本篇個案報告為照顧一位因腦中風住院，住院期間又再次發生腦中風的護理經驗。照護期間為2008年9月17日至2008年10月19日，筆者利用羅氏適應模式藉由會談、觀察、傾聽及身體評估完成資料收集，運用同理心給予適時的護理指導，發現個案有身體活動功能障礙、營養不均衡、情境性低自尊及無力感等健康問題。於護理過程中，藉由鼓勵個案和家屬參與疾病治療及了解病程的演變，並教導家屬如何協助個案日常生活照顧，以正向的支持來增加個案的自信心，協助個案面對疾病再次所帶來的身體失能，進而接受身、心復健治療，以促進個案身體功能的恢復及改善自我照顧能力，重建正向的自我概念，來達到最佳的生活適應。希望藉此護理經驗，可以提供護理人員照顧類似病患時，除了減輕其生理不適外，亦能重視以同理心深入了解其心理層面，以達全人之照護。

This case describes the experience of taking care of a patient who was admitted due to stroke and he experienced repeated stroke during hospital. The author collected data by Roy’s adaption model with interview, observation, listening and physical examination from September 19th, 2008 to October 19th, 2008. Nursing interventions focused on impaired physical mobility, imbalanced nutrition: less than body requirement, situational low self-esteems and powerlessness. During the nursing period, the author helped the patient and his family understand the evolution of the disease and taught them about daily self-care of the patient. In addition, the author increased the patient’s confidence by mental support and helped him face impaired physical motility caused by the disease. Then he will accept the physical and mental rehabilitation program, following by promotion of recovery of the patient and improved the self-care ability. The article was to provide the experience for the nursing staffs that when taking care of these kind of the patient, not only ease the patient’s physical discomfort, but also keep sympathy to the patient’s mind.