题名

輕度自閉症病人接受全身麻醉牙科手術之恢復室照護經驗

并列篇名

Recovery Room Care Experience of a Patient with Mild Autism Undergoing General Anesthesia for Dental Surgery

DOI

10.6740/NTUHJN.202401_20(1).0008

作者

簡莉文(Li-Wen Chien)

关键词

自閉症類群障礙 ; 牙科手術 ; 全身麻醉 ; 恢復室 ; Autistic spectrum disorder ; dental surgery ; general anesthesia ; recovery room

期刊名称

臺大護理雜誌

卷期/出版年月

20卷1期(2024 / 01 / 01)

页次

77 - 87

内容语文

繁體中文;英文

中文摘要

個案有自閉症類群障礙,於恢復室照護期間,家屬提出個案需要特殊互動及其照護之擔憂,因此,引發收案動機;於2022/9/30 12:25 pm至14:00 pm運用整體性健康評估,包含生理、心理、社會、靈性四層面及查閱病歷方式收集資料,確認個案有潛在危險性感染、焦慮及案母之照顧者角色緊張等問題。針對潛在危險性感染,因為個案有自我照護能力之限制,故給予案母口腔術後衛教,以預防傷口感染;減少環境刺激源、創造熟悉環境及減少等待時間來緩解焦慮;有關案母照顧者角色緊張,則以同理、冷靜態度面對案母提出個案特殊照護之要求,並根據個案過去就醫經驗以及與人應對溝通表達程度,主動說明使案母熟悉醫療環境及流程,緩解案母緊張情緒。建議恢復室護理師在病人出入量大、治療頻繁的工作環境下,能快速與家屬及病人建立關係、強化護理評估、計畫、執行措施之能力,使全身麻醉後之個案能受到良好之恢復室照護。

英文摘要

The patient had autistic spectrum disorder. Her family requested for special interactions with the patient and expressed concerns about her care during the stay in the recovery room. The period of nursing care was from 12:25 pm to 14:00 pm on September 30, 2022. The comprehensive nursing assessment in physical, psychological, social and spiritual dimensions as well as medical record review were used to identify that the patient had anxiety and potential infection risks. Moreover, her mother experienced caregiver's role strain. Regarding potential infection risks, because the patient had limitations in self-care ability, the mother was given dental postoperative care knowledge to prevent wound infection. Reducing environmental stimuli, creating familiar environments, and reducing waiting times have been used to relieve patient anxiety. To relieve the caregiver's role strain, the nurse showed an empathetic and calm attitude toward the mother's unusual questions regarding the case. In addition, the nurse explained the medical environment and processes used to relieve the mother's nervous system. It is recommended that nurses in the recovery room quickly establish relationships with family members and patients and strengthen the ability of nursing assessment, planning, and implementing interventions in a busy and interrupted working environment so that patients with general anesthesia can receive sufficient care in the recovery room.

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