上心室頻脈休克個案之急診護理經驗 |
并列篇名 |
Nursing Care Experience of a Patient with Psychogenic Shock Caused by Paroxysmal Supraventricular Tachycardia |
DOI |
10.6740/NTUHJN.202007_16(2).0010 |
作者 |
顏靜微(Ching-Wei Yen);楊蓓菁(Bey-Jing Yang);王芊蕙(Chien-Hui Wang) |
关键词 |
心輸出量減少 ; 急性疼痛 ; 焦慮 ; 陣發性上心室頻脈 ; 心因性休克 ; cardiac output reduction ; acute pain ; anxiety ; paroxysmal supraventricular tachycardia ; cardiogenic shock |
期刊名称 |
臺大護理雜誌 |
卷期/出版年月 |
16卷2期(2020 / 07 / 01) |
页次 |
100 - 111 |
内容语文 |
繁體中文 |
中文摘要 |
本文旨探討一位32歲男性,因陣發性上心室頻脈導致休克的照護經驗。個案因心因性休克伴隨血壓低下、脈搏變快等情況,於急診治療期間顯現不安,且個案正值青壯年時期,又為家中經濟支柱,表現出擔心死亡的焦慮行為,引發撰寫之動機。2018年1月28日15:00-23:30於急診重症留觀區照護期間,藉由直接照顧、觀察及會談,以生理、心理、社會、靈性層面進行評估,確立個案有「心輸出量減少」、「急性疼痛」及「焦慮」等健康問題。經每15分鐘記錄個案生命徵象,觀察心電圖變化,適時給予水份補充與依醫囑注射藥物,緩解個案因疾病造成的胸痛,指導個案運用放鬆技巧採舒適臥位,增進舒適度;運用敏銳的觀察力,鼓勵個案說出內心感受,透過向個案衛教說明病情進展,減輕個案對於疾病不確定性而產生的焦慮。藉此個案的護理照護經驗,建議未來電腦系統可以協助篩選,急診一、二級危急個案未至門診追蹤治療,給予電話通知個案,強調專科治療的重要,讓個案接受專業建議,安排電氣燒灼術治癒疾病,避免個案因相同疾病問題反覆急診就醫,此個案照護經驗分享給急診的護理人員,做為日後照護類似個案之參考。 |
英文摘要 |
This case report described the nursing experience of a 32-year-old man who developed cardiogenic shock as a result of paroxysmal supraventricular tachycardia. The patient was presented with low blood pressure and tachycardia and felt very anxious in the emergency department. This young patient experienced anxiety and fear of death as his work was the main source of income for his family. Care was provided on January 28, 2018, from 15:00 to 23:30 in the emergency department. The patient's physical, psychological, social, and spiritual well-being was assessed by observation, interview, and a physical examination. Three health problems were identified, including decreased cardiac output, acute pain, and anxiety. We monitored his vital signs and heart rhythm, administered fluids and medication, and provided a comfortable position for the patient to enhance relaxation and alleviate the chest pain. We encouraged the patient to express his inner feelings and explained the medical condition to the patient and by which his uncertainty and anxiety were reduced. This nursing experience will help colleagues in the emergency department to care for this type of cases. |
主题分类 |
醫藥衛生 >
社會醫學 |